The perspective of the vascular surgery trainee on new ACGME regulations, fatigue, resident training, and patient safety

Randall R.De Martino, L. P. Brewster, A. A. Kokkosis, C. Glass, M. Boros, P. Kreishman, D. A. Kauvar, A. Farber

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)697-702
Number of pages6
JournalVascular and Endovascular Surgery
Volume45
Issue number8
DOIs
StatePublished - Nov 1 2011

Keywords

  • ACGME
  • duty hours
  • vascular training

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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