The AADPRT Position on Resident Duty Hours in the Learning and Working Environment

• Published in: Academic psychiatry Vol. 40; no. 4; pp. 637 - 641
• Main Authors: Boland, Robert J., Walaszek, Art, Bentman, Adrienne, DeJong, Sandra M., Travis, Michael J., Sudak, Donna M., Brenner, Adam M., Varley, Christopher K.
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.08.2016; Springer Nature B.V
• Subjects: Accreditation; Aerospace Education; Beliefs; Continuity of care; Continuity of Patient Care; Controversial Issues (Course Content); Didacticism; Directors; Education; Education, Medical, Graduate - methods; Environment; Fatigue; Fatigue (Biology); Graduate Medical Education; Humans; Internship and Residency - standards; Learning activities; Medical Education; Medicine; Medicine & Public Health; Opportunities; Ownership; Patient Safety; Personnel Staffing and Scheduling - standards; Professionalism; Psychiatry; Psychiatry - education; Quality of Life; Social Environment; Societies, Medical; Special Element: Position Statement; Time Factors; United States; Violations; Work Schedule Tolerance; Residency Education; Accreditation Requirement; Residency Training; Medical Student; Preventable Adverse Event
• DOI: 10.1007/s40596-016-0548-5
• ISSN: 1042-9670

Of those responding, 203 are program directors; 70 % of these direct general psychiatry programs, and most of the rest direct child and adolescent fellowship programs. [...]we believe this to be a representative sample of our members. [...]the industry also imposes mandatory rest periods [3, 6]. Some cited the unintended effect of putting inflexible restrictions on the working day; days are “packed full” and more time is spent completing work or paperwork and less time available for discussion and reflection on clinical experiences. Others noted that the shift work has created odd hours in some residencies (particularly in some other specialties), making it difficult for residents to attend to their own well-being and self-care, including mental health care.