Key result
A survey of vascular surgery trainees found that 63% occasionally work while fatigued, and respondents believed further work-hour restrictions would not improve patient care or training (P<0.05).
Cross-Sectional (n=38)
Yes
p-value: p=<0.05
Vascular surgery trainees express concern that further duty-hour restrictions may not improve patient care or training and advocate for specialty-specific flexibility.
Trainees' fatigue concerns and opposition to stricter hours warrant caution in policy; leaves open effects of duty-hour limits on vascular outcomes.
Objective: To assess the opinions of vascular surgery trainees on the new Accreditation Council for Graduate Medical Education (ACGME) guidelines. Methods: A questionnaire was developed and electronically distributed to trainee members of the Society for Vascular Surgery. Results: Of 238 eligible vascular trainees, 38 (16%) participated. Respondents were predominantly 30 to 35 years of age (47%), male (69%), in 2-year fellowship (73%), and at large academic centers (61%). Trainees report occasionally working while fatigued (63%). Fellows were more likely to report for duty while fatigued ( P = .012) than integrated vascular residents. Respondents thought further work-hour restrictions would not improve patient care or training ( P < .05) and may not lead to more sleep or improved quality of life. Respondents reported that duty hours should vary by specialty (81%) and allow flexibility in the last years of training ( P < .05). Conclusions: Vascular surgery trainees are concerned about further duty-hour restrictions on patient care, education, and training and fatigue mitigation has to be balanced against the need to adequately train vascular surgeons.
No takes yet. Share an insight, caveat, or question.
Martino et al. (2011) conducted a cross-sectional in Vascular surgery trainees (n=38). Questionnaire on ACGME guidelines was evaluated on Opinions on ACGME guidelines, fatigue, resident training, and patient safety (p=<0.05). A survey of vascular surgery trainees found that 63% occasionally work while fatigued, and respondents believed further work-hour restrictions would not improve patient care or training (P<0.05).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: