Sleep and Alertness in a Duty-Hour Flexibility Trial in Internal Medicine.

ABSTRACT:

Background

A purpose of duty-hour regulations is to reduce sleep deprivation in medical trainees, but their effects on sleep, sleepiness, and alertness are largely unknown.

Methods

We randomly assigned 63 internal-medicine residency programs in the United States to follow either standard 2011 duty-hour policies or flexible policies that maintained an 80-hour workweek without limits on shift length or mandatory time off between shifts. Sleep duration and morning sleepiness and alertness were compared between the two groups by means of a noninferiority design, with outcome measures including sleep duration measured with actigraphy, the Karolinska Sleepiness Scale (with scores ranging from 1 [extremely alert] to 9 [extremely sleepy, fighting sleep]), and a brief computerized Ps

SUBMITTER: Basner M 

PROVIDER: S-EPMC6457111 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature