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Hot Topics: Work Hours

A collection of articles related to resident work hours and work hour limits

2019 JGME Articles

Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011 Resident Duty Hour Revision
Shaker M. Eid, Lucia Ponor, Darcy A. Reed, May A. Beydoun, Hind A. Beydoun and Scott Wright
April 2018, Vol. 11 No. 2: 146­–155
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Great Expectations: Should We Anticipate That Changes in Work Hour Standards Will Impact Health Care Outcomes?
James A. Arrighi and George A. Keepers
April 2018, Vol. 11 No. 2: 156­–158
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2018 JGME Articles

Impact of Volume and Type of Overnight Pages on Resident Sleep During Home Call
Adam E. Ludvigson, Stephen T. Ryan, Christina R. Gentile, Gregory J. Mills, Graham T. VerLee and Moritz H. Hansen
October 2018, Vol. 10, No. 5: 591–595
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X + Y = Time for QI: Meaningful Engagement of Residents in Quality Improvement During the Ambulatory Block
Krista M. Johnson, Wendy Fiordellisi, Ethan Kuperman, Alexis Wickersham, Carly Kuehn, Aparna Kamath, Joseph Szot and Manish Suneja
June 2018, Vol. 10, No. 3: 316–324
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Simple Frameworks for Daily Work: Innovative Strategies to Coach Residents Struggling With Time Management, Organization, and Efficiency
Allison S. DeKosky, Mina S. Sedrak, Eric Goren, C. Jessica Dine and Karen M. Warburton
June 2018, Vol. 10, No. 3: 325–330
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Residents' Ratings of Their Clinical Supervision and Their Self-Reported Medical Errors: Analysis of Data From 2009
DeWitt C. Baldwin Jr, Steven R. Daugherty, Patrick M. Ryan, Nicholas A. Yaghmour and Ingrid Philibert
April 2018, Vol. 10, No. 2: 235–241
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2017 JGME Articles

The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Professional Development in a Safe, Humane Environment
Kim J. Burchiel, Rowen K. Zetterman, Kenneth M. Ludmerer, Ingrid Philibert, Timothy P. Brigham, Kathy Malloy, James A. Arrighi, Stanley W. Ashley, Jessica L. Bienstock, Peter J. Carek, Ricardo Correa, David A. Forstein, Robert R. Gaiser, Jeffrey P. Gold, George A. Keepers, Benjamin C. Kennedy, Lynne M. Kirk, Anai Kothari, Lorrie A. Langdale, Philip H. Shayne, Steven C. Stain, Suzanne K. Woods, Claudia Wyatt-Johnson and Thomas J. Nasca
December 2017, Vol. 9, No. 6: 696–696.
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Association of the 2003 and 2011 ACGME Resident Duty Hour Reforms With Internal Medicine Initial Certification Examination Performance
Christopher L. Bennett, David A. McDonald, Stephen C. Dorner, Eric S. Nadel, Furman S. McDonald and John A. McPherson
December 2017, Vol. 9, No. 6: 789–790.
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Impact of the 2003 ACGME Resident Duty Hour Reform on Hospital-Acquired Conditions: A National Retrospective Analysis
Timothy Wen, Frank J. Attenello, Steven Y. Cen, et al
April 2017, Vol. 9, No. 2: 215-221.
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Using the Electronic Health Record to Identify Educational Gaps for Internal Medicine Interns
Alvin Rajkomar, Sumant R. Ranji and Bradley Sharpe
February 2017, Vol. 9, No. 1: 109-112.
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2016 JGME Articles

How Residents Say They Learn: A National, Multi-Specialty Survey of First- and Second-Year Residents
DeWitt C. Baldwin Jr and Steven R. Daugherty
October 2016, Vol. 8, No. 4, Epub Aug 3, 2016
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Association of Resident Duty Hour Restrictions on Mortality of Nervous System Disease and Disorder
Ian Churnin, Joel Michalek and Ali Seifi
October 2016, Vol. 8, No. 4, Epub Jul 29, 2016
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The Relationship Between ACGME Duty Hour Requirements and Performance on the American Board of Emergency Medicine Qualifying Examination
Francis L. Counselman, Catherine A. Marco, Kevin B. Joldersma, et al
October 2016, Vol. 8, No. 4, Epub Aug 3, 2016
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The July Spike in Operating Room Management: Reality or Perception?
Joseph A. Sanford, Mitchell H. Tsai, Bassam Kadry, et al
May 2016, Vol. 8, No. 2, pp. 244–247
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Continuity of Care as an Educational Goal but Failed Reality in Resident Training: Time to Innovate
Matthew S. Ellman, Daniel G. Tobin, Jadwiga Stepczynski, et al
May 2016, Vol. 8, No. 2, pp. 150–153
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Continuity—Working Backward From the Patient
Eric J. Warm
February 2016, Vol. 8, No. 1, pp. 101–103
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2015 JGME Articles

Making Sense of Fatigue: Implications of Social Constructs of Fatigue in Clinical Training and Practice
T. S. Taylor, M. Rebel, C. Watling, et al
December 2015, Vol. 7, No. 4, p. 696
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The Effect of a Night Float Call System on Resident Fatigue, Cognition, and Motor Function
D. Banaszek, J. Chang, M. Harrison, et al
December 2015, Vol. 7, No. 4, p. 690
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Implementation of a Novel, Resident-Led, Nocturnal Curriculum
Jessica R. Golbus, David A. Manly, Katherine A. Wonneberger, et al
September 2015, Vol. 7, No. 3, pp. 417–421
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The Changing Scenario of Obstetrics and Gynecology Residency Training
Natasha Gupta, Kristina Dragovic, Richard Trester, et al
September 2015, Vol. 7, No. 3, pp. 401–406
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Duty Hour Reporting: Conflicting Values in Professionalism
John M. Byrne, Lawrence K. Loo, and Dan W. Giang
September 2015, Vol. 7, No. 3, pp. 395–400
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Increase in Cesarean Operative Time Following Institution of the 80-Hour Workweek
Michael P. Smrtka, Ravindu P. Gunatilake, Benjamin Harris, et al
September 2015, Vol. 7, No. 3, pp. 369–375
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The Effect of Restricting Residents’ Duty Hours on Patient Safety, Resident Well-Being, and Resident Education: An Updated Systematic Review
Lauren Bolster and Liam Rourke
September 2015, Vol. 7, No. 3, pp. 349–363
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Fear, Regulations, and the Fragile Exoskeleton of Medical Professionalism
Frederic W. Hafferty and Jon C. Tilburt
September 2015, Vol. 7, No. 3, pp. 344–348
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The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit
Nessrine Sabri, Ning-Zi Sun, Beth-Ann Cummings, et al
March 2015, Vol. 7, No. 1, pp. 48–52
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Diagnostic Reasoning for ST-Segment Elevation Myocardial Infarction (STEMI) Interpretation Is Preserved Despite Fatigue
Adam R. Kellogg, Ryan A. Coute, and Gregory Garra
March 2015, Vol. 7, No. 1, pp. 27–31
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2014 JGME Articles

Transforming Ward Rounds Through Rounding-in-Flow
Alvin S. Calderon, C. Craig Blackmore, Barbara L. Williams, et al
December 2014, Vol. 6, No. 4, pp. 750–755
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Effects of Fatigue on Driving Safety: A Comparison of Brake Reaction Times in Night Float and Postcall Physicians in Training
Paul G. Talusan, Theodore Long, Andrea Halim, et al
December 2014, Vol. 6, No. 4, pp. 653–657
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Educational Conference Scheduling, Patient Discharge Time, and Resident Satisfaction
Steffanie Campbell, Matthew Campbell, Chirayu Shah, et al
September 2014, Vol. 6, No. 3, pp. 574–576
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Assessing the Value of Work Done by an Orthopedic Resident During Call
J. Benjamin Jackson III, William P. Huntington, and Steven L. Frick
September 2014, Vol. 6, No. 3, pp. 567–570
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ACGME Duty Hour Revisions and Self-Reported Intern ICU Sleep Schedules
Joshua Allen-Dicker, Shoshana J. Herzig, Kenneth J. Mukamal, et al
September 2014, Vol. 6, No. 3, pp. 561–566
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An ACGME Duty Hour Compliant 3-Person Night Float System for Neurological Surgery Residency Programs
Brian T. Ragel, Mark Piedra, Paul Klimo, et al
June 2014, Vol. 6, No. 2, pp. 314–319
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Impact of Protected Sleep Period for Internal Medicine Interns on Overnight Call on Depression, Burnout, and Empathy
Judy A. Shea, Lisa M. Bellini, David F. Dinges, et al
June 2014, Vol. 6, No. 2, pp. 256–263
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Resident Duty Hours in the Outpatient Electronic Health Record Era: Inaccuracies and Implications
Meghan Gilleland, Katherine Komis, Sonya Chawla, et al
March 2014, Vol. 6, No. 1, pp. 151–154
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2013 JGME Articles

Standardizing and Evaluating Transitions of Care in the Era of Duty Hour Reform: One Institution’s Resident-Led Effort
Joel C. Boggan, Tian Zhang, Chris DeRienzo, et al
December 2013, Vol. 5, No. 4, pp. 652–657
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Napping on the Night Shift: A Study of Sleep, Performance, and Learning in Physicians-in-Training
Jennifer McDonald, Darryl Potyk, David Fischer, et al
December 2013, Vol. 5, No. 4, pp. 634–638
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Accuracy of Residents’ Retrospective Perceptions of 16-Hour Call Admitting Shift Compliance and Characteristics
Jed D. Gonzalo, Julius J. Yang, Long Ngo, et al
December 2013, Vol. 5, No. 4, pp. 630–633
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Are Duty Hour Regulations Promoting a Culture of Dishonesty Among Resident Physicians?
Kyle M. Fargen and Charles L. Rosen
December 2013, Vol. 5, No. 4, pp. 553–555
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The ACGME Duty Hour Standards and Board Certification Examination Performance Trends in Surgical Specialties
John L. Falcone and Richard S. Feinn
September 2013, Vol. 5, No. 3, pp. 446–457
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Self-Reported Subjective Workload of On-Call Interns
Kathlyn E. Fletcher, Alexis M. Visotcky, Jason M. Slagle, et al
September 2013, Vol. 5, No. 3, pp. 427–432
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Compliance and Falsification of Duty Hours: Reports From Residents and Program Directors
Brian C. Drolet, Matthew Schwede, Kenneth D. Bishop, et al
September 2013, Vol. 5, No. 3, pp. 368–373
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Fatigue Optimization Scheduling in Graduate Medical Education: Reducing Fatigue and Improving Patient Safety
Frank McCormick, John Kadzielski, Brady T. Evans, et al
March 2013, Vol. 5, No. 1, pp. 107–111
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Recent Family Medicine Residency Graduates’ Perceptions of Resident Duty Hour Restrictions
Lars E. Peterson, Vanessa Diaz, Lori M. Dickerson, et al
March 2013, Vol. 4, No. 1, pp. 31–35
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A Narrative Review of Surgical Resident Duty Hour Limits: Where Do We Go From Here?
Peter D. Fabricant, Christopher J. Dy, David M. Dare, et al
March 2013, Vol. 5, No. 1, pp. 19–24
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2012 JGME Articles

Time to Refine Resident Duty Hour Guidelines
Adam A. Maruscak, Michael C. Ott, and Thomas L. Forbes
December 2012, Vol. 4, No. 4, pp. 545–546
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A Thematic Review of Resident Commentary on Duty Hours and Supervision Regulations
Brian C. Drolet, Ina Y. Soh, Paul A. Shultz, et al
December 2012, Vol. 4, No. 4, pp. 454–459
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Duty Hour Reform Through the Eyes of Neurological Surgery Residents
Kyle M. Fargen and Krystal L. Tomei
December 2012, Vol. 4, No. 4, pp. 415–416
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Residents Teaching Residents: How the Duty Hour Limits Have Changed Us
Cara L. Sedney
December 2012, Vol. 4, No. 4, pp. 413–414
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Correlation Between Self-Reported Resident Duty Hours and Time-Stamped Parking Data
Smitha R. Chadaga, Angela Keniston, Dan Casey, et al
June 2012, Vol. 4, No. 2, pp. 254–256
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Baseline Sleep Dysfunction Among Matriculating Interns
Samantha J. Pulliam, Debra F. Weinstein, Atul Malhotra, et al
June 2012, Vol. 4, No. 2, pp. 202–208
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Redesign of an Internal Medicine Ward Rotation: Operational Challenges and Outcomes
J. Rush Pierce Jr, Betty Chang, Kendall M. Rogers, et al
March 2012, Vol. 4, No. 1, pp. 97–100
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2011 JGME Articles

Why Residents Consider Working Beyond the Duty Hour Limits: Implications of the ACGME 2011 Duty Hour Standards
Kathlyn E. Fletcher, Sarah Nickoloff, Jeff Whittle, et al
December 2011, Vol. 3, No. 4, pp. 571–573
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Effects of the Restriction of Working Time for Residents: A Dutch Perspective
Onno T. Terpstra and Jantine H. Stegeman
December 2011, Vol. 3, No. 4, pp. 462–464
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Toward “The Genius of the AND”: Balancing Professionalism and Duty Hour Requirements in Graduate Medical Education
James K. Stoller, J. Harris Isaacson, and Craig Nielson
September 2011, Vol. 3, No. 4, pp. 299–301
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Duty Hours: Time to Study?
Vineet M. Arora, Kevin G. M. Volpp
September 2011, Vol. 3, No. 4, pp. 281–284
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Sleeping at Home: A New Model for a Hospital Teaching Service
Deborah R. Erlich and Allen F. Shaughnessy
June 2011, Vol. 3, No. 2, pp. 243–245
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The Impact of ACGME Work-Hour Reforms on the Operative Experience of Fellows in Surgical Subspecialty Programs
Christopher Simien, Kathleen D. Holt, and Thomas H. Richter
March 2011, Vol. 3, No. 1, pp. 111–117
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Resident Training in the Psychiatric Emergency Service: Duty Hours Tell Only Part of the Story
Joann McIlwrick and Jocelyn Lockyer
March 2011, Vol. 3, No. 1, pp. 26–30
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Changing the Formula of Residents’ Work Hours in Internal Medicine: Moving From “Years in Training” to “Hours in Training”
Ishak A Mansi
March 2011, Vol. 3, No. 1, pp. 14–16
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2010 JGME Articles

Changes in Resident Work and Sleep Hours 1999 to 2009: Results From a Survey of 4 Specialties
DeWitt C. Baldwin Jr, Steven R. Daugherty, Patrick Ryan, et al
December 2010, Vol. 2, No. 4, pp. 656–658
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Incoming Interns’ Perspectives on the Institute of Medicine Recommendations for Residents’ Duty Hours
Vineet M. Arora, Jeanne M. Farnan, Monica L. Lypson, et al
December 2010, Vol. 2, No. 4, pp. 536–540
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Duty Hour Restrictions, Ambulatory Experience, and Surgical Procedural Volume in Obstetrics and Gynecology
Sarah M. Kane, Nazema Y. Siddiqui, Jennifer Bailit, et al
December 2010, Vol. 2, No. 4, pp. 530–535
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On-Site Night Float by Attending Physicians: A Model to Improve Resident Education and Patient Care
Andrew Paul DeFilippis, Ildefonso Tellez, Neil Winawer, et al
March 2010, Vol. 2, No. 1, pp. 57–61
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The Effect of Overnight In-House Attending Coverage on Perceptions of Care and Education on a General Medical Service
Robert L. Trowbridge, Lisa Almeder, Marc Jacquet, et al
March 2010, Vol. 2, No. 1, pp. 53–56
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2009 JGME Articles

The 2003 Common Duty Hour Limits: Process, Outcome, and Lessons Learned
Ingrid Philibert, Betty Chang, Timothy Flynn, et al
December 2009, Vol. 1, No. 2, pp. 334–337
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Making Sense: Duty Hours, Work Flow, and Waste in Graduate Medical Education
Roger W. Bush and Ingrid Philibert
December 2009, Vol. 1, No. 2, pp. 322–326
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Work Hour Regulations: Do We Need Further Changes Now? A Survey of Internal Medicine Faculty and Residents
Susan Sloan, Mahesh Krishnamurthy, David T. Lyon, et al
December 2009, Vol. 1, No. 2, pp. 201–207
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Impact of Proposed Institute of Medicine Duty Hours: Family Medicine Residency Directors’ Perspective
Peter J. Carek, Joseph W. Gravel Jr., Stanley Kozakowski, et al
December 2009, Vol. 1, No. 2, pp. 195–200
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Toward a New Paradigm in Graduate Medical Education in the United States: Elimination of the 24-Hour Call
Susan G. Mautone
December 2009, Vol. 1, No. 2, pp. 188–194
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One Possible Future for Resident Hours: Interns’ Perspective on a One-Month Trial of the Institute of Medicine Recommended Duty Hour Limits
Stephanie Tessing, Andria Amendt, Jeanine Jennings, et al
December 2009, Vol. 1, No. 2, pp. 185–187
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Failure to Thrive: Pediatric Residents Weigh In on Feasibility Trial of the Proposed 2008 Institute of Medicine Work Hour Restrictions
Katherine A. Auger, Kira R. Sieplinga, Jeffrey M. Simmons, et al
December 2009, Vol. 1, No. 2, pp. 181–184
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Commentary: Institute of Medicine Committee Report on Resident Duty Hours: A View From a Trench
Andrea S. Cedfeldt, Clea English, Raphael El Youssef, et al
December 2009, Vol. 1, No. 2, pp. 178–180
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Resident Burnout: Working Hours or Working Conditions?
Kenneth M. Ludmerer
December 2009, Vol. 1, No. 2, pp. 169–171
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Assessing Duty Hour Compliance: Practical Lessons for Programs and Institutions
Ingrid Philibert, Rebecca Miller, Jeanne K. Heard, et al
September 2009, Vol. 1, No. 1, pp. 166–167
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