title: The perspective of the vascular surgery trainee on new ACGME regulations, fatigue, resident training, and patient safety.
abstract: OBJECTIVE
  To assess the opinions of vascular surgery trainees on the new Accreditation Council for Graduate Medical Education (ACGME) guidelines.
  
  
  METHODS
  A questionnaire was developed and electronically distributed to trainee members of the Society for Vascular Surgery.
  
  
  RESULTS
  Of 238 eligible vascular trainees, 38 (16%) participated. Respondents were predominantly 30 to 35 years of age (47%), male (69%), in 2-year fellowship (73%), and at large academic centers (61%). Trainees report occasionally working while fatigued (63%). Fellows were more likely to report for duty while fatigued (P = .012) than integrated vascular residents. Respondents thought further work-hour restrictions would not improve patient care or training (P < .05) and may not lead to more sleep or improved quality of life. Respondents reported that duty hours should vary by specialty (81%) and allow flexibility in the last years of training (P < .05).
  
  
  CONCLUSIONS
  Vascular surgery trainees are concerned about further duty-hour restrictions on patient care, education, and training and fatigue mitigation has to be balanced against the need to adequately train vascular surgeons.
authors.affiliation: Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USA. randall.r.de.martino@hitchcock.org
authors.forename: Randall R
authors.initials: RR
authors.lastname: De Martino
authors.forename: L P
authors.initials: LP
authors.lastname: Brewster
authors.forename: A A
authors.initials: AA
authors.lastname: Kokkosis
authors.forename: C
authors.initials: C
authors.lastname: Glass
authors.forename: M
authors.initials: M
authors.lastname: Boros
authors.forename: P
authors.initials: P
authors.lastname: Kreishman
authors.forename: D A
authors.initials: DA
authors.lastname: Kauvar
authors.forename: A
authors.initials: A
authors.lastname: Farber
mesh_terms: D000068:Accreditation; D000328:Adult; D016009:Chi-Square Distribution; D003479:Curriculum / Q000592:standards; D004503:Education, Medical, Graduate / Q000592:standards*; D005221:Fatigue / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D007588:Job Satisfaction; D008297:Male; D061214:Patient Safety / Q000592:standards*; D010561:Personnel Staffing and Scheduling / Q000592:standards*; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D018570:Risk Assessment; D012307:Risk Factors; D012955:Societies, Medical / Q000592:standards*; D011795:Surveys and Questionnaires; D014481:United States; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000193:education* / Q000592:standards*; D016526:Workload / Q000592:standards*