Medical Resident/Physician Performance

Robert R Auger, E. J. Olson, L. A. Drage

Research output: Chapter in Book/Report/Conference proceedingChapter


Around-the-clock patient care has traditionally been satisfied by heroic physician trainee work hours. Justifications for these burdens are rooted in arguments related to education, professional identity, and economics. Accumulated evidence regarding sleep restriction and, to a lesser extent, other aspects of sleep/wake homeostasis, led to the introduction of duty hour regulations by the Accreditation Council for Graduate Medical Education (ACGME). This article will highlight studies that examine the impacts of sleep deprivation, circadian misalignment, and sleep inertia, discuss the impacts of regulations on myriad aspects of medical care, summarize current ACGME regulations, and suggest areas for further investigation.

Original languageEnglish (US)
Title of host publicationEncyclopedia of Sleep
PublisherElsevier Inc.
Number of pages5
ISBN (Electronic)9780123786111
ISBN (Print)9780123786104
StatePublished - Jan 1 2013


  • Performance
  • Physician trainees
  • Resident work hours
  • Sleep deprivation

ASJC Scopus subject areas

  • Medicine (miscellaneous)


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