Sleep, Fatigue, and Duty Hours

The New ACGME Resident Survey 2011  (.ppt)

Institutional Policy

• Current Policy - Policy on Resident Duty Hours
• Recommended Duty Hours Policy Template (.doc)

ACGME Resident Duty Hours Documents

Approved 2011 Standards

• ACGME Approved Standards (Effective July 2011)
• Specialty-specific Duty Hours Definitions
• Glossary of Duty Hours Terms
• Frequently Asked Questions
• Procedures for Exceptions

Sleep and Fatigue Tools and Resources

Presentations:

• Duty Hours Survey Tutorial: Decoding the Duty Hours Survey (Powerpoint)
• Resident Sleep and Fatigue (Word doc and Powerpoint)
• Light Pollution and Melatonin Suppression:  Implications for Pediatrics

              Russell J. Reiter, PhD

              July 16, 2010

• Resident Sleep and Fatigue talk for Pediatric Grand Rounds
  Presenter: Jennifer Peel, Ph.D.
  January 27, 2006
• SAFER (Sleep, Alertness, and Fatigue Education) from the American Academy of Sleep Medicine. Available for checkout from GME Office. This material includes a CD-ROM with PowerPoint Presentation, a speaker's guide, a participant's pre-test (about 10 minutes), and a participant's post-test (about 5 minutes). The PowerPoint Presentation takes about 1 to 1.5 hours (56 slides). The CD-ROM may not be copied due to copyright priveleges.

Articles:

• JAMA, Volume 304, Issue 11

• Patient Handoff Reference
• Patient Handover Protocols and Practices
• Strategic Napping
• JAMA Article
• Science News Article
• Caffeine Article
• Sleep Deprivation Bibliography
• Prevention, Identification, & Management of Fatigue in Graduate
  Medical Education

Online Resources:

• Harvard Division of Sleep Medicine

   http://healthysleep.med.harvard.edu/portal/

• Sleep Loss, Sleepiness, Fatigue and Resident Work Hours

• http://media1.hmc.psu.edu/mediasite/viewer/Viewers/Viewer320TL.aspx?mode=Default&peid=18e40cf4-86b1-4f6a-a0f7-cbc791695093&pid=90d3b70b-ce80-4ab0-92bd-8a8949fac686&playerType=WM7

• Sleep Deprivation, Fatigue and Effects on Performance –The Science and Its Implications for Resident Duty Hours

  http://www.acgme.org/acWebsite/dutyHours/dh_Dinges.pdf

• The LIFE Curriculum: 

           http://www.lifecurriculum.info

              http://www.lifecurriculum.info/programtour/

Other Resources:

• Sleepiness Fact Sheet (.pdf) - this one-page survey is a good way to introduce the topic of fatigue management and education in your program. You may want to use the front page to survey residents about their "sleepiness" and "fitness for duty." The backside gives several facts about sleepiness and fatigue management and the scoring values for the two surveys.