Losing co-residents, options

Be so careful as they are saying above.

Proving hours violations is really the only way to hold the program accountable to whoever (the ACGME I believe), but as pointed out, getting your program into trouble is like spiting your nose by biting your face. (yes that's how I meant that).

However, if the hour violations are so bad as to lead to some serious patient danger badness, that never did a program any favors either. Or if someone quits over this making things worse.

ACGME pretty much always expects you to try to resolve these things at the local level first (if I remember what I read right, doublecheck their website on grievance procedures) and proof of that before they intervene, although hour violations whistle-blowing may be in a different category as far as what they expect you to have done before bringing it to them.

I suggest the following:
1) Read the ACGME website closely about these topics, grievances, hour violations
2) Your specialty board has residency rules that are much more specific than ACGME, like about supervision, vacation, breakdown of hour rules, grievance procedures (I think), read this
3) Read your contract carefully, especially sections about hours and how to bring grievances to GME, HR
4) Let all of that reading sink in
5) The more anonymous you can make noise to address this, the better, if you have to come out of the shadows to make these waves, DON'T
6) Always get set up at least with a lawyer to call if not actually on retainer that can help you with the following: employment law, and medical licensing board. They exist you just have to find them. An anonymous call to the local bar association or even a google search can yield help. If a lawyer says it's outside their expertise, you can always ask if they know someone who can for referral. I say this if after reading the above you're about to start taking those sort of steps
7) Document document document
8) You might consider going to your Chief or PD with your concerns, but if you take any stronger action along the lines of the above, you will have outed yourself, which might lead to actually outing yourself, although with the schedule this tight you may not be fired, but they can always make you wish you were, and there are so many ways they can hurt your career you have no idea the world of hurt they can unleash upon you

Aside from the above official pathways, there is jack you can really do to twist the program's arm on this, and any attempt to twist a program's arm usually not only fails but can pile drive your head straight into the mat leaving you a quadriplegic.

Oh, and like Law2Doc suggested, while poaching from programs is frowned on, troll these threads for the people desperately seeking a residency slot. PM them and try to recruit for your program. You never know it might work.

TLDR
do your homework reading the ACGME, specialty, and hospital paperwork
always have a lawyer secretly in your back pocket
tread carefully, if you can't safely stay in the shadows or address this without making enemies, your safest bet is to suck it up
sorry
you can try recruiting from SDN, residentswap website (hopefully your program has that one covered, I'm willing to be they're already on Frieda)

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Losing co-residents, options