The Effect of Fatigue on the Clinical Performance

The Effect of Fatigue on the Clinical Performance of Experienced Physicians: A Simulation Study

The primary aim of this randomized controlled trial is to examine the effect of fatigue on clinical performance in a simulated obstetric emergency. This scenario was chosen because it is a common clinical situation faced by anesthesia providers on call and therefore likely to occur when a provider is fatigued. Secondary outcomes will include the evaluation of other factors that worsen fatigue related decrement in performance including age, years of training/practice and clinical load prior to study participation.

Inclusion Criteria:

• All attending anesthesiologists taking overnight call at Evanston Hospital will be eligible participants.

Exclusion Criteria:

• Resident physician or trainee, physician not taking overnight in house call.