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Resident Hours in the Pursuit of Better Health Care—Reply
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In reply
Bloomfield et al argue in favor of long hours in medical training and recall a mentor whose careful supervision ensured quality of care. We believe that the suggestion that resident supervision can entirely prevent problems related to overwork is overly optimistic. There is evidence that workload and the structure of residents' work schedule do influence the likelihood of medical errors and the quality of care residents provide.1-3 It is also important to note that faculty face increasing expectations for outpatient productivity, research, and documentation that threaten the quality of teaching and supervision.
Bloomfield and colleagues also express the widely held assumption that a reduction in the hours worked inherently involves a decrease in residents' exposure to patients, thus compromising their education. However, fewer hours do not necessarily mean a lighter workload. For example, when one of us (L.G.) was an intern at the Massachusetts General Hospital (MGH) in . . . [Full Text of this Article]
AUTHOR INFORMATION
Lara Goitein, MD;
Tait D. Shanafelt, MD;
Joyce E. Wipf, MD
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