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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