February 25, 2009
Thomas J. Nasca, MD, MACP
Chief Executive Officer
Accreditation Council for Graduate Medical Education
515 North State Street, Suite 2000
Chicago, IL 60611
Dear Dr. Nasca:
The Society of Critical Care Medicine, the American Thoracic Society, and the American College of Chest Physicians are communicating in unison to urge that the Accreditation Council for Graduate Medical Education (ACGME) not implement the Institute of Medicine’s (IOM) recommendations to apply further, more sweeping duty-hour restrictions without consideration of a number of additional issues in the training of physicians and the delivery of care to patients, their families, and the public. Our multi-professional societies represent more than 75,000 practicing critical care clinicians in the United States, and our members are responsible for the care of many of the sickest patients in the US healthcare system. We are fully supportive of making graduate medical education a more humane and supportive environment. We believe, however, that it is essential to consider and address a number of extremely important consequences of these proposed changes before any alteration is enacted.