Skip to Main Content


The 2013 report Fatigue, Risk and Excellence: Towards a Pan-Canadian Consensus on Resident Duty Hours recognized that there are many factors that contribute to resident fatigue. A one-size-fits-all approach to minimizing fatigue and fatigue-related risk would therefore be insufficient. In response to these Key Findings, the Fatigue Risk Management (FRM) project was launched in 2013 with the aim of producing the first national resource on FRM in Canadian Postgraduate Medical Education (PGME). The FRM project is based on the FRM guiding principles.

The first project output, the FRM Toolkit, is a nonprescriptive resource that outlines strategies aimed at mitigating fatigue-related risk that can be adapted to suit specific contexts and specialties.

A collaborative effort across Canadian medical education: The FRM Task Force

The FRM project has been made possible by the financial support, leadership and guidance received from the following groups:

We recognize that the management of fatigue-related risk must be shared across all stakeholders in PGME. Led by the Fatigue Risk Management Task Force, with support and guidance from the National Advisory Committee and Expert Working Group, the FRM Toolkit is the result of the collaboration and combined efforts of FRM experts and stakeholders in Postgraduate Medical Education from across Canada. The FRM Task Force Co-Chairs, Dr. Kevin Imrie and Dr. Tom McLaughlin, continue to provide these groups with invaluable leadership and direction across the duration of the project.

Click here to view a complete list of participants in the Fatigue Risk Management Task Force, Project Secretariat, Expert Working Groups, and National Advisory Committee.

FRM Task Force Co-Chair: Dr. Kevin Imrie

Dr. Imrie served as a past President of the Royal College of Physicians and Surgeons of Canada and is currently the Physician-in-Chief of the Department of Medicine at Sunnybrook Health Sciences Centre, as well as a Professor of Medicine in the Faculty of Medicine at the University of Toronto. Dr. Imrie’s principal research interest in recent years has been focused on educational research and scholarship with an emphasis on competency-based education and fatigue risk management and mitigation.

FRM Task Force Co-Chair: Dr. Tom McLaughlin

Dr. McLaughlin served as a past President of Resident Doctors of Canada (RDoC) and on the board of directors for Professional Association of Residents of Ontario (PARO). In these roles, Dr. McLaughlin advocated on behalf of Canadian resident for the management of duty hours and fatigue. Dr. McLaughlin is currently a Pediatrician at BC Children's Hospital and a MPP Candidate at Harvard University.