Document Detail

The effect of call on neurosurgery residents' skills: implications for policy regarding resident call periods.
MedLine Citation:
PMID:  22136645     Owner:  NLM     Status:  Publisher    
Object Although fatigue and its effects on surgical proficiency have been an actively researched area, previous studies have not examined the effect of fatigue on neurosurgery residents specifically. This study aims to quantify the effect of fatigue on the psychomotor and cognitive skills of neurosurgery residents. Methods Seven neurosurgery residents performed a minimum of 3 and a maximum of 4 sessions of 6 surgical exercises precall and postcall. The simulation exercises were designed to measure a surgeon's cognitive abilities, such as memory and attention, while performing simulated surgical tasks and exercises that have been previously validated in several studies, including studies measuring the impact of fatigue on general surgery residents. Each exercise measured tool-movement smoothness, time elapsed, and cognitive errors. The change in surgical skills in precall and postcall conditions was assessed by means of an ANOVA, with p < 0.05 considered statistically significant. Results The neurosurgery residents did not show a statistically significant difference in their surgical skills between the pre- and postcall states (p < 0.3, p < 0.4, and p < 0.2 for movement smoothness, time elapsed, and cognitive errors, respectively). The mean decrement for all residents in the postcall condition was 13.1%. Conclusions Postcall fatigue is associated with a marginal decrease in proficiency during simulated surgery in neurosurgery residents. In a similar study, general surgery residents showed a statistically significant decrement of 27.3% in the postcall condition. The impact of fatigue on different specialties should be further investigated prior to implementation of a national physician work-hour policy.
Aruna Ganju; Kanav Kahol; Peter Lee; Narina Simonian; Steven J Quinn; John J Ferrara; H Hunt Batjer
Related Documents :
21799675 - Hatha yoga practices: energy expenditure, respiratory changes and intensity of exercise.
22004715 - The role of pro-/anti-inflammatory adipokines on exercise-induced bronchospasms (eib) i...
1610165 - Human intake and choice of foods at intervals after exercise.
22163175 - A preliminary exploration of the effects of a 6-week interactive video dance exercise p...
2100125 - Differential application of rate and delta check on selected clinical chemistry tests.
12643525 - A new isoelectric focusing gel for two-dimensional electrophoresis constructed in micro...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-2
Journal Detail:
Title:  Journal of neurosurgery     Volume:  -     ISSN:  1933-0693     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois;
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Intracranial hemorrhage after removal of deep brain stimulation electrodes.
Next Document:  Isothermal Evaporation of Ethanol in Dynamic Gas Atmosphere.