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Marc A. Miller, MD; Mark W. Babyatsky, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We had several concerns regarding the study by Fernandez and colleagues¹ examining house staff awareness of potential risk factors for developing hazards of hospitalization in elderly individuals. First, the cross-sectional design² lacked control groups including non–house staff health care workers such as nurses, geriatric fellows, attending physicians, or house staff at other academic or community hospitals, severely limiting the study's specificity. No measure of work duty-hour compliance or other variables that may affect medical errors by house staff^3-4 such as administrative burden, fatigue, or other work stressors were addressed. Furthermore, the time lag between the conduction of the study and publication was not discussed, inferring that the group studied is representative of the current house staff program. Some of the significant changes since the 1999 through 2002 time frame of the study have included new leadership of the Medicine residency including the . . . [Full Text of this Article]

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