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

Vasc Endovascular Surg. 2011 Nov;45(8):697-702. doi: 10.1177/1538574411418130.

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.

MeSH terms

  • Accreditation
  • Adult
  • Chi-Square Distribution
  • Curriculum / standards
  • Education, Medical, Graduate / standards*
  • Fatigue / prevention & control*
  • Female
  • Humans
  • Internship and Residency / standards*
  • Job Satisfaction
  • Male
  • Patient Safety / standards*
  • Personnel Staffing and Scheduling / standards*
  • Practice Guidelines as Topic
  • Quality of Life
  • Risk Assessment
  • Risk Factors
  • Societies, Medical / standards*
  • Surveys and Questionnaires
  • United States
  • Vascular Surgical Procedures / adverse effects
  • Vascular Surgical Procedures / education*
  • Vascular Surgical Procedures / standards*
  • Workload / standards*