ACGME Duty Hour Revisions and Self-Reported Intern ICU Sleep Schedules
Autor: | Shoshana J. Herzig, Kenneth J. Mukamal, Anjala Tess, Joshua Allen-Dicker |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
Gerontology
Response rate (survey) Schedule business.industry Quality of sleep media_common.quotation_subject Graduate medical education General Medicine medicine.disease Intensive care unit law.invention law Medicine Educational Innovation Sleep (system call) Medical emergency business Duty media_common Accreditation |
Popis: | Background The Accreditation Council for Graduate Medical Education duty hour standards restrict continuous duty for postgraduate year (PGY)–1 residents to 16 hours. Objective We aimed to assess the relationship between a duty hour–compliant schedule and resident sleep. Methods To comply with 2011 duty hour limits, Beth Israel Deaconess Medical Center restructured its intensive care unit call model for internal medicine PGY-1 residents from a traditional shift model to an overlapping shorter-duration shift model with preserved educational periods. Before and after schedule changes, we used daily surveys of PGY-1 residents to collect self-reported data on quantity and quality of sleep and quality of education. Results A total of 1162 surveys were sent to 43 interns before scheduling changes, and 1305 were sent to 41 interns after the changes. Response rate was 31.2% (362 of 1161) before and 22.2% (290 of 1305) after. Before changes, 57.7% (209 of 362) reported receiving 6 hours or more of sleep in a 24-hour period compared to 72.4% (210 of 290) after the changes (adjusted relative risk, 1.33; 95% CI, 1.15–1.53), with an adjusted difference of 0.83 hours of sleep per 24 hours (95% CI, 0.28–1.38). After the intervention, on a 5-point Likert scale, residents reported higher quality of sleep (odds ratio [OR], 1.62; 95% CI, 1.01–2.60) and greater satisfaction with their education (OR, 2.59; 95% CI, 1.40–4.81). Conclusions Following conversion to a duty hour–compliant model with preserved didactic time, PGY-1 residents reported minor increases in quantity and quality of sleep per 24-hour period, and increased satisfaction with the educational experience. |
Databáze: | OpenAIRE |
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