Ethics Governance
Ethics & Governance - Resources and Articles |
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| Article - Abstract. To view full article click on the article title. | |
CBHD: Go Home, Someone Else Will Do It by Ferdinand D. Yates Jr. July of 2003 marked an important milestone (and perhaps millstone) for hospital residency programs, when the Accreditation Council for Graduate Medical Education implemented final changes for the 7,800 medical residency programs that it oversees. The council introduced guidelines stating that medical and surgical residents could work no more than 80 hours a week (with certain variations for some surgical programs) with a 10-hour break between shifts, and no resident was to be on duty for more than 24 continuous hours. The history of the issue dates back to 1984, when Libby Zion’s father brought suit against New York Hospital regarding the death of his daughter. The prosecution asserted that Libby’s death was due to substandard care and preventable medical error by a fatigued, overworked hospital resident who was too tired to perform her duties properly. Eventually allegations of malpractice were dropped, the doctors were not accused of wrongful death, and the plaintiff settled for an award of $375,000. The case initiated a veritable firestorm of allegations and insinuations regarding the competency of the medical residency system, juxtaposing it with the issue of preventable medical error. Many physicians learned their trade under the age-old “see one, do one, teach one” methodology of teaching. Full Article: http://www.cbhd.org/resources/healthcare/yates_2004-10-29.htm |
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2006 Ethics-Governance.com |
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