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Resident Work Hours
- The American Academy of Family Physicians opposed government regulation of resident work hours.
- The AAFP opposes 24-hour work limits on any other consecutive time constraints as these can compromise patient care and residency education as well as limit flexibility of scheduling within individual residency programs.
- The AAFP supports the concept that the time residents spend delivering patient care services of marginal or no educational value should be minimized.
- The AAFP supports maintaining the RRC-FM as the primary regulatory entity of the FMP residency standards, including resident work hours. However, the AAFP calls on the RRC-FM to institute more effective enforcement of these standards.
- Accrediting organizations will commission research studies to more closely examine the hypothesis that further restrictions of resident duty hours would lead to improved clinical outcomes in various patient care settings.
- Accrediting organizations will not support further duty hours restrictions without the economic support necessary to prevent program closures due to resulting fiscal insolvency.
- Accrediting organizations will devise a process to assess periodic “technical violations” of the duty hours standards in those rare circumstances where the resident has made this choice in the patient’s best interest.
- Residents should have at least 24 consecutive hours free of all assigned duty every 7 days, averaged monthly.
- Residents should not be required to have overnight, on-call duty more frequently than one night in three, averaged monthly.
- Residents should not be scheduled to be on duty more than 80 hours per week, averaged monthly.
- There should be adequate backup if sudden unexpected patient care needs create resident fatigue sufficient to jeopardize patient care during or following on–call period.
Residency programs should have written guidelines governing resident duty hours and should inform all resident of these guidelines.
Residents should have the right to confidentiality report work hour violations to the RRC-FP and each residency program should inform residents of this right. (2002) (2010 COD)