Reducing intern work hours may not affect fatigue levels
Residency Program Connection, June 9, 2009
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A survey of first-year residents at the University of California, San Francisco, indicates that cuts to duty hours may not reduce fatigue, according to a study published the Journal of General Internal Medicine.
Researchers created a survey to identify factors associated with intern fatigue, including sleep, stress, and healthcare teamwork factors. Based on the survey results from 66 respondents, researchers found:
- Poor quality of sleep and perceived stress were significantly associated with fatigue
- Greater perceived stress was significantly associated with diminished sleep quality
- Poor teamwork was significantly associated with perceived stress
- Working longer than 80 hours per week was not significantly associated with stress, sleep, or fatigue
Researchers say these results indicate that changes on the program-level—not just reductions in duty hours—may be needed to improve sleep, foster teamwork, and diminish fatigue.
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