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The perspective of the vascular surgery trainee on new ACGME regulations, fatigue, resident training, and patient safety.
De Martino, Randall R; Brewster, L P; Kokkosis, A A; Glass, C; Boros, M; Kreishman, P; Kauvar, D A; Farber, A.
Afiliación
  • De Martino RR; Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USA. randall.r.de.martino@hitchcock.org
Vasc Endovascular Surg ; 45(8): 697-702, 2011 Nov.
Article en En | MEDLINE | ID: mdl-22262113
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.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Admisión y Programación de Personal / Sociedades Médicas / Procedimientos Quirúrgicos Vasculares / Carga de Trabajo / Educación de Postgrado en Medicina / Fatiga / Seguridad del Paciente / Internado y Residencia Tipo de estudio: Etiology_studies / Guideline / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2011 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Admisión y Programación de Personal / Sociedades Médicas / Procedimientos Quirúrgicos Vasculares / Carga de Trabajo / Educación de Postgrado en Medicina / Fatiga / Seguridad del Paciente / Internado y Residencia Tipo de estudio: Etiology_studies / Guideline / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2011 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos