Sleepy Surgeons: Resident Duty-Hour Reforms Reduce Patient Mortality

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Abstract/Contents

Abstract
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.

Description

Type of resource text
Date created May 14, 2020

Creators/Contributors

Author Lorenzon, Marco

Subjects

Subject Stanford
Subject Economics
Subject Thesis
Subject Sleep
Subject Physician
Subject Training
Subject Learning
Subject Health Policy
Subject Medicine
Subject Healthcare
Genre Thesis

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User agrees that, where applicable, content will not be used to identify or to otherwise infringe the privacy or confidentiality rights of individuals. Content distributed via the Stanford Digital Repository may be subject to additional license and use restrictions applied by the depositor.
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This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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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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Stanford University, Department of Economics, Honors Theses

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