Junior doctors - 48-hour maximum working week (without averaging): expert working group report
This report was led on by Professor Philip Cachia to consider the challenges of the maximum 48 hour working week and provide recommendations for the Scottish Government to consider.
Appendix 8. References for ‘Evidence of Fatigue and relationship to hours of work and rota design
1. Yazdi Z, Sadeghniiat-Haghighi K. Fatigue management in the workplace [Internet]. Industrial Psychiatry Journal2015;24(1):12. Available from: http://dx.doi.org/10.4103/0972-6748.160915
3. General Medical Council. National Training Survey 2019: Initial Findings Report [Internet]. 2019. Available from: https://prodsitecore.gmc-uk.org/-/media/national-training-surveys-initial-findings-report-20190705_2.pdf?la=en&hash=9FFCD9354033B5C2CBBB1B672CCFFFD79D9B2FEF
4. Health, Executive S. Managing shiftwork-Health and safety guidance. 2006;
5. Morrow G, Burford B, Carter M, Illing J. The impact of the working time regulations on medical education and training: literature review. Durham: Centre for Medical Education Research [Internet] 2012;Available from: https://pdfs.semanticscholar.org/52bb/81b75644873a30f824079ce5472f044df88a.pdf
6. British Medical Association. Fatigue and sleep deprivation – the impact of different working patterns on doctors [Internet]. 2018. Available from: https://www.bma.org.uk/-/media/files/pdfs/collective%20voice/policy%20research/education%20and%20training/fatigue-sleep-deprivation-briefing-jan2017.pdf?la=en
7. Caruso CC. Possible broad impacts of long work hours. Ind Health 2006;44(4):531–6.
8. Folkard S, Tucker P. Shift work, safety and productivity. Occup Med 2003;53(2):95–101.
19. Jena AB, Farid M, Blumenthal D, Bhattacharya J. Association of residency work hour reform with long term quality and costs of care of US physicians: observational study [Internet]. BMJ2019;l4134. Available from: http://dx.doi.org/10.1136/bmj.l4134
25. van Drongelen A, Boot C, Merkus S, Smid T, Beek AJ. The effects of shift work on body weight change − a systematic review of longitudinal studies [Internet]. Scandinavian Journal of Work, Environment & Health2011;37(4):263–75. Available from: http://dx.doi.org/10.5271/sjweh.3143
28. Knutsson A, Kempe A. Shift work and diabetes – A systematic review [Internet]. Chronobiology International2014;31(10):1146–51. Available from: http://dx.doi.org/10.3109/07420528.2014.957308
33. Wang X, Ji A, Zhu Y, Liang Z, Wu J, Li S, et al. A meta-analysis including dose-response relationship between night shift work and the risk of colorectal cancer [Internet]. Oncotarget2015;6(28). Available from: http://dx.doi.org/10.18632/oncotarget.4502
35. Monk TH, Folkard S. Making Shiftwork Tolerable. CRC Press; 1992.
36. Akerstedt T. Shift work and disturbed sleep/wakefulness [Internet]. Occupational Medicine2003;53(2):89–94. Available from: http://dx.doi.org/10.1093/occmed/kqg046
37. Pilcher JJ, Lambert BJ, Huffcutt AI. Differential Effects of Permanent and Rotating Shifts on Self-Report Sleep Length: A Meta-Analytic Review [Internet]. Sleep2000;23(2):1–9. Available from: http://dx.doi.org/10.1093/sleep/23.2.1b
38. Sallinen M, Kecklund G. Shift work, sleep, and sleepiness - differences between shift schedules and systems [Internet]. Scandinavian Journal of Work, Environment & Health2010;36(2):121–33. Available from: http://dx.doi.org/10.5271/sjweh.2900
41. West M, Coia D. Caring for doctors Caring for patients [Internet]. General Medical Council; 2019. Available from: https://www.gmc-uk.org/-/media/documents/caring-for-doctors-caring-for-patients_pdf-80706341.pdf
Lewis Hughes and Luke Yates
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