U.S. researchers surveyed 151 pediatric program directors regarding the changes brought by the 2011  Accreditation Council for Graduate Medical Education Common Program Requirements and found that most of them reported negative consequences on residents' education and accountability for patient care, preparation for more senior roles, and continuity of care. However, the respondents approved nearly all duty hour rules, except the 16-hour intern shift limits. The findings appear in the journal Pediatrics.

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