Fatigue Risk Management in Residency Education

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[Fatigue Risk Management in Residency Education @residentfatigue]

The easiest way to identify fatigue proofing strategies for your team?

Ask your team members what they do when they know they’re tired.

#ICRE2022

[Fatigue Risk Management in Residency Education @residentfatigue]

@May_Sanaee @SkyeMRussell @UAlbertaOBGYN @ICREConf @shoregan @para_ab Great poster! @sarahglaze’s team is also working on resident fatigue in AB - let me know if you would like us to connect you!

[International Conference on Residency Education @ICREConf]

ICRE 2023 Calls for Submissions is now open! Call for pre-conference courses and in-conference workshops - Deadline for submission: November 18, 2022. Call for abstracts - Deadline for submission: January 6, 2023.

[Fatigue Risk Management in Residency Education @residentfatigue]

A highlight from yesterday’s session:

Simple fatigue risk management strategies for your team that won’t cost you $

@ICREConf #ICRE2022

A thread:

[Fatigue Risk Management in Residency Education @residentfatigue]

Some ideas from other industries:
- when giving someone else instructions, get them to repeat it back to you
- decrease time pressure for critical decision making (if possible)
- slow down, self pace workload
- rotate tasks
- talking to each other whilst doing repetitive tasks

[Fatigue Risk Management in Residency Education @residentfatigue]

- raft calls - save non-urgent questions until there is an urgent call. Tag them onto the end of the conversation
- reprioritize your task load

[Fatigue Risk Management in Residency Education @residentfatigue]

The easiest way to identify fatigue proofing strategies for your team?

Ask your team members what they do when they know they’re tired.

#ICRE2022

[Fatigue Risk Management in Residency Education @residentfatigue]

- if you phone someone on call at night, recognize that they have likely just woken up. Chat for 30s, a minute until their sleep inertia has worn off before presenting the case
- if you’ve been woken up in the night for call, say that you’ve just woken up. Ask them to repeat.

[Fatigue Risk Management in Residency Education @residentfatigue]

So how much sleep do you need at a minimum in health care to minimize risk of fatigue-related accidents?

- 5hrs sleep in the prior 24hrs
- 12hrs in the prior 48hrs

#ICRE2022

[Fatigue Risk Management in Residency Education @residentfatigue]

How do we measure fatigue risk?

- identifying sleep opportunity (how many hours off)
- sleep wake behaviour (how much sleep have you had in prior 24 and 48hrs)
- how fatigued do you feel (use a validated scale like the Karolinska sleepiness scale)

#ICRE2022

[Fatigue Risk Management in Residency Education @residentfatigue]

Drew Dawson: managing fatigue is not about changing schedules/rotations. It’s not about reducing fatigue. It’s about identifying risk and developing strategies in your program to manage different levels of fatigue. #icre2022

[Fatigue Risk Management in Residency Education @residentfatigue]

NOW: learning from leaders in FRM in room 517ab #ICRE2022

[Fatigue Risk Management in Residency Education @residentfatigue]

TODAY @ICREConf: learn from innovators in fatigue risk management @sarahglaze and Amy Robinson. 10:30am, Room 516c #ICRE2022

[Fatigue Risk Management in Residency Education @residentfatigue]

If you missed Drew’s session yesterday, you can catch him again on Friday at 3.15pm in Room 513ef for his session on how to create a local fatigue risk management plan @ICREConf #icre2022

[Fatigue Risk Management in Residency Education @residentfatigue]

A good fatigue risk management system will measure five levels of fatigue:
1. Sleep opportunity
2. Sleep wake behaviour
3. Fatigued behaviour
4. Fatigued errors
5. Fatigued incidents

#icre2022

[Fatigue Risk Management in Residency Education @residentfatigue]

A good fatigue risk management system will measure five levels of fatigue:
1. Sleep opportunity
2. Sleep wake behaviour
3. Fatigued behaviour
4. Fatigued errors
5. Fatigued incidents

#icre2022

[Fatigue Risk Management in Residency Education @residentfatigue]

Tomorrow at 10:30am @sarahglaze @academialiya and Amy Robinson share findings from implementing fatigue risk management in their residency programs @ICREConf PA Pre-Con. Don't miss it!

[Fatigue Risk Management in Residency Education @residentfatigue]

Looking forward to joining Prof. Drew Dawson tomorrow for his session on working safely while fatigued at @ICREConf

Who else is joining us? #ICRE2022

[The Royal College @Royal_College]

DYK the theme for #ICRE2022 is Together Again: A Community Redefining Residency Education? Join us as speakers and participants from around the world meet to discuss and advance #MedEd. @AtkinsonAdelle @ICREConf @OrthopodReg @VauxEmma @holly_cw #MedEd #Medtwitter 1/2

[Fatigue Risk Management in Residency Education @residentfatigue]

Join Prof. Drew Dawson in Montreal for his session on fatigue risk management #ICRE2022

[International Conference on Residency Education @ICREConf]

Sometimes a tired doctor is better than no doctor at all: How to work safely while fatigued
If you’re a medical educator, medical/hospital administrator, or patient safety/clinical governance/workplace safety advisor, register for this insightful pre-con workshop! 1/2

[International Conference on Residency Education @ICREConf]

Sometimes a tired doctor is better than no doctor at all: How to work safely while fatigued
If you’re a medical educator, medical/hospital administrator, or patient safety/clinical governance/workplace safety advisor, register for this insightful pre-con workshop! 1/2