Graduate medical training, learning, relationships, and sleep loss.

Full Abstract

An extensive literature exists regarding the potential effect of sleep loss on human performance and the recent regulatory changes that now limit the duty hours of resident-physicians. Recent studies and reviews emphasize the effects of sleepiness on medical errors of commission and to a lesser extent omission. This review focuses on an emerging literature on the effects of sleep loss on personal, social and professional growth and development of residents. As with the early literature on sleep loss and resident performance, this literature is largely at an observational level, but there is sufficient evidence from other professions to indicate that sleep loss will affect post-graduate career and life skills. A multi-dimensional approach is needed to counter the adverse outcomes of sleep loss and fatigue and might consist of education on healthy sleep habits, family outreach, personal alertness strategies, and reversal of bias if sleepiness is personally disclosed. The multi-dimensional approach might include not only resident physicians, but also residency program directors and attending physicians at their institutions.

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Author information

Author/s: Papp, Klara K (KK); Miller, Christopher M (CM); Strohl, Kingman P (KP);

Affiliation: 111j(w), 10701 East Boulevard, Cleveland, OH 44122, USA. kpstrohl(-atsign-)aol.com

Journal and publication information

Publication Type: Journal Article; Review

Journal: Sleep medicine reviews (Sleep Med Rev), published in England. (Language: eng)

Reference: 2006-Oct; vol 10 (issue 5) : pp 339-45

Dates: Created 2006/09/05; Completed 2007/01/10;

PMID: 16920371, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Affect
Education, Medical, Graduate
Humans
Internship and Residency - statistics & numerical data

Internship and Residency - statistics & numerical data
Interpersonal Relations
Learning
Sleep Deprivation - epidemiology; psychology

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