T he implementation of restricted duty hours by the Accreditation Council for Graduate Medical Education (ACGME) have raised concerns regarding the potential negative effects on resident education and patient care. Equally concerning are the potential effects on teaching faculty. Surgical studies report the “trickle-up” effect, or, increased faculty workload due to absent residents. In a recent...

To purchase reprints, contact The InnoVision Group, 101 Columbia, Aliso Viejo, CA 92656. Phone, (800) 809-2273 or (949) 362-2050 (ext 532); fax, (949) 362-2049; e-mail, [email protected]. Second, the nurse returns to the bedside. This time, the patient, an 86-year-old man with hip replacement surgery, is on the floor moaning and groaning. The patient is obviously in acute pain and has fallen ou...

PURPOSE Few data describe how often residents defer indirect patient care tasks to after hours or show whether residents report this time in duty hours logs. Thus, the authors examined how often residents perform one such task, discharge dictation, outside scheduled hours. METHOD The authors tracked all discharge summaries dictated by internal medicine residents at a single teaching hospital ...

The Accreditation Council for Graduate Medical Education (ACGME) recognized the importance of housestaff in the provision of hospital care when it regulated housestaff duty hours to improve patient safety. ACGME intended to create a better balance between the management of resident fatigue and the continuity of patient care, but the shorter hours mandated by duty hour reform have created more f...

background & aim: maternal satisfaction of health services is an inherent element of healthcare policies, and quality of midwifery care essentially influences this parameter. this study aimed to evaluate maternal satisfaction of postpartum care and its association with midwifery care at the urban health centers of mashhad, iran in 2012. methods:this descriptive, cross sectional study was conduc...

objective: this study presents an efficient, cost-effective method to improve proliferation and colonization of spermatogonial stem cells (sscs) in vitro. methods: isolated sscs from neonate mice were cultured in dmem culture medium with 10% fetal bovine serum (fbs). in the first phase of the study, the temperature was controlled by low intensity pulsed ultrasound stimulation (lipus) of the pla...

IN medical malpractice litigation, negligence is the predominant theory of liability. The basic elements of a malpractice claim are duty, negligence, causation, and damage. Duty refers to the practitioners responsibility to treat a patient according to the standard of care. Negligence is defined by law as a deviation from the accepted standard of care and, therefore, a breach of duty. Causation...

BACKGROUND Since the mid-1980s, medical residents' long duty hours have been under scrutiny as a factor affecting patient safety and the work environment for the residents. After several mandated changes in duty hours, it is important to understand how residents spend their time before proposing and implementing future changes. Time-motion methodology may provide reliable information on what re...