This single center cohort randomized general medical teams to a pre-2011 work hour schedule (30 hour limit with q4 call) or 1 of 2 post-2011 work hour schedules (both with 16 hour limits with either q5 call or a night float system). Compared to the old model, both newer models increased handoffs, decreased teaching conference time, and reduced resident and nurse perception of quality of care (abstract). Another study found the 2011 work hour restrictions did not affect the hours slept, depression ratings, or well being scores, but did increase interns concerns about making a serious medical error (abstract).
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