Sleep deprivation is assumed detrimental to physician performance. Over the past 30 years, increased efforts and attention to this issue have resulted in restriction of physician work hours. Since the death of Libby Zion in 1984, debate has raged among educators, sleep scientists, practitioners, and regulatory and legislative bodies about the contribution of lack of physician sleep to adverse patient outcomes.1 Investigation of this event by the Bell Commission culminated in the first law to restrict resident physician work hours in New York State to 80 hours per week.2 Between the enactment of that law (1989) and 2002, many attempts were made to establish an 80-hour work week standard for residents throughout the United States. Pressure from trainee unions such as the Committee of Interns and Residents/Service Employees International Union (CIR/SEIU) and Public Citizen, caused the Occupational Safety and Health Administration (OSHA) in the US Department of Labor to consider enacting regulations limiting work hours for trainees.3
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 2
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.