Prospective evaluation of residents on call: Before and after duty-hour reduction

Pediatrics

Volumn 127, Issue 6, 2011, Pages 1080-1087

  Bismilla, Zia ^a,b,c   Breakey, Vicky R ^a,b,c   Swales, Jennifer ^a,b   Kulik, Dina M ^b,c   Pai, Nikhil ^b,c   Singh, Nikate ^a,b   Parshuram, Christopher S ^a,b,c,d  

^a HOSPITAL FOR SICK CHILDREN RESEARCH INSTITUTE   (Canada)

^b HOSPITAL FOR SICK CHILDREN   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d UNIVERSITY OF TORONTO   (Canada)

Author keywords

Duty hours; Fatigue; Medical education; Residents

Indexed keywords

ACTIMETRY; ARTICLE; CHILD HEALTH CARE; CLINICAL SUPERVISION; HUMAN; JOB PERFORMANCE; MEDICAL DOCUMENTATION; MEDICAL EDUCATION; MEDICAL PRACTICE; PATIENT CARE; PERSONNEL MANAGEMENT; PRIORITY JOURNAL; RESIDENT; RESIDENTIAL CARE; SLEEP TIME; WORKLOAD;

FOLLOW-UP STUDIES; HUMANS; INTERNSHIP AND RESIDENCY; ONTARIO; PEDIATRICS; PERSONNEL STAFFING AND SCHEDULING; PROSPECTIVE STUDIES; WORK SCHEDULE TOLERANCE; WORKLOAD;

EID: 79957880876     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2010-1955     Document Type: Article

References (25)

1. Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. N Engl J Med. 2002;347(16):1249-1255 (Pubitemid 35176245)
2. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Resident Duty Hours: Enhancing Sleep, Supervision and Safety. Ulmer C, Miller Wolman D, Johns ME, eds. Washington, DC: National Academies Press; 2009
3. Royal College of Physicians London. European working time directive news. London 2005. Available at: www rcplondon.ac.uk/news/ewtd.asp. Accessed October 1, 2006
4. Professional Association of Internes and Residents of Ontario. 2008-2011 PAIRO-CAHO Agreement. Available at: www.pairo.org/Content/Default.aspx?pg=1003. Accessed March 23, 2010
5. Parshuram CS, Kirpalani H, Mehta S, Granton J, Cook D. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and PICUs. Crit Care Med. 2006;34(6):1674-1678 (Pubitemid 43810047)
6. Parshuram CS, Dhanani S, Kirsh JA, Cox PN. Fellowship training, workload, fatigue and physical stress: a prospective observational study. CMAJ. 2004;170(6):965-970 (Pubitemid 38392193)
7. Ancoli-Israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak CP. The role of actigraphy in the study of sleep and circadian rhythms. Sleep. 2003;26(3):342-392 (Pubitemid 39610685)
8. Dinges DF. The state of sleep deprivation: from functional biology to functional consequences. Sleep Med Rev. 2006;10(5):303-305 (Pubitemid 44307716)
9. Arora VM, Georgitis E, Siddique J, et al. Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. JAMA. 2008;300(10):1146-1153
10. Dawson D, McCulloch K. Managing fatigue: it's about sleep. Sleep Med Rev. 2005;9(5):365-380 (Pubitemid 41243213)
11. Lang VJ, Mooney CJ, O'Connor AB, Bordley DR, Lurie SJ. Association between hand-off patients and subject exam performance in medicine clerkship students. J Gen Intern Med. 2009;24(9):1018-1022
12. Royal College of Physicians and Surgeons of Canada. Training program requirements. Available at: http://rcpsc.medical.org/information/index.php. Accessed July 18, 2010
13. Hayes CW, Rhee A, Detsky ME, Leblanc VR, Wax RS. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. Crit Care Med. 2007;35(7):1668-1672 (Pubitemid 46985867)
14. Acres JC. Preparing physicians for the real world. CMAJ. 2004;171(7):709; author reply 709; discussion 709-710
15. Holzman MD, Elkins CC, Neuzil DF, Williams LF Jr. Expanding the physician care team: its effect on patient care, resident function, and education. J Surg Res. 1994;56(6):636-640 (Pubitemid 24222416)
16. Abrass CK, Ballweg R, Gilshannon M, Coombs JB. A process for reducing workload and enhancing residents' education at an academic medical center. Acad Med. 2001;76(8):798-805
17. Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Sleep. 2005;28(11):1392-1402 (Pubitemid 41572790)
18. Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and attentional failures. N Engl J Med. 2004;351(18):1829-1837
19. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351(18):1838-1848 (Pubitemid 39426319)
20. Defoe DM, Power ML, Holzman GB, Carpentieri A, Schulkin J. Long hours and little sleep: work schedules of residents in obstetrics and gynecology. Obstet Gynecol. 2001;97(6):1015-1018 (Pubitemid 32522505)
21. Holzman IR, Barnett SH. The Bell Commission: ethical implications for the training of physicians. Mt Sinai J Med. 2000;67(2):136-139
22. Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med. 2005;165(22):2601-2606 (Pubitemid 41785057)
23. Papp KK, Stoller EP, Sage P, et al. The effects of sleep loss and fatigue on resident-physicians: a multi-institutional, mixed-method study. Acad Med. 2004;79(5):394-406 (Pubitemid 38544293)
24. Smith MR, Parshuram CS. Learning in patient-based education sessions: a prospective evaluation. Pediatr Crit Care Med. 2008;9(1):86-90
25. Buysse DJ, Barzansky B, Dinges D, et al. Sleep, fatigue, and medical training: setting an agenda for optimal learning and patient care. Sleep. 2003;26(2):218-225