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New ACGME Work-Hour Guidelines and Their Impact on Current Residency Training Practices

Received November 26, 2003; revised October 28, 2004; accepted; November 12, 2004. Dr. Sattar is Associate Director of Residency Training and Assistant Professor of Psychiatry at Creighton University School of Medicine and Staff Psychiatrist at the VA Medical Center, Omaha, Nebraska. Dr. Basith is a Research Volunteer at Creighton University, Ohmah, Nebraska. Dr. Madison is Assistant Professor of Psychiatry at Creighton University, School of Medicine, Omaha, Nebraska. Dr. Bhatia is Professor of Psychiatry, Creighton University and Chief of Mental Health and Behavior Science at the VA Medical Center, Omaha, Nebraska. Address correspondence to Dr. Sattar, VA Medical Center, 116A, 4101 Woolworth Ave, Omaha, NE; syed.sattar{at}med.va.gov (E-mail). Copyright © 2005 Academic Psychiatry.

OBJECTIVE: Accreditation Council for Graduate Medical Education (ACGME) has introduced new work-hour guidelines for residents in ACGME accredited programs that were implemented in July 2003. The new ACGME policies impact several practices in various psychiatry residency programs across the U.S., even though psychiatry has not been at the forefront of the debate regarding work hours. METHODS: The authors surveyed all psychiatry residency programs in the U.S. and identified several current practices that may infringe on the new ACGME work-hour guidelines. CONCLUSION: Further interpretation of the new guidelines is needed.

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