BACKGROUND: Night floats have evolved in the era of limited resident work hours. This study was designed to define the effect of restricted nighttime duty hours on the psychomotor and cognitive skills of surgery residents. METHODS: To quantify the effect of fatigue on the skills of residents on day-shift and night-float rotations, residents were asked to complete visuohaptic simulations before and after 12-hour duty periods and to rate their fatigue level with questionnaires. RESULTS: Both groups showed significant decrements in proficiency measures after their shifts compared with baseline. The night-float group showed more significant declines (P < .05) in all areas assessed than the day-shift group. The night-float group was significantly less proficient in cognitive tasks after their shifts compared with the day-shift group. CONCLUSIONS: The deterioration of surgical proficiency is to a degree dependent on the time of day during which call occurs, not solely on the length of call.
BACKGROUND: Night floats have evolved in the era of limited resident work hours. This study was designed to define the effect of restricted nighttime duty hours on the psychomotor and cognitive skills of surgery residents. METHODS: To quantify the effect of fatigue on the skills of residents on day-shift and night-float rotations, residents were asked to complete visuohaptic simulations before and after 12-hour duty periods and to rate their fatigue level with questionnaires. RESULTS: Both groups showed significant decrements in proficiency measures after their shifts compared with baseline. The night-float group showed more significant declines (P < .05) in all areas assessed than the day-shift group. The night-float group was significantly less proficient in cognitive tasks after their shifts compared with the day-shift group. CONCLUSIONS: The deterioration of surgical proficiency is to a degree dependent on the time of day during which call occurs, not solely on the length of call.
Authors: Weston Robison; Sonya K Patel; Akshat Mehta; Tristan Senkowski; John Allen; Eric Shaw; Christopher K Senkowski Journal: Surg Endosc Date: 2017-08-24 Impact factor: 4.584
Authors: Sofia Fernandes; Ana F Carvalho; Ana J Rodrigues; Patrício Costa; Moreno Sanz; Andre Goulart; Hugo Rios; Pedro Leão Journal: Int J Colorectal Dis Date: 2016-01-07 Impact factor: 2.571
Authors: Jacob de Boer; Koen Van der Bogt; Hein Putter; Kirsten Ooms-de Vries; Bernadette Haase-Kromwijk; Robert Pol; Jeroen De Jonge; Kees Dejong; Mijntje Nijboer; Daan Van der Vliet; Dries Braat Journal: BMJ Open Date: 2018-11-25 Impact factor: 2.692