National Academies Press: OpenBook

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety (2009)

Chapter: Appendix F Public Meeting Agendas

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Suggested Citation:"Appendix F Public Meeting Agendas." Institute of Medicine. 2009. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: The National Academies Press. doi: 10.17226/12508.
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Suggested Citation:"Appendix F Public Meeting Agendas." Institute of Medicine. 2009. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: The National Academies Press. doi: 10.17226/12508.
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Page 380
Suggested Citation:"Appendix F Public Meeting Agendas." Institute of Medicine. 2009. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: The National Academies Press. doi: 10.17226/12508.
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Page 381
Suggested Citation:"Appendix F Public Meeting Agendas." Institute of Medicine. 2009. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: The National Academies Press. doi: 10.17226/12508.
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Page 382
Suggested Citation:"Appendix F Public Meeting Agendas." Institute of Medicine. 2009. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: The National Academies Press. doi: 10.17226/12508.
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Page 383
Suggested Citation:"Appendix F Public Meeting Agendas." Institute of Medicine. 2009. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: The National Academies Press. doi: 10.17226/12508.
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Page 384

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Appendix F Public Meeting Agendas AGENDA Committee on Optimizing Graduate Medical Trainee (Resident) Schedules to Improve Patient Safety December 3-4, 2007 National Academy of Sciences 2100 C Street, NW, Lecture Room, Washington, DC Monday, December 3 CLOSED SESSION (Committee Members and IOM Staff Only) 8:00 AM Committee Deliberations 10:45 Break   END CLOSED SESSION—START OPEN SESSION   11:00 Welcome Michael Johns, M.D., Committee Chair 11:10 Remarks from Study Sponsor and Committee Questions Carolyn Clancy, M.D., Director, AHRQ 379

380 RESIDENT DUTY HOURS 11:50 Lunch Discussion of Sponsor’s Presentation 12:50 Break 1:00 PM Workshop Begins Introduction: Michael Johns, Committee Chair 1:05-1:40 Panel 1: The Accreditation Council for Graduate Medical Education’s Duty Hours Requirements Paul Friedmann, M.D., former ACGME official Ingrid Philibert, Sr. VP, Department of Field Activities, ACGME [did not participate because of telephone malfunction] 1:40-2:30 Panel 2: Impact of Duty Hours Requirements on Education Steven Weinberger, M.D., Sr. VP for Medical Education, American College of Physicians Tom Whalen, M.D., Regent, American College of Surgeons [not present because flight was cancelled] Michael Ehlert, M.D., President, American Medical Students Association Sunny Ramchandani, M.D., past Chair of Residents and Fellows Section, AMA 2:30-3:15 Panel 3: Work Hours, Patient Safety, and Enforcement L. Toni Lewis, M.D., Executive VP, Committee of Interns and Residents Peter Lurie, M.D., Public Citizen Ethan Fried, M.D., Vice Chair for Education, Residency D ­ irector-Internal Medicine, St. Luke’s-Roosevelt Hospital Center 3:15-3:30 Break 3:30-4:25 Panel 4: Sleep and Outcomes Research Charles Czeisler, M.D., Director of Sleep Medicine, Harvard Medical School and Brigham and Women’s Hospital

APPENDIX F 381 Christopher Landrigan, M.D., Director, Sleep and Patient Safety, Brigham and Women’s Hospital; Research and Fellowship Director, Children’s Hospital Boston, Assistant Professor of Pediatric Medicine, Harvard Medical School Kevin Volpp, M.D., Ph.D., Assistant Professor of Medicine and of Health Care Systems, Wharton School, University of Pennsylvania and faculty, Center for Health Equity Research and Promotion at Philadelphia VA Medical Center 4:25-5:00 Panel 5: The Federal Role Funding Graduate Medical Education Miechal Lefkowitz, Technical Advisor, Division of Acute Care, Cent for Medicare and Medicaid Services Barbara K. Chang, M.D., Director of Medical and Dental Education, Office of Academic Affiliations, Department of Veterans Affairs 5:00 Open mike for audience 5:30 Recess END OPEN SESSION—START CLOSED SESSION 6:45 Dinner Meeting, Committee deliberations   8:45 Adjournment Tuesday, December 4, Board Room (CLOSED SESSION) 8:00 AM Committee deliberations 3:00 PM Adjournment

382 RESIDENT DUTY HOURS AGENDA Committee on Optimizing Graduate Medical Trainee (Resident) Schedules to Improve Patient Safety March 4-5, 2008 100 Academy Drive, Beckman Center, Huntington Room, Irvine, CA Tuesday, March 4 CLOSED SESSION (Committee Members and IOM Staff Only) 8:00 AM-12:20 PM END CLOSED SESSION—START OPEN SESSION 12:20 PM Workshop Begins Introduction, Michael Johns, Committee Chair 12:25-1:25 Panel 1: Lessons from Residency Directors Jimmy Hara, M.D., F.A.A.F.P., Family Medicine Residency Director, Former DIO, Kaiser Permanente Center for Medical Education, Los Angeles, CA Pamela L. Dyne, M.D., Residency Program Director, UCLA/Olive View-UCLA Emergency Medicine Residency Program; Co-Director, UCLA/Olive View-UCLA Combined Emergency Medicine and Internal Medicine Residency Program; Associate Professor of Medicine/Emergency Medicine, David Geffen School of Medicine at UCLA Vineet Arora, M.D., M.A.P.P., Associate Program Director, Internal Medicine Residency Program and Assistant Dean, Pritzker School of Medicine, University of Chicago 1:25-2:30 Panel 2: Findings and Strategies from Research Literature and Other Industries Mark R. Rosekind, Ph.D., President and Chief Scientist, Alertness Solutions Arpana Vidyarthi, M.D., Director of Quality, Division of Hospital Medicine; Director, Patient Safety and Quality Programs, GME, UCSF School of Medicine Ingrid Philibert, M.H.A., M.B.A., Senior Vice President, Field Activities, ACGME Thomas Nasca, M.D., M.A.C.P., Chief Executive Officer, ACGME 2:30-2:45 Break

APPENDIX F 383 2:45-4:10 Panel 3: Lessons from Surgery Gerald B. Healy, M.D., F.A.C.S., President, American College of Surgeons; Otolaryngologist-in-Chief, Children’s Hospital Boston; Healy Chair in Otolaryngology, Harvard Medical School, Boston, Massachusetts Bernard F. Ribeiro, C.B.E., President, Royal College of Surgeons of England, London H. Hunt Batjer M.D., F.A.C.S., Michael Marchese Professor and Chair, Department of Neurological Surgery, Northwestern University Feinberg School of Medicine; Chairman, American Board of Neurological Surgery Christian de Virgilio, M.D., Vice Chair, Education; Director, General Surgery Residency Program Harbor-UCLA Medical Center; Co-Chair, College of Applied Anatomy; Professor of Surgery, UCLA School of Medicine 4:10-5:15 Panel 4: Cost Impact of Duty Hour Change Mark Noah, M.D., F.A.C.P., Director of Residency Training Program, Department of Medicine; Medical Director, Graduate and Continuing Medical Education, Cedars- Sinai Medical Center Richard J. Liekweg, M.B.A., Chief Executive Officer, UC-San Diego Medical Center Charles Daschbach, M.D., M.P.H., Director of Academic Affairs and DIO, St. Joseph’s Hospital and Medical Center, Phoenix, AZ Lawrence M. Opas, M.D., Associate Dean for GME, DIO, and Chief, Department of Pediatrics USC/Los Angeles County and USC Medical Center 5:15-5:55 Panel 5: Ethical and Consumer Perspectives Elizabeth M. Imholz, J.D., Special Projects Director, Consumer Union of the United States Felicia Cohn, Ph.D., Director of Medical Ethics, University of California-Irvine School of Medicine 5:55 Open mike for audience END OPEN SESSION—START CLOSED SESSION Wednesday, March 5 CLOSED SESSION (Committee Members and IOM Staff Only) 8:00 AM-3:00 PM

384 RESIDENT DUTY HOURS AGENDA Committee on Optimizing Graduate Medical Trainee (Resident) Schedules to Improve Patient Safety May 8-9, 2008 National Academy of Sciences 500 Fifth Street, NW, Keck Building, Room 201, Washington, DC Thursday, May 8 CLOSED SESSION (Committee Members and IOM Staff Only) 7:30 AM-1:30 PM END CLOSED SESSION—START OPEN SESSION 1:30 Public Panel Begins Introduction, Michael Johns, Committee Chair Panel on Education in Training Programs, Accreditation for Patient Safety, and Educational Outcomes Debra Weinstein, M.D., representing AAMC; Vice President for GME at Partners Healthcare Paul Schyve, M.D., Senior Vice-President, Joint Commission Kevin Weiss, M.D., M.P.H., President and CEO of American Board of Medical Specialties END OPEN SESSION—START CLOSED SESSION 3:00 PM-6:30 PM Friday, May 9 CLOSED SESSION (Committee Members and IOM Staff Only) 7:30 AM-8:30 AM END CLOSED SESSION—START OPEN SESSION 8:30 Challenges in Resident Workload Lisa Bellini, M.D., Associate Dean for Graduate Medical Education; Vice Chair for Education and Inpatient Services, Department of Medicine, University of Pennsylvania Health System END OPEN SESSION—START CLOSED SESSION 9:15 AM–3:00 PM

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Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue.

Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning.

All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

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