NYPH GME Fatigue Monitoring

TITLE: MONITORING FATIGUE IN POST GRADUATE TRAINEES POLICY:

NEWYORK-PRESBYTERIAN HOSPITAL

GRADUATE MEDICAL EDUCATION

POLICIES AND PROCEDURES

MONITORING AND ADDRESSING FATIGUE IN GRADUATE STAFF

TITLE: POLICY:

NewYork-Presbyterian Hospital (“NYPH”), in compliance with the New York State

(“NYS”) Department of Health Regulations and the Accreditation Council for

Graduate Medical Education (“ACGME”) program requirements, requires that all

postgraduate trainees be monitored for signs of fatigue.

It is the responsibility of the Program Director/designee to monitor the on-call and

assignment schedules of all postgraduate trainees so that Graduate Staff are

receiving ample time for rest, in compliance with NYS and ACGME Clinical and

Educational Work Hours requirement.

Graduate Staff and faculty members must demonstrate an understanding of their

personal role in the recognition of impairment from fatigue.

Each program must:

• educate all faculty members and Graduate Staff to recognize the signs of

fatigue and sleep deprivation;

• educate all faculty members and Graduate Staff in alertness management

and fatigue mitigation processes and encourage Graduate Staff to use fatigue

mitigation processes to manage the potential negative effects of fatigue on

patient care and learning;

• have policies and procedures in place that ensure coverage of patient care in

the event that a Graduate Staff Member may be unable to perform their patient

care responsibilities because of fatigue. (ACGME, Common Program

Requirements (CPR), VI.C.2.a). These policies must be implemented without

fear of negative consequences for the Graduate Staff Member who is or was

unable to provide the clinical work (ACGME, CPR, VI.C.2.b));

• ensure continuity of patient care, consistent with the program’s policies and

procedures referenced in VI.C.2-VI.C.2.b, in the event that a Graduate Staff

Member may be unable to perform their patient care responsibilities due to

excessive fatigue or illness, or family emergency (ACGME, CPR, VI.E.3.e);

• in partnership with its Sponsoring Institution, must ensure adequate sleep

facilities and safe transportation options for Graduate Staff Members who may

be too fatigued to safely return home (ACGME, CPR, VI.D.3).

Any postgraduate trainee who is experiencing fatigue should immediately notify

his/her program of his/her state of fatigue. When a Program Director/designee

determines that a Graduate Staff member is too fatigued to perform his/her duties

effectively, the Program Director will arrange for the postgraduate trainee to be

temporarily relieved from all on-call and clinical duties.It is the responsibility of the Program Director/designee to notify the appropriate

individuals of the change in the on-call and clinical assignment schedule.

APPROVAL DATES:

Reviewed by GME Office: Approved by GMEC: September 2014, February 2018, May 2019,

October 2024

September 2008, September 2020, November 2024

Approved by The Medical Board: May 2010, December 2020, December 2024