As reforms shortened working hours for undergraduate US physicians, some were worried: was there enough time to learn the art of medicine? Would future patients suffer?
Now, a study has found answers that show no difference in hospital deaths, readmissions, or costs when comparing the results of physicians trained to 80 hours a week before and after limiting their duties. Emagazine.credit-suisse.com/app/art…1007 & lang = DE The old days of the 100 – hour working weeks are over, but most of the world has realized that there are better options Dr. Dr. A Study was published in the journal BMJ on Thursday.
Bilimoria said that the reforms would not harm the residents if additional paperwork and some academic conferences for local residents were eliminated. The new study is the first to yield similar reassuring results for physicians as soon as they become reality, said Dr. Mitesh Patel of the University of Pennsylvania, who was not involved in the study.
Dr. The 26-year-old Isaiah Cochran worked at the Dayton Children's Hospital in Ohio for 75 hours a week, including 16-hour shifts, and plans to apply for a family medicine residency next year.  "It is possible. It's not crazy, "said Cochran, president of the American Medical Student Association, which supports compliance with the 80-hour ceiling and other measures aimed at providing adequate sleep for physicians.
Researchers analyzed data from more than 400,000 hospitalizations of Medicare patients, using billing codes to assign each case to a primary care physician who was most concerned with each patient.
The researchers then compared cases from two six-year periods: before and after 2006, when the first new doctors arrived Reforms had ended their residencies.
This was an era of improving patient safety, so researchers compared the new doctors – some affected by reforms and others – with trends in veterinary physicians aged 10 years Experience, all trained according to the old rules.
They did not produce U difference in deaths, readmissions or costs of patients.  Patients are dependent not only on a doctor, but on hospital teams, and this may explain why time spent training the doctor did not seem to affect care.
Teamwork and technology have changed hospital care so that the impact of every doctor is dumb. said principal author dr. Anupam Jena from Harvard Medical School.
And more change is going ahead with artificial intelligence. Given that computers play a bigger role in diagnosis and treatment, Jena said, "It should be an open question if 80 hours a week is the right number for training." Maybe it could be less.
The results apply to internal medicine physicians, not surgeons. According to Jena, further research is needed to determine if surgeons gain enough experience during exercise.
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