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Tue May 5 21:50:17 BST 2009

Dr Holiday, sorry for retarded response-just read your note on resident hours (March). Thanks and yes, you are right, there is evidence that long hours result in reduced effciency and eventual harm to the patient. I dont think I will ever agree witht eh 48hr/wk schedule for SURGERY residents-it has to be MORE than that. Am not saying 120hrs, but should be reasonable enough to get suffucuent experience and not to feel 'dead' at the end of the day. Maybe someone needs to design a study to determine the cutoff...
And you are right, there are perhaps other ways of increasing the quality of residency without making the hours too long as well. The problem is, given how conservative the health care system is, it will take decades to change it.
Cheers. KH

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