While fatigue is important,there is this whole domain of distress beyond fatigue that also demands attention, "Colin West of the Mayo Clinic in Rochester, Minnesota, who led the study said in an interview.The findings may help point to ways to better reduce the burdens on resident doctors, known in some countries as junior doctors.and in turn prevent mistakes. "I think this is going to have an impact on healthcare reform,Dr.West said "We necd to put resources into training and medicine to control work hours and maintain physictan well-being."