Promoting Physician Wellness: Recognizing the Signs of Fatigue and Sleep Deprivation Strategies for Alertness Management and Fatigue Mitigation

Debate has been raging for years about the impact of inadequate sleep on the cognitive alertness of residents, which could affect not only their own health but also the medical care they deliver. This conference will help supervising physicians recognize signs of sleep deprivation and fatigue in residents and fellows, and enable them to implement appropriate strategies to address this important problem. 

Target Audience

West Kendall Baptist Hospital GME faculty including: Family Medicine Physicians, Cardiologists, Emergency Medicine Physicians, Surgeons, Hospitalists, Ob/Gyns, Nephrologists, Hematologists/Oncologists, Infectious Disease Specialists, Gastroenterologists, Neurologists, ENTs, Ophthalmologists, Urologists, Pulmonologists, Critical Care Physicians, Physician Assistants, Medical Students, Residents, Fellows and other interested healthcare professionals. 

Learning Objectives

  • Summarize medical literature supporting Accreditation Council for Graduate Medical Education guidelines for work hour restrictions. 
  • Describe the impact of sleep loss on cognitive function and fatigue.  
  • Recognize the signs of fatigue and sleep deprivation.
  • Implement strategies for alertness management and fatigue mitigation.
Additional information
Bibliography: 
  • ACGME Common Program Requirements 2011 (ACGME.org)
  • Barger LK, Ayas NT, Cade BE, et al.  Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.  PLoS Medicine. 2006;3(12):2440-2448.
  • Bonnet MH, et al: Sleep 1995;18: 97-104.
  • Borland RG, et al: Aviat Space Environ Med (1986;57:241-249)
  • Carskadon MA, et al. In: Monk T, ed. Sleep, Sleepiness and Performance. 1991. 
  • Dinges D, et al. In: Monk T, ed. Sleep, Sleepiness and Performance. 1991. 
  • Education ACfGM. Percent of programs cited for work hours 1999 and 2000. Accreditation Council for Graduate Medical Education;2001 May 9 2001.
  • Hayes, D. Physician Sleep Deprivation: To Sleep or Not to Sleep. Unpublished presentation. 
  • Kohn LT, Corrigan JM, Donaldson MS, eds, Committee on Quality of Healthcare in America,Institute of Medicine. To Err Is Human: Building a Safer Health System. National Academies Press, Washington, DC: 2000.
  • Mustafa & Strohl, unpublished data. Papp, 2002 
  • Rosekind MR, et al. Behav Med. 1996. 
  • Szklo-Coxe M. Are residents’ extended shifts associated with adverse events? PLoS Medicine. 2006;3(12):2194-2196.
  • Fam Pract Manag. 2015 Sep-Oct;22(5):42-47. 
  • Walsh JK, et al:. Psychopharmacology 1990;101:271-273
Course Summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Course opens: 
06/27/2016
Course expires: 
08/01/2019

Dana O. Mato, Psy.D.
Psychologist
Baptist and West Kendall Baptist Hospitals
Miami, Florida

Dana O. Mato, Psy.D., indicated that neither she nor her spouse/partner has relevant financial relationships with commercial interest companies, and she will not include off-label or unapproved product usage in her presentations or discussions. 

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose. 

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 

Available Credit

  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Please login or register for a Baptist Health CME account to take this course.

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