Ms Tyzuk responds

I appreciate the response from Drs Moore and Dufour and their support in recognizing that physician health is an area of medicine that is far too often neglected. With regard to the controversy over resident duty hour limits, they rightly clarify that most programs have dealt with such limits simply by rearranging work schedules rather than hiring new employees or cutting hours overall. 

The issue of physician work hours and resident duty hour limits is a lengthy paper unto itself, and has been the subject of great debate in recent years. It was not my intention to provide a full exploration of this topic, but rather to give examples of some commonly cited arguments against progressive changes and to demonstrate the obstacles that we face in promoting this aspect of physician health. 

I would like to echo the sentiments of Drs Moore and Dufour on behalf of CAIR, and I appreciate their work on improving patient and physician safety and well-being.
—Katie Tyzuk
UBC MD Class of 2014

Katie Wiskar, BSc,. Ms Tyzuk responds. BCMJ, Vol. 55, No. 1, January, February, 2013, Page(s) 9 - Letters.

Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:

  • Only the first three authors are listed, followed by "et al."
  • There is no period after the journal name.
  • Page numbers are not abbreviated.

For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit

BCMJ Guidelines for Authors

Leave a Reply