Jones & Bartlett Learning Medicine Blog

    Jones & Bartlett Learning Debuts Digital Review Product for Medical Students Preparing for the USMLE Step 1 and Step 2 CK Exams

    Posted by Katie Hennessy on Jul 27, 2015 4:24:23 PM

    We're so proud to announce the debut of USMLE Benchmark, a new digital review product for medical students and residents preparing for the USMLE Step 1 and Step 2 CK exams.

    Read More

    Topics: medical student, NBME, resident, USMLE

    Just Published: Tarascon Pocket Pharmacopoeia 2014 Classic Shirt Pocket Edition

    Posted by Jennifer Sharp on Nov 19, 2013 12:27:24 AM

    Used by prescribers around the world, including physicians, pharmacists, nurses, physician assistants, dentists, and medical transcriptionists, the Tarascon Pocket Pharmacopoeia® 2014 Classic Shirt-Pocket Edition continues its tradition as the leading portable drug reference packed with vital drug information to help clinicians make better decisions at the point of care.

    Read More

    Topics: doctor, Hospital Medicine Blog, General Medicine, just published, medical student, Pharma, Pharmacopoeia, Pharmacy, Prescribing, primary care, resident, Tarascon

    Do Resident Work Hour Restrictions Improve Either Patient Safety or Postgraduate Medical Education?

    Posted by Joseph Esherick on Sep 28, 2011 8:10:01 AM

    Dr. Joseph Esherick Monthly Blog – September 2011

    National resident work hour restrictions were first implemented by the ACGME in 2003.   The debate started initially after the unfortunate death of Libby Zion in 1984 which prompted the state of New York to restrict resident duty hours.   The assumption was that resident fatigue caused the death of Libby Zion.  Among other restrictions, the 2003 regulations restricted resident shifts longer than 30 hours.  The regulations also stipulated that resident physicians must have at least one day in seven off and must have a 10 hour break between work shifts.

    In 2008, the Institute of Medicine (IOM) declared that resident duty hour restrictions must be tighter to reduce medical errors and improve resident education.  The IOM proclaimed that resident shifts should not exceed 16 hours unless they are interrupted by a five-hour uninterrupted nap, no shift should exceed 30 hours, and moonlighting hours are counted as a part of the 80-hour weekly maximum.  Based on these recommendations, the ACGME has imposed new 2010 regulations that prohibit first-year residents from working shifts longer than 16 hours, senior residents must work shifts no longer than 24 hours, and shifts must be separated by a 10 hour break.  The assumption that has been made is that these duty hour restrictions will decrease resident fatigue and therefore lead to improved patient safety and improved resident education, which will eventually lead to better graduating physicians.

    The reality, however, is these residency duty hour restrictions have led to neither improved patient outcomes nor improved resident education.  The data suggest that the IOMs assumptions are wrong... 

    Read More

    Topics: ACGME, Hospital Medicine Blog, Institute of Medicine, Authors, Joesph Esherick, Libby Zion, medical educaction, Physician, resident, work hour restrictions

    Subscribe to Blog Email Updates

    Recent Posts

    Posts by Topic

    see all