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Medical Resident Work Hours
Medical resident work hours refers to the (often lengthy) shifts worked by medical interns and residents during their medical residency. As per the rules of the Accreditation Council for Graduate Medical Education in the United States of America, residents are allowed to work a maximum of 80 hours a week averaged over a 4-week period. Residents work 40–80 hours a week depending on specialty and rotation within the specialty, with residents occasionally logging 136 (out of 168) hours in a week. Some studies show that about 40% of this work is not direct patient care, but ancillary care, such as paperwork. Trainee doctors are often not paid on an hourly basis, but on a fixed salary; in some locations, they are paid for booked overtime. Limits on working hours have led to misreporting, where the resident works more hours than they record. Medical resident work hours have become a hot topic of discussion due to the potential negative results of sleep deprivation on both residents an ...
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Medical Intern
A medical (or surgical) intern is a physician in training who has completed medical school and has a medical degree, but does not yet have a license to practice medicine unsupervised. Medical education generally ends with a period of practical training similar to internship, but the way the overall program of academic and practical medical training is structured differs depending upon the country, as does the terminology used (see medical education and medical school for further details). Australia In Australia, medical graduates must complete one year in an accredited hospital post before they receive full registration. This year of conditional registration is called the intern year. An internship is not necessarily completed in a hospital at the same state as the graduate's medical school. Austria In Austria, the sixth and final year of medical school is called "Klinisch-praktisches Jahr" or "KPJ" (literally translated: clinical practical year). In this internship students com ...
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Medical Error
A medical error is a preventable adverse effect of care (" iatrogenesis"), whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, or other ailments. The incidence of medical errors varies depending on the setting. The World Health Organization has named adverse outcomes due to patient care that is unsafe as the 14th causes of disability and death in the world, with an estimated 1/300 people may be harmed by healthcare practices around the world. Definitions A medical error occurs when a health-care provider chooses an inappropriate method of care or improperly executes an appropriate method of care. Medical errors are often described as human errors in healthcare. There are many types of medical error, from minor to major, and causality understanding and assessing if the likelihood that the specific event or factor was responsible for the negative outc ...
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Occupational Safety And Health Administration
The Occupational Safety and Health Administration (OSHA; ) is a regulatory agency of the United States Department of Labor that originally had federal visitorial powers to inspect and examine workplaces. The United States Congress established the agency under the Occupational Safety and Health Act (OSH Act), which President Richard Nixon, Richard M. Nixon signed into law on December 29, 1970. OSHA's mission is to "assure safe and healthy working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education, and assistance." The agency is also charged with enforcing a variety of whistleblower statutes and regulations. OSHA's workplace safety inspections have been shown to reduce injury rates and injury costs without adverse effects on employment, sales, credit ratings, or firm survival. History The Bureau of Labor Standards of the Department of Labor has worked on some work safety issues since its creation in 1934. Economi ...
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American Medical Association
The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. This medical association was founded in 1847 and is headquartered in Chicago, Illinois. Membership was 271,660 in 2022. The AMA's stated mission is "to promote the art and science of medicine and the betterment of public health." The organization was founded with the goal to raise the standards of medicine in the 19th century primarily through gaining control of education and licensing. In the 20th century, the AMA has frequently lobbied to restrict the supply of physicians, contributing to a doctor shortage in the United States. The organization has also lobbied against allowing physician assistants and other health care providers to perform basic forms of health care. The organization has historically lobbied against various forms of government-run health insurance. The Association also publishes the '' Journal of the American Medical Assoc ...
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Libby Zion Law
New York State Department of Health Code, Section 405, also known as the Libby Zion Law, is a regulation that limits the amount of resident physicians' work in New York State hospitals to roughly 80 hours per week. The law was named after Libby Zion, the daughter of author Sidney Zion, who died in 1984 at the age of 18. Sidney blamed Libby's death on overworked resident physicians and intern physicians. In July 2003, the Accreditation Council for Graduate Medical Education adopted similar regulations for all accredited medical training institutions in the United States. Although regulatory and civil proceedings found conflicting evidence about Zion's death, today, her death is widely believed to have been caused by serotonin syndrome from the drug interaction between the phenelzine she was taking prior to her hospital visit, and the pethidine administered by a resident physician. The lawsuits and regulatory investigations following her death, and their implications for working con ...
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National Academies Press
The US National Academies Press (NAP) was created to publish the reports issued by the National Academies of Sciences, Engineering, and Medicine (formerly known as the National Research Council (United States), National Research Council), the National Academy of Engineering, National Academy of Sciences, National Academy of Engineering, and the National Academy of Medicine. It publishes nearly 500 titles a year on a wide range of topics in the sciences, engineering, medicine, and transportation . The NAP's stated mission is seemingly self-contradictory: to disseminate as widely as possible the works of the National Academies of Sciences, Engineering, and Medicine, and to be financially self-sustaining through sales. This mission has led to great experimentation in openness regarding online publishing and open access. The National Academy Press, as it was known in 1993, was the first self-sustaining publisher to make its material available on the Web, for free, in an open access m ...
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Institute Of Medicine
The National Academy of Medicine (NAM), known as the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Sciences (NAS), National Academy of Engineering (NAE), and the National Academies of Sciences, Engineering, and Medicine (NASEM). Operating outside the framework of the U.S. federal government, it relies on a volunteer workforce of scientists and other experts, operating under a formal peer-review system. As a national academy, the organization annually elects new members with the help of its current members; the election is based on the members' distinguished and continuing achievements in a relevant field as well as for their willingness to participate actively. History The institute was founded in 1970, under the congressional charter of the National Academy of Sciences as the Instit ...
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Fortnight
A fortnight is a unit of time equal to 14 days (two weeks). The word derives from the Old English term , meaning "" (or "fourteen days", since the Anglo-Saxons counted by nights). Astronomy and tides In astronomy, a ''lunar fortnight'' is half a lunar synodic month, which is equivalent to the mean period between a full moon and a new moon (and vice versa). This is equal to 14.77 days. It gives rise to a lunar fortnightly tidal constituent (see: Long-period tides). Analogs and translations In many languages, there is no single word for a two-week period, and the equivalent terms "two weeks", "14 days", or "15 days" ( counting inclusively) have to be used. * Celtic languages: in Welsh, the term ''pythefnos'', meaning "15 nights", is used. This is in keeping with the Welsh term for a week, which is ''wythnos'' ("eight nights"). In Irish, the term is ''coicís''. * Similarly, in Greek, the term δεκαπενθήμερο (''dekapenthímero''), meaning "15 days", is used. * ...
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European Working Time Directive
The Working Time Directive''2003/88/ECis a European Union law Directive and a key part of European labour law. It gives EU workers the right to: *at least 28 days (four weeks) in paid holidays each year; *rest breaks of 20 minutes in a 6-hour period; *daily rest of at least 11 hours in any 24 hours; *restricts excessive night work; *at least 24 hours rest in a 7-day period; and *a right to work no more than 48 hours per week, unless the member state enables individual opt-outs. It was issued as an update on earlier versions from 22 June 2000 and 23 November 1993. Since excessive working time is cited as a major cause of stress, depression, and illness, the purpose of the directive is to protect people's health and safety. A landmark study conducted by the World Health Organization and the International Labour Organization found that exposure to long working hours is common globally at 8.9%, and according to these United Nations estimates the occupational risk factor with th ...
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European Union
The European Union (EU) is a supranational union, supranational political union, political and economic union of Member state of the European Union, member states that are Geography of the European Union, located primarily in Europe. The union has a total area of and an estimated population of over 449million as of 2024. The EU is often described as a ''sui generis'' political entity combining characteristics of both a federation and a confederation. Containing 5.5% of the world population in 2023, EU member states generated a nominal gross domestic product (GDP) of around €17.935 trillion in 2024, accounting for approximately one sixth of global economic output. Its cornerstone, the European Union Customs Union, Customs Union, paved the way to establishing European Single Market, an internal single market based on standardised European Union law, legal framework and legislation that applies in all member states in those matters, and only those matters, where the states ...
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Association Of American Medical Colleges
Association may refer to: *Club (organization), an association of two or more people united by a common interest or goal *Trade association, an organization founded and funded by businesses that operate in a specific industry * Voluntary association, a body formed by individuals to accomplish a purpose, usually as volunteers * Non profit association, a body formed by individuals to accomplish a purpose without any profit interest * Collaboration, the act of working together Association in various fields of study * Association (archaeology), the close relationship between objects or contexts. * Association (astronomy), combined or co-added group of astronomical exposures * Association (chemistry) * Association (ecology), a type of ecological community * Genetic association, when one or more genotypes within a population co-occur * Association (object-oriented programming), defines a relationship between classes of objects * Association (psychology), a connection between two or mor ...
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ACGME
The Accreditation Council for Graduate Medical Education (ACGME) is the body responsible for accrediting all graduate medical training programs —internships, residencies, and fellowships (subspecialty programs) — for physicians in the United States. It is a non-profit private council that evaluates and accredits medical residency and internship programs. History The ACGME was founded in 1981 and was preceded by the Liaison Committee for Graduate Medical Education, which was established in 1972. The ACGME currently oversees the post-graduate education and training for all MD and DO physicians in the United States. The ACGME's member organizations are the American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges, American Osteopathic Association (AOA), American Association of Colleges of Osteopathic Medicine (AACOM), and the Council of Medical Specialty Societies each of whom appoints members ...
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