title: Family medicine residents' risk of adverse motor vehicle events: a comparison between rural and urban placements.
abstract: BACKGROUND
  Sleep deprivation and fatigue are associated with long and irregular work hours. These work patterns are common to medical residents. Motor vehicle crashes (MVCs) are a leading cause of injury related deaths in Canada, with MVC fatality rates in rural areas up to three times higher than in urban areas.
  
  
  OBJECTIVE
  To: 1) examine the number of adverse motor vehicle events (AMVEs) in family medicine residents in Canada; 2) assess whether residents with rural placements are at greater risk of experiencing AMVEs than urban residents; and 3) determine if family medicine residency programs across Canada have travel policies in place.
  
  
  METHODS
  A prospective, cross-sectional study, using a national survey of second-year family medicine residents.
  
  
  RESULTS
  A higher percentage of rural residents reported AMVEs than urban residents. The trend was for rural residents to be involved in more MVCs during residency, while urban residents were more likely to be involved in close calls. The majority of Canadian medical schools do not have resident travel policies in place.
  
  
  CONCLUSIONS
  AMVEs are common in family medicine residents, with a trend for the number of MVCs to be greater for rural residents. These data support the need for development and incorporation of travel policies by medical schools.
authors.affiliation: Dept. of Family Medicine, University of Alberta, Edmonton, Alberta Canada.
authors.forename: Fred
authors.initials: F
authors.lastname: Janke
authors.affiliation: Medically At-Risk Driver Centre, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Dobbs
authors.affiliation: Dept. of Family Medicine, University of Alberta, Edmonton, Alberta Canada.
authors.forename: Rhianne
authors.initials: R
authors.lastname: McKay
authors.affiliation: Medically At-Risk Driver Centre, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Meghan
authors.initials: M
authors.lastname: Linsdell
authors.affiliation: Medically At-Risk Driver Centre, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Oksana
authors.initials: O
authors.lastname: Babenko