We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Duty Hour Reform: Only a Small Piece of a Larger Problem

Aliye Runyan, MD1
[+] Author Affiliations
1American Medical Student Association, Sterling, Virginia
JAMA Intern Med. 2013;173(19):1844. doi:10.1001/jamainternmed.2013.9721.
Text Size: A A A
Published online


To the Editor While we acknowledge the need for evidence-based work hour reform, we would point out that the recent study on duty hours1 only addresses a small portion of the larger dynamic at work that contributes to medical error and intern and resident quality of life.

Integrated efforts by medical schools and teaching hospitals to address issues such as emotional burnout, better handoff techniques, and interprofessional communication are necessary to further a safe environment for both physicians and patients alike. It is not likely that depression scores will decrease, or patient safety will improve, until the residency training process is addressed in a systematic fashion, eg, more support staff, trainings on culture of medicine and breaking down reporting hierarchies, time for reflection and improvement, and better handoff training.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





October 28, 2013
Srijan Sen, MD, PhD; Breck Nichols, MD, MPH; Aashish K. Didwania, MD
1Department of Psychiatry, University of Michigan, Ann Arbor
2Department of Pediatrics, Keck University of Southern California (USC) School of Medicine, Los Angeles County + USC Medical Center, Los Angeles3Department of Medicine, Keck USC School of Medicine, Los Angeles County + USC Medical Center, Los Angeles
4Department of Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Intern Med. 2013;173(19):1844-1845. doi:10.1001/jamainternmed.2013.9710.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...