Residency

Tip of the week: Take preventative steps against fatigue

Residency Program Insider, April 17, 2012

Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!

Although duty-hour standards recently changed, the concern over resident fatigue should not. Program directors must mitigate the potential dangers of fatigue by taking advanced measures to ensure residents are fit for their entire shift.

Extended shifts, shift rotation, and stress are all contributing factors to fatigue, which leads to an increased chance of an adverse patient event. To combat potential fatigue-related problems:

·         Know your program-specific duty hours policies well as your institutional ones and adhere to whichever is most stringent

·         Make sure certain clinical rotations are “possible” by separating undue reliance on residents for “service” as opposed to focusing on “education” and complying with duty hours

·         Educate residents and faculty about fatigue and its countermeasures

·         Promote and facilitate adequate break and meal times for residents

This week’s tip is from Insider’s Guide to the ACGME Site Visit, Second Edition by Kathryn Andolsek, MD, MPH, and Shepard Cohen.

 



Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!

Most Popular