In 2017, the ACGME released revisions to Section VI , The Learning and Working Environment, of the Common Program Requirements following a comprehensive 18-month review process based on evidence, research, expert opinion from medical educators, specialty organizations, and residents, and a 45-day public comment period during which over 600 individuals from the public contributed feedback.
The ACGME does not set work hours, only the maximum allowable. The revised requirements retained a maximum of 80 clinical and educational work hours per week, averaged over four weeks., and returned first-year residents to the same schedule as other residents and fellows, re-establishing the commitment to team-based care and seamless continuity of care. The cap for first-year residents returned to 24 hours, a cap that had been in place nationwide for all other residents and fellows, plus up to four hours to manage necessary care transitions. The clinical and educational work hour limit is inclusive of all in-house clinical and educational activities, clinical work done from home, and all moonlighting. ACGME-accredited programs must adhere to this absolute maximum, outside of extenuating circumstances set forth in Section VI.F.4.a., while training residents and fellows under appropriate supervision.