http://www.acgme.org/acWebsite/newsReleases/newsRel_12_2_08_IOMreport.pdf "The ACGME is appreciative of the work done by the Institute of Medicine to study the impact of the common duty hour standards on resident learning, resident well-being, and patient safety. In early March 2009, the ACGME is convening a duty hours conference that will bring together leaders in graduate medical education from around the world. The conference participants will carefully review the IOM report as part of discussions on possible refinements to the duty hour standards." My contacts indicate that some adjustment in work hours is likely. Here is a link to the IOM report: http://www.iom.edu/?ID=60449 These were some of the IOM recommendations Duty hours must not exceed 80 per week, averaged over 4 weeks. Scheduled continuous duty periods must not exceed 16 hours unless a 5-hour uninterrupted continuous sleep period is provided between 10 p.m. and 8 a.m. This period must be free from all work and call, and used by the resident for sleep in a safe and sleep-conducive environment. The 5-hour period for sleep must count toward total weekly duty hour limits. Following the protected sleep period, a resident may continue the extended duty period up to a total of 30 hours, including any previous work time and the sleep period. Residents should not admit new patients after 16 hours during an extended duty period. Extended duty periods (30 hours that include a protected 5-hour sleep period) must not be more frequent than every third night with no averaging. After completing duty periods, residents must be allowed a continuous off-duty interval of a minimum of 10 hours following a daytime duty period that is not part of an extended duty period, a minimum of 12 hours following a night float or night shift work that is not part of an extended duty period, and a minimum of 14 hours following an extended duty period; and residents should not return to service earlier than 6 a.m. the next day. Night float or night shift duty must not exceed four consecutive nights and must be followed by a minimum of 48 continuous hours off duty after three or four consecutive nights. At least one 24-hour off-duty period must be provided per 7-day period without averaging; one additional (consecutive) 24-hour period off duty must be provided to ensure at least one continuous 48-hour period off duty per month.