Medical education

Why the ACGME proposal threatens resident duty hours

Physicians have until October 22, 2026, to weigh in on proposed Accreditation Council for Graduate Medical Education (ACGME) changes that would threaten longstanding intern, resident, and fellow work-hour safeguards. The stated ACGME goal is greater flexibility. The question is: flexibility…

Physicians have until October 22, 2026, to weigh in on proposed Accreditation Council for Graduate Medical Education (ACGME) changes that would threaten longstanding intern, resident, and fellow work-hour safeguards.

The stated ACGME goal is greater flexibility. The question is: flexibility for whom?

Released on September 8 as part of a major revision to the Common Program Requirements for Residency, the proposal would:

  • Eliminate the 8-hour rest recommendation between shifts completely (§6.30).
  • Eliminate the

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Why the ACGME proposal threatens resident duty hours