The authors of a new study are calling for major changes in hospital residency programs. An article published in the latest online journal Nature and Science of Sleep says resident fatigue, overwork and lack of supervision lead to serious, preventable medical errors. One recommendation is that all medical residents should work no more than 16 hours without sleep. The recommendations are not new but critics say they haven’t been implemented. But change is not easy, according Dr. Kevin Kavanaugh of Somerset. The longtime proponent of healthcare reform says any changes must be made carefully.