Tired surgical trainees: unfit to drive but fit to operate?

Jeffers, Rae

doi:10.1136/bmj.324.7330.173a

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…13 Doctors are known to work long hours, sometimes extending beyond 24 hours, resulting in sleep deprivation and fatigability. [14][15][16] Fatigue and sleep deprivation have been studied extensively, especially among healthcare professionals, and have been reported to have a negative impact on their work and well-being. 17 This includes reduced clinical judgement, impaired neurocognitive functioning and negative effect on the mood.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

et al. 2020

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IntroductionMedical doctors are often subjected to long working hours with minimal rest in between the shifts. This has led to many fatal and non-fatal road crash involvement (RCI). This study aims to determine the prevalence and predictors of RCI among medical doctors in Malaysia.Methods and analysisThis is a cross-sectional study among 375 Malaysian medical doctors who met the inclusion criteria. A predetermined self-administered questionnaires will be used to collect information regarding the sociodemographic, health status, workplace information, work commuting information, driving behaviour, history of RCI, fatigue, sleep quality, mental health status and work engagement. The questionnaires consist of the following instruments: (1) sociodemographic, health status, workplace information, work commuting information, driving behaviour and history of RCI; (2) Checklist of Individual Strength Questionnaire; (3) Pittsburgh Sleep Quality Index; (4) 21-item Depression Anxiety and Stress Scale; and (5) Utrecht's Work Engagement Scale. The data will be analysed using SPSS program V.24. Descriptive and inferential statistics will be used to determine the prevalence and predictors of RCI.Ethics and disseminationThis study protocol has received ethics approval from the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (NMRR-18-3983-40609) and the Ethics Committee for Research Involving Human Subject, University Putra Malaysia (JKEUPM). Online written informed consent will be obtained from each study participant by the researchers. Results of the study will be disseminated through relevant journals and conferences.Trial registration numberNCT04243291.

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Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

et al. 2020

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Tired surgical trainees

Millner

2002

BMJ

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Editor-Road traffic crashes and their sequelae are a scourge in all societies, both developed and developing. Each year over a million people are killed in road traffic collisions worldwide and some 10 million people are injured or disabled by these events, 1 predominantly in low and middle income countries. 2 Despite what is known about road traffic crashes and their health consequences, policymakers worldwide show little awareness of their contribution to the burden of disease; consequently they are neglected in service and policy. At the same time there has been limited funding, particularly in low and middle income countries, for traffic related research 3 even though these injuries drain developing economies of 1-2% of gross domestic product (about $100 bn) each year, or twice the total development aid received worldwide by developing countries. 4 The critical issue is that road traffic injuries can be prevented. Many effective strategies have been identified in developed countries, but since the type of traffic injuries in developing countries differ greatly from those in developed countries, the prevention strategies, technologies, and policies cannot simply be exported. They require specific testing and appropriate modification to ensure their effectiveness in developing societies. The World Health Organization, as the lead coordinating agency for international public health, is guiding a science based programme of activities in the prevention of road traffic injury. In 2001 its department of injuries and violence prevention, together with partners, developed a multidisciplinary five year global strategy for this (www.who.int/violence_injury_prevention/ index.html). This strategy takes into consideration competing needs and expectations, and limited resources in many countries, and addresses long term sustainable goals. The Global Forum for Health Research and the WHO are supporting an initiative to promote appropriate research in Africa, Asia, and Latin America (see www. globalforumhealth.org/pages/index.asp). This North-South collaborative effort is embarking on an ambitious research agenda for the prevention of road traffic injuries. Complementarily, another initiative, led by the Harvard Center for Population and Development Studies and cosponsored by the WHO, addresses the problem of health equity and road traffic injuries. An alliance of partners will help 10 developing countries to develop appropriate policies and interventions over five years. Dedicating an issue of the BMJ to road traffic injuries is a welcome step in the acknowledgement of this global public health problem. It is also a call for partners around the world to confront the growing epidemic and save lives.

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The Five Pillars for the Healing Professions Education

Wisneski¹

2017

The Scientific Basis of Integrative Health

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Tired surgical trainees: unfit to drive but fit to operate?

Abstract: Rory Collins professor of medicine and epidemiologyRichard Peto professor of medical statistics and epidemiology Radcliffe Infirmary, Oxford OX2 6HE

Cited by 4 publications

References 4 publications

Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

Tired surgical trainees

The Five Pillars for the Healing Professions Education

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