Fatigue as impairment or educational necessity? Insights into surgical culture.

James E. Coverdill, James G. Bittner, Mary Anne Park, Walter L Pipkin, John D. Mellinger

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The authors examine fatigue culture among surgical residents and faculty members and whether it squares with recent, fatigue-focused Accreditation Council for Graduate Medical Education (ACGME) policies and educational initiatives. Field observations of an academic general surgery program were supplemented with interviews (52 residents and 58 faculty members) conducted as part of a study of 15 general surgery programs. Field notes and interviews were analyzed for main themes. Most believe that fatigue surfaces after 24 hours of work and has minor consequences. Surgeons believe that residents can learn to manage fatigue and that surgical practice requires that capacity. Proper training implies that residents experience fatigue, learn to perform capably and confidently while fatigued, and recognize their limits. Encountering and learning to manage fatigue are seen as educational necessities by surgeons, a view that runs counter to ACGME initiatives, requires reconsideration, and demands that attention be directed to professional and organizational practices that sustain fatigue culture.

Original languageEnglish (US)
JournalAcademic medicine : journal of the Association of American Medical Colleges
Volume86
Issue number10 Suppl
StatePublished - Jan 1 2011
Externally publishedYes

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fatigue
Fatigue
resident
Graduate Medical Education
Accreditation
accreditation
surgery
graduate
Interviews
Professional Practice
interview
education
Learning
learning
experience

ASJC Scopus subject areas

  • Education

Cite this

Fatigue as impairment or educational necessity? Insights into surgical culture. / Coverdill, James E.; Bittner, James G.; Park, Mary Anne; Pipkin, Walter L; Mellinger, John D.

In: Academic medicine : journal of the Association of American Medical Colleges, Vol. 86, No. 10 Suppl, 01.01.2011.

Research output: Contribution to journalArticle

Coverdill, James E. ; Bittner, James G. ; Park, Mary Anne ; Pipkin, Walter L ; Mellinger, John D. / Fatigue as impairment or educational necessity? Insights into surgical culture. In: Academic medicine : journal of the Association of American Medical Colleges. 2011 ; Vol. 86, No. 10 Suppl.
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