December 2 was the fifth anniverery of the 80-hour work week implemented by the ACGME in 2003. Now the Institute of Medicine released the update on the findings. They recommend further work restrictions, however they come with a cost of 1.7 billion dollars. They say that residents are still too fatigued. 
I’m not sure about these recommendations. Of course they would need to be implimented by the ACGME to have any teeth, but I don’t think residencies will survive with further restrictions. One change might come to the residency I am in — night float. We currently have a call system, but I am in favor of the night float system because I think it will reduce the 30 hours calls.
