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Small Child
They are pretty strict. Esp in the surg fields where they know they will be bent. If caught mult times breaking them, they can loose their accreditation and chairman fired by Dean. So the hours are strictly followed in all fields. The faculty can also be fired if they "force" the resident to work more.
It is a new world.
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Lets ask NSGYDoc. Programs certainly can lose their accreditation if caught in violation of the workhour restrictions. And faculty probably don't "force" their residents to work more than the limit. But these residents in the surgical fields highly motivated and leaving in time for the 80 hr limit often means missing out on OR time. The residents are the ones who often find ways to make their timesheet balance so as not to miss out on operative experience.
Either way, 80 hours is a week is the minimum one should expect to work in residency should you have a serious interest in neurosurgery.