New common program requirements for the resident physician workforce and the omission of strategic napping: A missed opportunity

Research output: Contribution to journalArticle


Objectives: Napping has known benefits for fatigue mitigation and improved alertness. However the Accreditation Council for Graduate Medical Education (ACGME) New Common Program Requirements recently removed the 16 h work limit for PGY1 residents and removed any suggestions of napping. Methods: We utilized a cross-sectional study design to administer a 44-item questionnaire in June 2016 to 858 residents and fellows at one large urban academic medical center. We assessed: 1) resident physician sentiment of work environment supportiveness for napping at work; and 2) agreement with 2011 ACGME guidelines on workweek hour limitations and strategic napping recommendations. Results: While 89% of residents reported access to an on-call room at work, only 20% felt their work environment supported a culture of napping while at work. Over 76% expressed agreement with the 2011 ACGME work-hour restrictions. Conclusions: Strategies to support napping and well-being within the resident physician workforce and organizational setting are warranted.

Original languageEnglish (US)
Pages (from-to)762-765
Number of pages4
JournalAmerican Journal of Industrial Medicine
Issue number9
StatePublished - Sep 1 2017



  • Injury prevention
  • napping
  • resident physician workforce
  • work environment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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