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Graduate Medical Education

Wellness & Wellbeing

Fatigue Management & Mitigation

Fatigue Management Education

Fatigue refers to mental or physical exhaustion that stops a person from being able to function normally. It is more than just feeling tired. Fatigue is caused by prolonged periods of physical and/or mental exertion without adequate time for rest and recovery.

The ACGME, and other accrediting bodies, have implemented requirements mandating programs to educate faculty and residents to recognize signs of fatigue and sleep deprivation.


The Signs

  • Repeated yawning and nodding off during conferences
  • “Microsleeps”… the few seconds of sleep you don’t recognize occurred
  • Loss of ability to do something quickly
  • Increased tolerance for risk
  • Passivity
  • Inattention to details 
  • Decreased cognitive functions
  • Irritability
  • Motor vehicle accidents / near misses
  • Increased errors
  • Impact on sleep process itself
  • Sleep inertia (the confusion and dysfunction that occurs upon awakening from deep sleep) 

What Can I Do? 

  • Develop healthy sleep habits
  • Protect sleep times on your days off
  • Nap 20-30mins every 12 hours
  • Recognize you will be more prone to accidents 
  • Avoid or be judicious regarding medications
  • Pay particular attention with “hand-offs”
  • For sleep inertia: Anticipate it - get out of bed, stand up, and turn on the lights 
  • Review the app resources provided below
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Tips for Healthy Sleep Habits

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Sleep Wellness Resources

Note that access to the resources below requires a password. Please contact your GME office for additional information.

Currently the SAFER material is accessible at all sites, except the VAs.

SAFER Video Training

SAFER Presentation

Find more information about fare reimbursement or taxi vouchers by clicking this link: http://health.usf.edu/medicine/gme/current/taxi-services