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:
  ACGME Author Keywords: Sleep Burnout Risk Health Health Care Personnel Humans Job Stress Medical Personnel Occupational Occupational Safety And Health Physicians Policy Psychological Fatigue Psychological Stress Residency Sleep Deprivation Stress Surgeons

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• 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
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:cb6d1679e2ab92003034b2d54f8d6fd2725424a8a9c4ea81d1b7ef2638fa90091cea02d5689797811b13c73e2691ccecb841a4421b72b60cf55b62fa7858a251
• Download URL:
  https://stacks.cdc.gov/view/cdc/224537/cdc_224537_DS1.pdf
• File Type:
  [PDF - 363.45 KB ]