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Abstract
The imminent introduction of the new Trauma & Orthopaedic (T&O) curriculum, and the
implementation of the Improving Surgical Training initiative, reflect yet another
paradigm shift in the recent history of trauma and orthopaedic training. The move
to outcome-based training without time constraints is a radical departure from the
traditional time-based structure and represents an exciting new training frontier.
This paper summarizes the history of T&O training reform, explains the rationale for
change, and reflects on lessons learnt from the past.
To compare the relative effects on performance of sleep deprivation and alcohol. Performance effects were studied in the same subjects over a period of 28 hours of sleep deprivation and after measured doses of alcohol up to about 0.1% blood alcohol concentration (BAC). There were 39 subjects, 30 employees from the transport industry and nine from the army. After 17-19 hours without sleep, corresponding to 2230 and 0100, performance on some tests was equivalent or worse than that at a BAC of 0.05%. Response speeds were up to 50% slower for some tests and accuracy measures were significantly poorer than at this level of alcohol. After longer periods without sleep, performance reached levels equivalent to the maximum alcohol dose given to subjects (BAC of 0. 1%). These findings reinforce the evidence that the fatigue of sleep deprivation is an important factor likely to compromise performance of speed and accuracy of the kind needed for safety on the road and in other industrial settings.
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History
Categories
Subject:
General Orthopaedics
Subject:
Glucose
Subject:
Glucose Variability
Subject:
Complications
Subject:
Glycemic Control
Subject:
Glycated Haemoglobin
Compound subject:
General Orthopaedics, general-orthopaedics
Custom metadata
principal-institution Warwick Clinical Trials Unit, Warwick Medical School, Coventry, UK
article-type General Orthopaedics
coi-statement H. K. James reports a doctoral research fellowship (grant ID 20845) from Versus Arthritis,
directly related to this article.
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