Residency

Identifying resident fatigue

Residency Program Insider, September 25, 2015

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The ACGME implemented the duty hour restrictions in response to data that suggest that sleep deprivation negatively affects resident’s clinical and educational performance. A resident who is simply tired is not the problem. It becomes a cause for concern when residents are so fatigued that they are apt to make serious errors in judgement or physically injure a patient during a procedure.
Have residents ask themselves the following questions if they suspect that they are suffering from fatigue:
•    Do you “look” tired? Are you pale?
•    Are there dark circles under your eyes?
•    Are you listless?
•    Are you having difficulty completing assignments that usually don’t present problems?
•    Do even routine tasks seem to overwhelm you?
•    Are you the last to leave after your shift is complete because you need to “catch up” on charting and other nondirect patient care tasks?
•    Are you suddenly accident prone?

Source: The Resident’s Orientation handbook: Guide to the ACGME Requirements, Third Edition
 



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