Workload, fatigue and physical stress on physician residents in training

Physicians in training are required to work long hours even though there are labour agreements that limit these to a maximum of 7 shifts of up to 24 hours per 4 week period. Christopher Parshuram and colleagues show that even working within the labour guidelines, the physical demands faced by senior research fellows while on call in a pediatric critical care unit result in significant fatigue and physical stress. He says "this style of health care delivery is almost certainly associated with the production of error and adverse patient outcomes."

On average, fellows worked 69 hours a week (mean shift duration 25.5 hours), received 41 pages seeking their services, walked 6.9 km and slept 1.9 hours. The authors also found that ketonuria (a marker for dehydration) affected residents in 21% of the 33 shifts during which it was measured.

In a related commentary, Drs. Steven Howard and David Gaba discuss whether the current limitations on residents' hours of work are sufficient to ensure physician and patient safety.


Contact: Dr. Christopher Parshuram
Canadian Medical Association Journal

Page: 1

Related medicine news :

1. Chronic fatigue patients show lower response to placebos
2. Suffering from fatigue, abdominal discomfort or bloody diarrhea?
3. Psychological support helps adolescents with chronic fatigue syndrome
4. New study shows sinus surgery can improve chronic fatigue
5. Chronic fatigue syndrome and Gulf War veterans
6. Medical residents report sleep loss and fatigue take toll on learning, work and personal lives
7. Patients with multiple sclerosis and fatigue may have abnormal sleep cycles
8. Widespread nerve fiber damage in brains of patients with multiple sclerosis associated with fatigue
9. Unusual fatigue may be warning symptom of heart attack in women
10. Chronic fatigue syndrome is rare in children
11. Diagnosing chronic fatigue? Check for sinusitis

Post Your Comments:

(Date:8/31/2020)... ... , ... Just found out your dear friend has cancer? , It’s hard to hear your ... shares their diagnosis. Once the shock wears off, the questions and fears can be overwhelming. ... best ways to help? Words are failing me. I’m scared. I want to DO something. ...
(Date:8/31/2020)... ... August 31, 2020 , ... Colorado State University Global (CSU ... affordable online education – is proud to announce its new master’s degree in ... its kind in the nation, the 60-credit hour program is designed to provide ...
(Date:8/31/2020)... ... August 31, 2020 , ... In an effort to give back to ... 10 percent of each hotel room booked with a special new rate code to ... Indiana (RMHC-CNI) , effective immediately. Donations will be applied to any room type, ...
(Date:8/28/2020)... ... 28, 2020 , ... Ernst & Young LLP (EY US) ... Of The Year® 2020 Florida Award finalist. Now in its 34th year, the ... growth and prosperity as they build and sustain successful businesses that transform our ...
(Date:8/28/2020)... (PRWEB) , ... August 28, 2020 , ... Integrated ... Miami is the first Florida school to deploy its breakthrough Mobile Biodefense Indoor Air ... airborne COVID-19. True North Classical Academy plans to fully reopen equipped with the filtration ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... While coronavirus cases continue to increase across ... and community organizations remain closed. Because about 80% of blood donations are made at ... blood donors and blood drive hosts to ensure blood products are readily available for ...
(Date:8/31/2020)... (PRWEB) , ... August 31, 2020 , ... If you live in New York City ... real estate part makes sense, it’s the law of supply and demand, but are plastic ... has a significant percentage of their patients that make the four-hour trip to have ...
(Date:8/28/2020)... (PRWEB) , ... August 28, 2020 , ... Dr. ... reproductive and endoscopic surgeon and serves as a clinical professor in the Department of ... of the American Laparoscopy Society & Pacific Coast Reproductive Society and is a Clinical ...
Breaking Medicine Technology:
Cached News: