JAMA : the journal of the American Medical Association
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Randomized Controlled Trial Comparative Study
Effects of 2- vs 4-week attending physician inpatient rotations on unplanned patient revisits, evaluations by trainees, and attending physician burnout: a randomized trial.
Data are sparse on the effect of varying the durations of internal medicine attending physician ward rotations. ⋯ The use of 2-week inpatient attending physician rotations compared with 4-week rotations did not result in an increase in unplanned patient revisits. It was associated with better self-rated measures of attending physician burnout and emotional exhaustion but worse evaluations by trainees.
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Randomized Controlled Trial
Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial.
A 2009 Institute of Medicine report recommended protected sleep periods for medicine trainees on extended overnight shifts, a position reinforced by new Accreditation Council for Graduate Medical Education requirements. ⋯ For internal medicine services at 2 hospitals, implementation of a protected sleep period while on call resulted in an increase in overnight sleep duration and improved alertness the next morning.