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CMAJ : Canadian Medical Association Journal logoLink to CMAJ : Canadian Medical Association Journal
. 1989 Jan 1;140(1):21–24.

Fatigue and concerns about quality of care among Ontario interns and residents.

L R Lewittes 1, V W Marshall 1
PMCID: PMC1268528  PMID: 2909268

Abstract

In postgraduate medical training the heavy and irregular workloads are thought to result in fatigue and a potential decrease in the quality of care provided by interns and residents. We investigated these concerns among Ontario interns and residents. Information from 1805 house staff in all specialties and different years of postgraduate education suggested a relation between hours of work, fatigue and concerns about the quality of care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Asken M. J., Raham D. C. Resident performance and sleep deprivation: a review. J Med Educ. 1983 May;58(5):382–388. doi: 10.1097/00001888-198305000-00003. [DOI] [PubMed] [Google Scholar]
  2. Brent D. A. The residency as a developmental process. J Med Educ. 1981 May;56(5):417–422. doi: 10.1097/00001888-198105000-00006. [DOI] [PubMed] [Google Scholar]
  3. Ford C. V., Wentz D. K. Internship: what is stressful? South Med J. 1986 May;79(5):595–599. doi: 10.1097/00007611-198605000-00019. [DOI] [PubMed] [Google Scholar]
  4. Friedman R. C., Bigger J. T., Kornfeld D. S. The intern and sleep loss. N Engl J Med. 1971 Jul 22;285(4):201–203. doi: 10.1056/NEJM197107222850405. [DOI] [PubMed] [Google Scholar]
  5. Friedman R. C., Kornfeld D. S., Bigger T. J. Psychological problems associated with sleep deprivation in interns. J Med Educ. 1973 May;48(5):436–441. doi: 10.1097/00001888-197305000-00004. [DOI] [PubMed] [Google Scholar]
  6. Hsu K., Marshall V. Prevalence of depression and distress in a large sample of Canadian residents, interns, and fellows. Am J Psychiatry. 1987 Dec;144(12):1561–1566. doi: 10.1176/ajp.144.12.1561. [DOI] [PubMed] [Google Scholar]
  7. McCall T. B. The impact of long working hours on resident physicians. N Engl J Med. 1988 Mar 24;318(12):775–778. doi: 10.1056/NEJM198803243181210. [DOI] [PubMed] [Google Scholar]
  8. McCue J. D. The distress of internship. Causes and prevention. N Engl J Med. 1985 Feb 14;312(7):449–452. doi: 10.1056/NEJM198502143120725. [DOI] [PubMed] [Google Scholar]
  9. Mizrahi T. Managing medical mistakes: ideology, insularity and accountability among internists-in-training. Soc Sci Med. 1984;19(2):135–146. doi: 10.1016/0277-9536(84)90280-6. [DOI] [PubMed] [Google Scholar]
  10. Pfifferling J. H. The problem of physician impairment. Conn Med. 1980 Sep;44(9):587–591. [PubMed] [Google Scholar]
  11. Small G. W. House officer stress syndrome. Psychosomatics. 1981 Oct;22(10):860–869. doi: 10.1016/S0033-3182(81)73093-7. [DOI] [PubMed] [Google Scholar]
  12. Valko R. J., Clayton P. J. Depression in the internship. Dis Nerv Syst. 1975 Jan;36(1):26–29. [PubMed] [Google Scholar]

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