Sleepy Surgeons: Resident Duty-Hour Reforms Reduce Patient Mortality
- This paper studies the impact of the Accreditation Council for Graduate Medical Education (ACGME) 2003 duty hour reforms, which limit resident physician duty hours to 80 hours per week, on physician training and patient clinical outcomes. Drawing from a dataset covering Medicare and Medicaid inpatient claims for patients who received surgery from 2011 to 2015 together with a dataset covering US doctor demographic information, I investigate whether inpatient mortality varied according to the number of years a physician was exposed to the 2003 ACGME duty hour reform during residency. Using a differences-in-differences analysis, I compare physicians exposed to the 2003 ACGME duty hour reforms to unexposed physicians, holding fixed the number of years of training a physician receives. The results show that increased physician exposure to the duty hour reforms results in improved quality of physician training, reflected by lower rates of inpatient mortality.
|Type of resource
|May 14, 2020
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- Preferred Citation
- Lorenzon, Marco. (2020). Sleepy Surgeons: Resident Duty-Hour Reforms Reduce Patient Mortality. Stanford Digital Repository. Available at: https://purl.stanford.edu/qk437gx9366
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