Perceptions of Safety Climate and Fatigue Related to ACGME Residency Duty Hour Restrictions in Otolaryngology Residents

Details

• Personal Author:
  Carr MM ; Foreman AM ; Friedel JE ; O'Brien DC ; Wirth, Oliver
• Description:
  Objective: To compare otolaryngology residents' perceptions of safety climate with respect to duty hour compliance and self-perceived fatigue. Study Design: Cross-sectional study. Setting: Forty-one otolaryngology residencies distributed across the United States. Methods: A national sample of otolaryngology residents was surveyed electronically in 2019. The survey included demographic details, on-call descriptors, an 18-point Safety Climate Survey (SCS) modified to measure perceptions of program attitudes and practices around resident duty hour compliance, and the 33-point Chalder Fatigue Questionnaire (CFQ). Results: Of 397 surveyed residents, 205 (51.6%) responded. The mean modified SCS score was 11.29 out of 18 (95% CI, 10.76-11.81). Respondents were most likely to disagree with "Residents are told when they are at risk of working beyond ACGME [Accreditation Council for Graduate Medical Education] duty hour restrictions," where 100 (48.8%) disagreed or strongly disagreed. The mean CFQ score was 15.99 of 33 (95% CI, 15.17-16.81). As the modified SCS score improved, CFQ scores decreased, indicating an inverse relationship between duty hour safety climate and fatigue. Having a protected postcall day off and having the program director, chief resident, or senior resident decide that a resident should take a postcall day off were all associated with higher modified SCS scores. Conclusion: Otolaryngology residents perceived a safety climate that is suboptimal with regard to duty hour restriction issues. Additionally, an inverse relationship between fatigue and modified SCS scores suggests that fatigue among residents may be lower in programs where residents perceive that ACGME duty hour compliance is more important. [Description provided by NIOSH]
• Subjects:
  Ear Fatigue Health Personnel Occupational Health Safety Sense Organs Sleep Sleep Initiation And Maintenance Disorders
• Keywords:
  Author Keywords: Chalder Fatigue Questionnaire Compliance Cross Sectional Studies Doctors Duty Hours Ears Medical Personnel Otolaryngologic Disorders Physician Fatigue Physicians Residency Training Safety Climate Sleep Deprivation Throat

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• ISSN:
  0194-5998
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; New York ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 4 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  HELD - Health Effects Laboratory Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  86-92
• Volume:
  166
• Issue:
  1
• NIOSHTIC Number:
  nn:20062709
• Citation:
  Otolaryngol Head Neck Surg 2022 Jan; 166(1):86-92
• Contact Point Address:
  Michele M. Carr, DDS, MD, PhD, Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, 8207 Main St, Williamsville, NY 14221, USA
• Email:
  mcarr@buffalo.edu
• Federal Fiscal Year:
  2022
• NORA Priority Area:
  Healthcare and Social Assistance ; Transportation, Warehousing and Utilities
• Peer Reviewed:
  True
• Source Full Name:
  Otolaryngology - Head and Neck Surgery
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1b01ec88a58603bd075574fdc9c5f63b0ef20734c376c919b381279cac736d03f0d6b4982d2c424e9223ff070539fe1d1f0cee36a9597226a64e161444731a5f
• Download URL:
  https://stacks.cdc.gov/view/cdc/225903/cdc_225903_DS1.pdf
• File Type:
  [PDF - 890.79 KB ]