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. 2020 Aug 3;19(1):e20–e27. doi: 10.1016/j.surge.2020.07.006

Table 1.

Summary of thematic findings on ‘impact on fatigue in surgeons’.

Impact on Fatigue in Surgeons
 - Increased
 ○ Lack of adrenaline
“There isn't as much excitement or adrenaline for us as we don't have as much surgical work to do” (P15)
 ○ Mundane tasks
“There is more routine mundane tasks like paperwork and research. There is a fatigue associated with boredom” (P15)
 ○ Stress in dealing with the ‘unknown’
“The unknown was more stressful than dealing with the known when it came to COVID positive patients” (P5)
 ○ Dealing with new protocols
“We have different setups now and different type of management plans. More vigilance is required in work” (P5)
 ○ Stress in dealing with future workloads
“Knowing that there are dozens of scopes, minor ops (sic) and day cases as well as cancer operations building up is stressful” (P4)
 ○ Post-Viral Fatigue
“I had some post-COVID fatigue” (P15)
 ○ PPE Use
“PPE can be exhausting by the end of the day because of dehydration” (P62)
 - Reduced
 ○ New work-rota models
“I feel less fatigued. We are working long hours but alternating days with our colleagues. There is more time to rest and work on research” (P4)
 - Sleep patterns
 ○ Harder to regulate circadian rhythm
“I am subject to an increased acute sleep deprivation when I'm in for 2 days in a row but then I sleep a lot more the days I'm off – it is harder to regulate my sleep hours now” (P64).
 ○ Easier to regulate circadian rhythm
“I'm trying not to sleep in too late as I don't want to completely mess up my biological clock” (P15)