Fatigue Management

The ACGME requires that every program educate their faculty and trainees on fatigue.

Fatigue management training is available through HealthStream.

Additional training is offered below.

Effect of Fatigue on Trainee Learning and Performance

The video of the March 5, 2012 presentation by Dr. Lawrence J. Epstein on "Sleep and Fatigue: Impact on Trainee's Learning and Performance" is available to Partners residents, fellows, faculty, and staff.

Learning to Address Impairment and Fatigue

Learning to Address Impairment and Fatigue to Enhance Patient Safety - Volume 1
Learning to Address Impairment and Fatigue to Enhance Patient Safety - Volume 2

Each 25-minute learning module includes engaging video clips and text, as well as a bibliography to support the recommendations.

The LIFE Curriculum is a collaborative effort of Duke University Hospital, the UNC Hospitals, the NC AHEC, and the NC Physician's Health Program to assist graduate medical education programs, their residents, and faculty to prevent, identify, and manage resident fatigue and impairment. The project is funded in part by a grant from the Josiah Macy, Jr. Foundation.

The self-assessment portion of the video is not available and CME Credits are no longer available. Residents and Fellows can self claim AMA category 2 credit.

Please note that the links to the “additional resources” in the video do not work. The “additional resources” are located below.

Thank you for working together with us to meet this important requirement.


  1. Life Curriculum Advisory Board
  2. Life Curriculum  Faculty
  3. Residents' Focus Group


  1. Work-Hour Restrictions: Do They Impact the Learning Experience
  2. Learning Objectives 
  3. Sleep Cycle
  4. Fatigue and Impairment
  5. Fatigue and Resident Health
  6. Fatigue and Resident Well-Being
  7. Night Floats, Fatigue, Handoffs
  8. ACGME Standards
  9. Accreditation Council for Graduate Medical Education (ACGME)
  10. ACGME clarifies misperceptions on Duty Hour Standards
  11. Milestone in the History of the Problem
  12. Additional References of Interest
  13. David Dinges, PhD, Bibliography
  14. Web Resources