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ACGME Common Program Requirements | GME Policy on Clinical Experience & Education | GME Policy on Taxi Reimbursement

ACGME Section VI.png

Educating residents and faculty is an ACGME accreditation requirement, programs MUST:

VI.D.1.a) educate all faculty members and residents to recognize the signs of fatigue and sleep deprivation (Core)
VI.D.1.b) educate all faculty members and residents in alertness management and fatigue mitigation processes (Core)

Content & Requirements Overview

Review Learning Objectives

Review Historical Perspectives & ACGME Updates - Infographic

Watch Part I - "Sleep Basics" (4 minutes, 9 seconds)

Watch Part II - "Consequences of Chronic Sleep Deprivation" (6 minutes, 47 seconds)

Watch Part III - "Recognizing Sleepiness in Yourself and Others" (5 minutes, 32 seconds)

Review ACGME Recommendations - Infographic

Review References

Learning Objectives - Fatigue.png

By the end of this training you will be able to explain and/or apply the following concepts to your practice...

1. Historical perspectives of fatigue management and recent ACGME duty hour restrictions
2. Sleep physiology
3. The effects of chronic sleep deprivation in relation to medical errors and physician safety
4. Recognizing the sleepiness and fatigue in yourself and others
5. Alertness management strategies
6. Maximizing sleep strategies

Historical Perspectives & ACGME Updates - Infographic

Fatigue Mitigation - Infographic.png

Part I - "Sleep Basics" (4 minutes, 9 seconds)

Part II - "Consequences of Sleep Deprivation" (6 minutes, 47 seconds)

Part III - "Recognizing Sleepiness in Yourself & Others" (5 minutes, 32 seconds)

Fatigue Mitigation | Christopher Allison, MD

ACGME Recommendations - Infographic

Fatigue Mitigation, ACGME Recommendations - Graphic.png

References

ACGME Common Program Requirements: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRs_2017-07-01.pdf
Alhola P, Polo-Kantola P. Sleep Deprivation: Impact on cognitive performance. Neuropsychiatr Dis Treat. 2007 Oct; 3(5): 553–567. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656292/
American Academy of Sleep Medicine: https://aasm.org/
Asken M, Raham D. Resident performance and sleep deprivation: a review. J Med Ed 1983;58:382–388.
Howard SK, Gaba DM, Rosekind MR, Zarcone VP. The risks and implications of excessive daytime sleepiness in resident physicians. Acad Medicine 2002;77:1019–25.
Jacques CHM, Lynch JC, Samkoff JS. The effects of sleep loss on cognitive performance of resident physicians. J Fam Prac.1990;30:223–227.
Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns work hours on serious medical errors in intensive care units. N Engl J Med 2004;351;18:1838–1848.
Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns’ weekly work hours on sleep and attention failures. N Engl J Med 2004;351;18:1829–37
Lyznicki JM, Droege TC, Davis RM, et al. Sleepiness, Driving and Motor Vehicle Accidents; JAMA;279(23):1908–1913.
Papp KK, Stoller EP, Sage P, et al. The effects of sleep loss and fatigue on resident physicians: a multi-institutional,mixed-method study. Acad Med 2004;79:394–406.
Richardson GS, Wyatt JK ,Sullivan JP, et al. Objective assessment of sleep and alertness in medical housestaff staff and the impact of protected time for sleep. Sleep 1996;19:718–726.
Veasey S, Rosen R, Barzansk B, Ilene R, Owens J. Sleep loss and fatigue in residency training. JAMA 2002;288:1116–1124.

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