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Ann Thorac Surg 2004;77:1145
© 2004 The Society of Thoracic Surgeons

Ethics in cardiothoracic surgery

The surgeon's work in transition: should surgeons spend more time outside the hospital?

Jamie Dickey, PhDa, Ross M. Ungerleider, MDa,b, Joseph S. Coselli, MDc, Lori D. Conklin, MDc, Robert M. Sade, MDd

a School of Medicine, Oregon Health & Science University, Portland, Oregon, USA
b Division of Cardiothoracic Surgery, Oregon Health & Science University, Portland, Oregon, USA
c Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, Texas, USA
d Division of Cardiothoracic Surgery and Institute of Human Values in Health Care, Medical University of South Carolina, Charleston, South Carolina, USA

The first 20% of the full text of this article appears below.

Libby Zion was an 18-year-old college student who died in a New York City emergency room in 1984. Her father, a newspaper columnist and former federal prosecutor, sued the hospital and campaigned against long working hours for residents. As a result, New York State passed the "Libby Zion Law" in 1989, limiting work hours for house officers [1]. Ever since then, events have moved steadily, albeit in fits and starts, toward a conclusion that now seems to have been inevitable. The national 80-hour workweek mandated for . . . [Full Text of this Article]




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