Washington Pos Profiles Man’s Efforts To Change Medical Education After Daughter’s Death

November 30, 2006 – 11:08 pm | posted in Medical Students, Primary Care

The Washington Post on Tuesday profiled Sidney Zion, a lawyer and journalist whose daughter’s death in a New York emergency department in 1984 prompted him to seek a series of reforms in teaching hospitals “that have revolutionized modern medical education.” Zion attributed his 18-year-old daughter’s death to inadequate staffing and supervision of medical residents, as well as residents’ exhaustion from working long hours. In May 1986, a grand jury declined a murder indictment for the physicians who cared for Zion’s daughter the night of her death, but the jury did issue a report criticizing “the supervision of interns and junior residents at a hospital in New York County.” In response to the report, New York State Health Commissioner David Axelrod established a blue-ribbon panel of experts headed by Bertrand Bell of the Albert Einstein College of Medicine to evaluate the training and supervision of physicians in the state. In 1989, the state adopted the Bell Commission’s recommendations to restrict resident work hours to no more than 80 hours per week or 24 consecutive hours and require senior physicians to be present at hospitals at all times. In 2003, the Accreditation Council on Graduate Medical Education made reduced hours and other Bell Commission recommendations mandatory for the accreditation of residency training programs across the country. According to the Post, Zion also “helped set the stage for the medical-errors movement that began in the 1990s” by “championing the cause of patients and families who believed they had been harmed by the medical profession” (Lerner, Washington Post, 11/28).

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