Sleep and Stress Before and After Duty Across Residency Years Under 2017 ACGME Hours

Details

• Personal Author:
  Galbraith JW ; Heaton K ; McManus B ; Mrug S ; Ponce BA ; Porterfield JR Jr. ; Schall MC Jr. ; Stavrinos D
• Description:
  Introduction: Residents may differentially experience high stress and poor sleep across multiple post-graduate years (PGYs), negatively affecting safety. This study characterized sleep and stress among medical and surgical residents across multiple PGYs and at specific times surrounding duty. Method: Thirty-two medical and surgical residents (Mage = 28.6 years; 56% male) across PGYs 1-5 participated in 3 appointments (immediately before duty, after duty, and on an off day) providing 96 data points. Sleep, stress, and occupational fatigue were measured by both self-report and objectively (actigraphy, salivary coritsol). Results: Residents averaged 7 h of actigraphy-estimated sleep per night but varied +/- 3 h day-to-day. Residents reported clinically poor sleep quality. Life stress decreased by PGY-2. All residents averaged elevated life stress values. Poor sleep quality did not differ among PGY cohorts. Discussion: Poor sleep quality is similar between early residency cohorts (PGY-1) and later residency cohorts (PGY-3+). Persistent fatigue is highest in later residency cohorts. Even the most experienced residents may struggle with persisting fatigue. Current hour policies may have shortcomings in addressing this risk. Description provided by NIOSH
• Subjects:
  • Education
  • Fatigue
  • Health Personnel
  • Occupational Health
  • Safety
  • Sleep
  • Sleep Initiation and Maintenance Disorders
  • Stress, Psychological
• Keywords:
  • Physicians
  • Sleep
  • Sleep deprivation
  • Job stress
  • Stress
  • Medical personnel
  • Health care personnel
  • Education
  • Humans
  • Surgeons
  More +
• ISSN:
  0002-9610
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Alabama ; Mississippi ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  83-89
• Volume:
  220
• Issue:
  1
• NIOSHTIC Number:
  nn:20060702
• Citation:
  Am J Surg 2020 Jul; 220(1):83-89
• Contact Point Address:
  Despina Stavrinos, University of Alabama at Birmingham, Department of Psychology, 916 19th Street South, Birmingham, AL 35294, United States
• Email:
  dstavrin@uab.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Alabama at Birmingham
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  The American Journal of Surgery
• End Date:
  20270630
• Download URL:
  https://stacks.cdc.gov/view/cdc/224537/cdc_224537_DS1.pdf
• File Type:
  [PDF - 363.45 KB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:cb6d1679e2ab92003034b2d54f8d6fd2725424a8a9c4ea81d1b7ef2638fa90091cea02d5689797811b13c73e2691ccecb841a4421b72b60cf55b62fa7858a251