Motor vehicle incidents in postgraduate trainees in British Columbia

Introduction: Postgraduate medical trainees frequently work ≥ 24- hour shifts causing fatigue and adverse consequences such as motor vehicle incidents (MVIs). We aim to determine the incidence of MVIs during the commutes of trainees in British Columbia (BC) in the preceding year. Methods: We co...

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Autores principales:	Louise Cassidy, Emma Croft, Shannon Erdelyi, Jeffrey Brubacher
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2021
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3d1765991116465c994ebb9d7a224d12
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spelling	oai:doaj.org-article:3d1765991116465c994ebb9d7a224d122021-12-01T22:35:39ZMotor vehicle incidents in postgraduate trainees in British Columbia 10.36834/cmej.716041923-1202https://doaj.org/article/3d1765991116465c994ebb9d7a224d122021-09-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/71604https://doaj.org/toc/1923-1202 Introduction: Postgraduate medical trainees frequently work ≥ 24- hour shifts causing fatigue and adverse consequences such as motor vehicle incidents (MVIs). We aim to determine the incidence of MVIs during the commutes of trainees in British Columbia (BC) in the preceding year. Methods: We completed a retrospective, cross-sectional survey of trainees regarding work hours, shifts, and MVIs in the previous year. MVIs included falling asleep while driving, sudden braking or swerving to avoid a collision, unintentionally running a red light or stop sign, or collisions. Results: Of 273 respondents, over half (54.6%) reported ≥1 MVI, one in 14 were in a collision (7.0%), and two thirds (66.3%) reported that the safety of their commute had been impacted by fatigue in the past year. After adjustment for road exposure and shift-related factors, every ten km increase in commute length was associated with an increased risk of MVI (aOR=1.54;95%CI:1.15-2.12). Reported attentional failures, such as unintentionally running a red light and/or stop sign, increased for every ten hours on-call (aOR=1.44;95%CI:1.03-2.04) and for every additional past-midnight shift worked (aOR=1.13;95%CI:1.01-1.26). Discussion: Trainees with longer and more frequent commutes had an increased risk of MVIs. Trainees who worked more hours on-call and more past-midnight shifts reported significantly more attentional failures while commuting. This study helps us understand factors affecting trainee commuter safety and supports calls for the provision of safe alternatives to commuting for postgraduate trainees. Louise CassidyEmma CroftShannon ErdelyiJeffrey BrubacherCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 12, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Louise Cassidy Emma Croft Shannon Erdelyi Jeffrey Brubacher Motor vehicle incidents in postgraduate trainees in British Columbia
description	Introduction: Postgraduate medical trainees frequently work ≥ 24- hour shifts causing fatigue and adverse consequences such as motor vehicle incidents (MVIs). We aim to determine the incidence of MVIs during the commutes of trainees in British Columbia (BC) in the preceding year. Methods: We completed a retrospective, cross-sectional survey of trainees regarding work hours, shifts, and MVIs in the previous year. MVIs included falling asleep while driving, sudden braking or swerving to avoid a collision, unintentionally running a red light or stop sign, or collisions. Results: Of 273 respondents, over half (54.6%) reported ≥1 MVI, one in 14 were in a collision (7.0%), and two thirds (66.3%) reported that the safety of their commute had been impacted by fatigue in the past year. After adjustment for road exposure and shift-related factors, every ten km increase in commute length was associated with an increased risk of MVI (aOR=1.54;95%CI:1.15-2.12). Reported attentional failures, such as unintentionally running a red light and/or stop sign, increased for every ten hours on-call (aOR=1.44;95%CI:1.03-2.04) and for every additional past-midnight shift worked (aOR=1.13;95%CI:1.01-1.26). Discussion: Trainees with longer and more frequent commutes had an increased risk of MVIs. Trainees who worked more hours on-call and more past-midnight shifts reported significantly more attentional failures while commuting. This study helps us understand factors affecting trainee commuter safety and supports calls for the provision of safe alternatives to commuting for postgraduate trainees.
format	article
author	Louise Cassidy Emma Croft Shannon Erdelyi Jeffrey Brubacher
author_facet	Louise Cassidy Emma Croft Shannon Erdelyi Jeffrey Brubacher
author_sort	Louise Cassidy
title	Motor vehicle incidents in postgraduate trainees in British Columbia
title_short	Motor vehicle incidents in postgraduate trainees in British Columbia
title_full	Motor vehicle incidents in postgraduate trainees in British Columbia
title_fullStr	Motor vehicle incidents in postgraduate trainees in British Columbia
title_full_unstemmed	Motor vehicle incidents in postgraduate trainees in British Columbia
title_sort	motor vehicle incidents in postgraduate trainees in british columbia
publisher	Canadian Medical Education Journal
publishDate	2021
url	https://doaj.org/article/3d1765991116465c994ebb9d7a224d12
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Motor vehicle incidents in postgraduate trainees in British Columbia

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