JBJS | The Institute of Medicine Report on Resident Duty Hours: Part I: The Orthopaedic Trauma Association Response to the Report

The Journal of Bone & Joint Surgery, Volume 91, Issue 3

The Orthopaedic Forum | March 01, 2009

The Institute of Medicine Report on Resident Duty Hours: Part I: The Orthopaedic Trauma Association Response to the Report

Jeffrey O. Anglen, MD¹; Michael J. Bosse, MD²; Timothy J. Bray, MD³; Andrew N. Pollak, MD⁴; David C. Templeman, MD⁵; Paul TornettaIII, MD⁶; J. Tracy Watson, MD⁷

¹ Department of Orthopaedics, Indiana University, 541 Clinical Drive, Suite 600, Indianapolis, IN 46201-5111. E-mail address for J.O. Anglen: janglen@iupui.edu
² Department of Orthopaedic Surgery, Carolinas Medical Center, P.O. Box 32861, Charlotte, NC 28232
³ Reno Orthopaedic Clinic, 555 North Arlington Avenue, Reno, NV 89503
⁴ Department of Orthopaedics, R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, T3R62, Baltimore, MD 21201
⁵ Department of Orthopaedic Surgery, G2, Hennepin County Medical Center, 701 Park Avenue South, Minneapolis, MN 55415
⁶ Department of Orthopaedic Surgery, Boston University Medical Center, 850 Harrison Avenue, D2N, Boston, MA 02118
⁷ Department of Orthopaedic Surgery, Saint Louis University, 3735 Vista Avenue, 7th Floor, St. Louis, MO 63110

The Journal of Bone & Joint Surgery. 2009; 91:720-722 doi:10.2106/JBJS.I.00070

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The Orthopaedic Trauma Association (OTA) is a professional organization, composed primarily of orthopaedic trauma surgeons, with the mission of promoting excellence in the care of injured patients through education, research, and advocacy. The majority of our membership is from the United States and is involved in training orthopaedic residents. We read with great concern the prepublication draft of the recent report by the Institute of Medicine (IOM) entitled "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety."¹ We believe that if the recommendations of this IOM committee were adopted by the Accreditation Council for Graduate Medical Education (ACGME), the result would be detrimental to the care of trauma patients and the training of orthopaedic residents in the United States.

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institute of medicine (u.s.) ; wounds and injuries ; medical residencies ; work schedule

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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