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International Journal for Quality in Health Care 15:103-105 (2003)
© 2003 International Society for Quality in Health Care

Counterpoint

Opening Pandora’s box: residents’ work hours

Zvi Stern

Hadassah Hebrew University Medical Center, Jerusalem, Israel

The first 150 words of the full text of this article appear below.

In March 1984, an 18-year-old woman named Libby Zion died at the New York Hospital a few hours after she had been admitted through the Emergency Room. Her death was unexpected and therefore prompted a series of investigations that have resulted in recommendations for profound changes in the medical profession, at first in the USA and later in many other countries [1,2]. The media coverage of the Libby Zion case prompted questions about the quality of care in teaching hospitals. Many questions focused on the long hours that interns and residents work. The grand jury that investigated the case recommended that ‘the State Department of Health should promulgate regulations to limit consecutive working hours for interns and junior residents in teaching hospitals’. At the same time a sociological study of residents suggested that long work hours and other intense pressures of clinical training, condition physicians to . . . [Full Text of this Article]

So how has the system adjusted to the change?


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