{"id":"https://openalex.org/W2044714723","doi":"https://doi.org/10.1097/01.acm.0000246688.93566.28","title":"Complying with ACGME Resident Duty Hours Restrictions: Restructuring the 80-Hour Workweek to Enhance Education and Patient Safety at Texas A&M/Scott & White Memorial Hospital","display_name":"Complying with ACGME Resident Duty Hours Restrictions: Restructuring the 80-Hour Workweek to Enhance Education and Patient Safety at Texas A&M/Scott & White Memorial Hospital","publication_year":2006,"publication_date":"2006-11-21","ids":{"openalex":"https://openalex.org/W2044714723","doi":"https://doi.org/10.1097/01.acm.0000246688.93566.28","mag":"2044714723","pmid":"https://pubmed.ncbi.nlm.nih.gov/17122463"},"language":"en","primary_location":{"id":"doi:10.1097/01.acm.0000246688.93566.28","doi":"https://doi.org/10.1097/01.acm.0000246688.93566.28","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.acm.0000246688.93566.28","pdf_url":null,"source":{"id":"https://openalex.org/S19793444","display_name":"Academic Medicine","issn_l":"1040-2446","issn":["1040-2446","1938-808X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019947978","display_name":"Paul E. Ogden","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Paul E. Ogden","raw_affiliation_strings":["Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, Temple, TX 76508, USA. pogden@swmail.sw.org","Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, Temple, TX 76508, USA. pogden@swmail.sw.org","institution_ids":["https://openalex.org/I4210130208"]},{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079043108","display_name":"Stephen J.B. Sibbitt","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen Sibbitt","raw_affiliation_strings":["Please see the end of this article for information about the authors","should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Please see the end of this article for information about the authors","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","institution_ids":["https://openalex.org/I4210130208"]},{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109048579","display_name":"Martha R. Howell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Martha Howell","raw_affiliation_strings":["Please see the end of this article for information about the authors","should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Please see the end of this article for information about the authors","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","institution_ids":["https://openalex.org/I4210130208"]},{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":null,"display_name":"David Rice","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David Rice","raw_affiliation_strings":["Please see the end of this article for information about the authors","should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Please see the end of this article for information about the authors","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","institution_ids":["https://openalex.org/I4210130208"]},{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111738290","display_name":"Jeana O Brien","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeana O???Brien","raw_affiliation_strings":["Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Roberto Aguirre","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roberto Aguirre","raw_affiliation_strings":["Please see the end of this article for information about the authors","should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Please see the end of this article for information about the authors","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","institution_ids":["https://openalex.org/I4210130208"]},{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Peter Naus","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter Naus","raw_affiliation_strings":["Please see the end of this article for information about the authors","should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Please see the end of this article for information about the authors","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","institution_ids":["https://openalex.org/I4210130208"]},{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5087239740","display_name":"Donald J. DiPette","orcid":"https://orcid.org/0000-0002-5762-9104","observed_orcids":["https://orcid.org/0000-0002-5762-9104","https://orcid.org/0009-0008-9446-7942"]},"institutions":[{"id":"https://openalex.org/I4210130208","display_name":"Scott & White Memorial Hospital","ror":"https://ror.org/02ge60j37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130208"]},{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Donald DiPette","raw_affiliation_strings":["Please see the end of this article for information about the authors","should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Please see the end of this article for information about the authors","institution_ids":[]},{"raw_affiliation_string":"should be addressed to Dr. Ogden, Department of Internal Medicine, Scott & White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508; telephone: (254) 742-6598; fax: (254) 724-7113; e-mail: ([email\u00a0protected])","institution_ids":["https://openalex.org/I4210130208"]},{"raw_affiliation_string":"Dr. A. Ford Wolf and Brooksie Nell Boyd Wolf Centennial Chair of Medicine; Dr. DiPette is chairman and professor, Department of Medicine; Dr. Ogden is vice chair for educational affairs, Department of Medicine, Texas A&M/ Scott & White Memorial Hospital, Temple, Texas.; Dr. O\u2019Brien is former program director, Internal Medicine Residency Program, Texas; Dr. Rice is division director, Hospital Medicine Division","institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5019947978"],"corresponding_institution_ids":["https://openalex.org/I4210130208","https://openalex.org/I91045830"],"apc_list":null,"apc_paid":null,"fwci":2.3872,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.88317059,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"81","issue":"12","first_page":"1026","last_page":"1031"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/resident-duty-hours","display_name":"resident work hours","score":0.8489999771118164},{"id":"https://openalex.org/keywords/acgme-accreditation","display_name":"ACGME accreditation","score":0.7229999899864197},{"id":"https://openalex.org/keywords/patient-handover","display_name":"patient handover","score":0.7639999985694885},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"continuity of care","score":0.9819999933242798},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.8880000114440918},{"id":"https://openalex.org/keywords/residency-education","display_name":"resident education","score":0.8050000071525574},{"id":"https://openalex.org/keywords/sleep-disruption","display_name":"sleep disruption","score":0.6620000004768372},{"id":"https://openalex.org/keywords/internal-medicine-residency","display_name":"internal medicine residency","score":0.7680000066757202}],"concepts":[{"id":"https://openalex.org/C2779767262","wikidata":"https://www.wikidata.org/wiki/Q5592059","display_name":"Graduate medical education","level":3,"score":0.7878731489181519},{"id":"https://openalex.org/C61521584","wikidata":"https://www.wikidata.org/wiki/Q705899","display_name":"Accreditation","level":2,"score":0.7532263994216919},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6277062892913818},{"id":"https://openalex.org/C3017735764","wikidata":"https://www.wikidata.org/wiki/Q256698","display_name":"House staff","level":2,"score":0.5593097805976868},{"id":"https://openalex.org/C2779103253","wikidata":"https://www.wikidata.org/wiki/Q878070","display_name":"Duty","level":2,"score":0.5385727882385254},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.49952268600463867},{"id":"https://openalex.org/C2780358146","wikidata":"https://www.wikidata.org/wiki/Q5908738","display_name":"Hospital medicine","level":2,"score":0.4856468439102173},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.4834933578968048},{"id":"https://openalex.org/C2987480172","wikidata":"https://www.wikidata.org/wiki/Q7834462","display_name":"Continuity of care","level":3,"score":0.4814578890800476},{"id":"https://openalex.org/C45237549","wikidata":"https://www.wikidata.org/wiki/Q1376796","display_name":"Restructuring","level":2,"score":0.44032472372055054},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4226214587688446},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4198460876941681},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.41845598816871643},{"id":"https://openalex.org/C2778605646","wikidata":"https://www.wikidata.org/wiki/Q223729","display_name":"White paper","level":2,"score":0.41092848777770996},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.326355516910553},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.29391801357269287},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.21971184015274048},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.10384273529052734},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0},{"id":"https://openalex.org/C27206212","wikidata":"https://www.wikidata.org/wiki/Q34178","display_name":"Theology","level":1,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000068","descriptor_name":"Accreditation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007388","descriptor_name":"Internal Medicine","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012449","descriptor_name":"Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013781","descriptor_name":"Texas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/01.acm.0000246688.93566.28","doi":"https://doi.org/10.1097/01.acm.0000246688.93566.28","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.acm.0000246688.93566.28","pdf_url":null,"source":{"id":"https://openalex.org/S19793444","display_name":"Academic Medicine","issn_l":"1040-2446","issn":["1040-2446","1938-808X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Medicine","raw_type":"journal-article"},{"id":"pmid:17122463","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17122463","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic medicine : journal of the Association of American Medical Colleges","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.5299999713897705,"id":"https://metadata.un.org/sdg/4","display_name":"Quality education"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W194786554","https://openalex.org/W1987930819","https://openalex.org/W1988639535","https://openalex.org/W1994881303","https://openalex.org/W2003241319","https://openalex.org/W2014294381","https://openalex.org/W2040353675","https://openalex.org/W2074453388","https://openalex.org/W2079143058","https://openalex.org/W2111497168","https://openalex.org/W2139216363","https://openalex.org/W2144695831"],"related_works":["https://openalex.org/W2091229874","https://openalex.org/W2039311446","https://openalex.org/W1967079520","https://openalex.org/W2020327476","https://openalex.org/W2088754163","https://openalex.org/W2012304701","https://openalex.org/W2093141433","https://openalex.org/W2219990324","https://openalex.org/W2163632927","https://openalex.org/W1987147174"],"abstract_inverted_index":{"Compliance":[0],"with":[1,75],"the":[2,21,76,120,150,155,165,216,220,263],"Accreditation":[3],"Council":[4],"for":[5,20,51,144,189,207],"Graduate":[6],"Medical":[7],"Education":[8],"resident":[9,40,107],"duty":[10,77],"hours":[11,78,188],"rules":[12,79],"has":[13,213],"created":[14],"unique":[15],"educational":[16,147],"and":[17,45,106,123,139,145,184,230,233,244,251,273],"patient-care":[18],"challenges":[19],"general":[22],"medicine":[23,70],"inpatient":[24,234],"teaching":[25,43,235],"(GMIT)":[26],"teams":[27],"at":[28,154],"Texas":[29,63],"A&M/Scott":[30,64],"&":[31,65],"White":[32,66],"Memorial":[33,67],"Hospital,":[34],"including":[35],"multiple":[36,39],"patient":[37,60,104,271],"hand-offs,":[38],"absences":[41],"during":[42,163],"time,":[44],"loss":[46],"of":[47,49,55,131],"continuity":[48],"care":[50,105],"individual":[52],"patients,":[53],"all":[54],"which":[56,164],"may":[57],"have":[58],"compromised":[59],"safety.":[61],"The":[62,200,210,223],"Hospital":[68],"internal":[69],"residency":[71],"program":[72,157],"initially":[73],"complied":[74],"by":[80,89,181,198],"having":[81],"residents":[82,252],"take":[83],"call":[84,113,161,167,229,265],"every":[85],"fourth":[86],"night,":[87],"followed":[88],"a":[90,160,190],"six-hour":[91],"post-call":[92,129,192,239],"day.":[93,193],"This":[94],"system":[95,114,162,266],"proved":[96],"to":[97,118,142,174],"be":[98],"inefficient":[99],"because":[100,130],"it":[101],"significantly":[102,267],"disrupted":[103],"education.":[108],"Residents":[109,241,259],"reported":[110,136],"that":[111,124,254,262],"this":[112],"frequently":[115],"caused":[116],"them":[117],"approach":[119],"80-hour":[121],"limit":[122],"they":[125,255],"had":[126],"difficulty":[127],"leaving":[128],"unfulfilled":[132],"responsibilities.":[133],"They":[134],"also":[135,260],"sleep":[137],"interruption":[138],"inadequate":[140],"time":[141],"prepare":[143],"attend":[146,242],"conferences.After":[148],"determining":[149],"peak":[151],"admission":[152],"times":[153],"hospital,":[156],"leaders":[158],"designed":[159],"primary":[166],"team":[168,225],"takes":[169],"admissions":[170,195],"from":[171],"12:00":[172],"pm":[173,176,183],"8:00":[175],"each":[177],"day,":[178],"then":[179],"leaves":[180],"10:00":[182],"returns":[185],"after":[186],"10":[187],"full":[191],"After-hours":[194],"are":[196,248,256],"managed":[197],"hospitalists.":[199],"solution":[201],"did":[202],"require":[203],"hiring":[204],"additional":[205],"hospitalists":[206],"night-call":[208],"coverage.":[209],"new":[211,264],"structure":[212],"greatly":[214],"improved":[215],"residents'":[217],"experience":[218],"on":[219,228,238],"GMIT":[221],"teams.":[222],"entire":[224],"works":[226],"together":[227],"post-call.":[231,246],"Rounds":[232],"continue":[236],"normally":[237],"days.":[240],"clinics":[243],"conferences":[245],"Hand-offs":[247],"reduced":[249],"greatly,":[250],"report":[253],"better":[257],"rested.":[258],"state":[261],"enhances":[268],"their":[269],"education,":[270],"care,":[272],"personal":[274],"life.":[275]},"counts_by_year":[{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
