Research has shown that shiftworkers experience poor sleep and high levels of fatigue. Although considerable research has been performed on fatigue within many shift-work occupations, very little has been done with emergency physicians (EPs). This qualitative study was conducted with the goal of gaining insight into EPs’ perceptions of fatigue at work. Twenty EPs from an academic medical center participated in virtual interviews, with nine open-ended questions asked in a semi-structured interview format. Twelve common topics with four main themes emerged from the interviews. Three of these common themes included sources of fatigue (including both work- and home-related sources), consequences of fatigue (including impacts on individuals and performance), and prevention and mitigation strategies to cope with fatigue. The fourth main theme was the belief in the inevitability of fatigue due to high cognitive load, emotionally taxing work experiences, work unpredictability, and the 24/7 shift-work nature of emergency medicine. EPs’ experiences with fatigue are consistent with but extend those of other types of shiftworkers. Our findings suggest that EPs tend to incorporate the inevitability of fatigue at work into their identity as EPs and experience a sense of learned helplessness as a result, suggesting areas for future interventions.

Emergency medicine clinicians face disproportionately high levels of burnout and mental health strain compared to other specialties. This study examined whether perceived resilience predicted reduced mental health strain following the COVID-19 Omicron surge and whether meaningful work mediated this relationship. Participants were 197 emergency medicine professionals at a large hospital system who completed monthly surveys during the pandemic. Perceived resilience and meaningful work were measured pre-Omicron surge, and mental health strain was measured post-surge. Results showed that higher perceived resilience significantly predicted lower mental health strain and that meaningful work explained 40% of this relationship. The findings emphasize that resilience matters and that its benefits are at least partly a function of meaningful work. Broader implications extend to organizations seeking to strengthen workforce well-being. Interventions should integrate resilience-building with practices that enhance purpose and meaning at work.