Impact of extended duty hours on medical trainees

Sleep Health
Pnina WeissMelissa Knauert

Abstract

Many studies on resident physicians have demonstrated that extended work hours are associated with a negative impact on well-being, education, and patient care. However, the relationship between the work schedule and the degree of impairment remains unclear. In recent years, because of concerns for patient safety, national minimum standards for duty hours have been instituted (2003) and revised (2011). These changes were based on studies of the effects of sleep deprivation on human performance and specifically on the effect of extended shifts on resident performance. These requirements necessitated significant restructuring of resident schedules. Concerns were raised that these changes have impaired continuity of care, resident education and supervision, and patient safety. We review the studies on the effect of extended work hours on resident well-being, education, and patient care as well as those assessing the effect of work hour restrictions. Although many studies support the adverse effects of extended shifts, there are some conflicting results due to factors such as heterogeneity of protocols, schedules, subjects, and environments. Assessment of the effect of work hour restrictions has been even more difficult. Recent dat...Continue Reading

Citations

Jun 24, 2020·Clinical Rheumatology·Maria IntriagoCarlos Rios
Mar 3, 2021·Revista colombiana de psiquiatría·Carlos Alva-DiazUNKNOWN Consejo Nacional de Residentado Médico (CONAREME)

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