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Resident Hours in the Pursuit of Better Health Care—Reply
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In reply
We appreciate the interest in our article and the discussion that it has sparked. We agree with Litchenberg that bedside rounding is crucial for education1 but do not believe that it "would be an instant cure for burnout." Nor do we believe that restricting resident work hours will solve this entire problem as evidenced by 55% of residents still meeting criteria for burnout after implementing the work-hour restrictions. It is 1 step that may positively impact resident burnout.
The quote from Dr Finn about Dr Stead brings up several points.2 First, we agree that there is no better way to learn about the diagnosis and treatment of disease than from direct contact with patients. However, the true measure of contact might not be the number of patients seen but the quality of learning in each patient encounter. The overtired resident may not be able to retain the learning . . . [Full Text of this Article]
AUTHOR INFORMATION
Ravi Gopal, MD;
Jeffrey J. Glasheen, MD;
Tom J. Miyoshi, MSW;
Allan V. Prochazka, MD, MSc
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