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

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

Author information

  • 1Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USA. randall.r.de.martino@hitchcock.org

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.

[PubMed - indexed for MEDLINE]
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