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Resident Hours in the Pursuit of Better Health Care—Reply
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In reply
We appreciate the thoughtful comments in these 2 letters. The discussion by Manfredini and colleagues of the European Working Time Directive's goal of a 48-hour work week offers an interesting comparative perspective. We ourselves have been particularly interested in learning from the experiences of our European colleagues1 and believe that future research should focus on the insights that can be gained from such comparison, particularly with respect to ways in which shorter work weeks might be accommodated while maintaining continuity of care and the quality of medical education.
Indeed, Bloomfield and colleagues are absolutely right to emphasize that those who make and implement policies regulating residents' work hours must consider the effects of these policies not only on patient safety but also on medical education. Further research is necessary to establish whether reductions in work hours may be accomplished without adverse effects on resident experience and education. After . . . [Full Text of this Article]
AUTHOR INFORMATION
Reshma Jagsi, MD, DPhil;
Barrett T. Kitch, MD, MPH;
Debra F. Weinstein, MD;
Eric G. Campbell, PhD;
Matthew Hutter, MD;
Joel S. Weissman, PhD
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