TIRED / Need for Recovery
Trainee-led evaluation of the need for Intershift Recovery among Emergency Department doctors in the United Kingdom.
This research examined the Need For Recovery (NFR) score among UK Emergency Physicians and examined the factors associated with a higher NFR.


The Study

The TIRED study sought to examine the Need for Recovery score in ED doctors in the UK & Ireland. The Need for Recovery score measures the feeling of needing to recuperate from the physical and mental demands of work. It was run as a pilot single-site study then as a large-scale multi-centre study.

The Data

We collected the Need for Recovery score for all emergency medicine doctors working in the UK & Ireland. We also examined individual and departmental factors that were thought would impact upon this score.

The Benefits

This research showed the highest group Need for Recovery score ever recorded in the literature. Factors associated with a higher score were poor access to study leave, annual leave, and a higher proportion of out of hours work.

The Results

The results of the first survey and the full manuscript are were published (see below) and widely disseminated across a range of media (see more below).


Pilot Survey

Full Manuscript

Second Paper


RCEM Annual Scientific Conference 2019

EMTA Conference 2019

RCEM Academic Trainees Day 2020

South West Emergency Academic Training Day 2020

European Society of Emergency Medicine Congress 2020

EMTA Conference 2020


Blog - RCEMLearning - TIRED

Podcast - RCEM Learning - September 2020

Blog - RCEMLearning - My Slice of the PI

Blog - Don't Forget The Bubbles - Take A Break

Summary - BMJ - Sixty seconds on... Need for Recovery

Infographic - TERN - NFR Study

Blog - BMJ - Top 10 Most Read in November