Effects of the new Accreditation Council for Graduate Medical Education work hour rules on surgical interns: a prospective study in a community teaching hospital

Kamine, Tovy Haber; Barron, Rebecca; Lesicka, Agnieszka; Galbraith, John D.; Millham, Frederick H.; Larson, Janet L.

doi:10.1016/j.amjsurg.2012.10.006

Cited by 21 publications

(9 citation statements)

References 18 publications

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“…The adoption of 'night-float' systems to comply with ACGME regulations may have led to more fatigue due to disruption of normal circadian physiology. Such shift patterns are seen as more tiring by some compared with an on-call system, due to decreased and more fragmented sleep [14]. This is countered by the fact that residents in multiple other studies have reported that they are less fatigued since the implementation of the 2003 work restrictions [15] and that decline in performance can also be attributed to level of expertise rather than SD [16].…”

Section: Resident Working Hours and Risksmentioning

confidence: 97%

Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

Jarral

Baig

Shetty

et al. 2015

International Journal of Cardiology

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Section: Resident Working Hours and Risksmentioning

confidence: 97%

Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

Jarral

Baig

Shetty

et al. 2015

International Journal of Cardiology

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“…40 As with the other PROMIS scales, raw scores (typical means are [16][17][18]) are converted to a T-score in which 50 represents the population mean; the scale has a reliability of 0.90, with greater precision than the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale despite having fewer total test items. 39 Resilience was assessed by using Smith's 6-item Brief Resilience Scale, which uses a 5-level summative rating response (1 = strongly disagree and 5 = strongly agree) and 3 reverse-coded items; the item-mean for this scale is typically 3.5 of a possible 5 or a scale average of 21.…”

Section: Sleep and Resiliencementioning

confidence: 99%

Are Mindfulness and Self-Compassion Associated with Sleep and Resilience in Health Professionals?

Kemper

Khayat

2015

The Journal of Alternative and Complementary Medicine

202

118

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Objectives: To describe the relationship between trainable qualities (mindfulness and self-compassion), with factors conceptually related to burnout and quality of care (sleep and resilience) in young health professionals and trainees. Design: Cross-sectional survey. Setting: Large Midwestern academic health center. Participants: 213 clinicians and trainees. Outcome measures: Sleep and resilience were assessed by using the 8-item PROMIS Sleep scale and the 6-item Brief Resilience Scale. Mindfulness and self-compassion were assessed using the 10-item Cognitive and Affective Mindfulness Scale, Revised and the 12-item Self-Compassion Scale. Health was assessed with PatientReported Outcomes Measurement Information System (PROMIS) Global Health measures, and stress was assessed with the 10-item Perceived Stress Scale. After examination of descriptive statistics and Pearson correlations, multiple regression analyses were done to determine whether mindfulness and self-compassion were associated with better sleep and resilience. Results: Respondents had an average age of 28 years; 73% were female. Professions included dieticians (11%), nurses (14%), physicians (38%), social workers (24%), and other (12%). Univariate analyses showed normative values for all variables. Sleep disturbances were significantly and most strongly correlated with perceived stress and poorer health, but also with less mindfulness and self-compassion. Resilience was strongly and significantly correlated with less stress and better mental health, more mindfulness, and more self-compassion. Conclusions: In these young health professionals and trainees, sleep and resilience are correlated with both mindfulness and self-compassion. Prospective studies are needed to determine whether training to increase mindfulness and self-compassion can improve clinicians' sleep and resilience or whether decreasing sleep disturbances and building resilience improves mindfulness and compassion.

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“…Sleep disturbance was assessed by using the National Institutes of Health-funded, 8-item Patient-Reported Outcome Measurement Information System (PROMIS), Sleep Disturbance Short Form, 39 which assesses sleep over the previous 7 days on a 5-point scale; it focuses on perceptions of sleep quality, sleep depth, and restoration associated with sleep; perceived difficulties with getting to sleep or staying asleep; and perceptions of the adequacy of and satisfaction with sleep. 40 As with the other PROMIS scales, raw scores (typical means are [16][17][18] are converted to a T-score in which 50 represents the population mean; the scale has a reliability of 0.90, with greater precision than the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale despite having fewer total test items. 39 Resilience was assessed by using Smith's 6-item Brief Resilience Scale, which uses a 5-level summative rating response (1 = strongly disagree and 5 = strongly agree) and 3 reverse-coded items; the item-mean for this scale is typically 3.5 of a possible 5 or a scale average of 21.…”

Section: Sleep and Resiliencementioning

confidence: 99%

“…12,13 Policies aimed at reducing duty hours during graduate medical education have not been completely successful in improving sleep among trainees. [14][15][16][17] Furthermore, there are concerns that decreasing duty hours might impair rather than improve quality of care. 15,16 To the extent that reducing duty hours leads to poorer communication, less time for education, and trying to fit the same number of tasks into a shorter timeframe, this approach may actually increase stress.…”

Section: Introductionmentioning

confidence: 99%

Are mindfulness and self-compassion associated with sleep and resilience in health professionals?

Cramer

Kemper

et al. 2016

Deutsche Zeitschrift für Akupunktur

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Objectives: To describe the relationship between trainable qualities (mindfulness and self-compassion), with factors conceptually related to burnout and quality of care (sleep and resilience) in young health professionals and trainees. Design: Cross-sectional survey. Setting: Large Midwestern academic health center. Participants: 213 clinicians and trainees. Outcome measures: Sleep and resilience were assessed by using the 8-item PROMIS Sleep scale and the 6-item Brief Resilience Scale. Mindfulness and self-compassion were assessed using the 10-item Cognitive and Affective Mindfulness Scale, Revised and the 12-item Self-Compassion Scale. Health was assessed with Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health measures, and stress was assessed with the 10-item Perceived Stress Scale. After examination of descriptive statistics and Pearson correlations, multiple regression analyses were done to determine whether mindfulness and self-compassion were associated with better sleep and resilience. Results: Respondents had an average age of 28 years; 73% were female. Professions included dieticians (11%), nurses (14%), physicians (38%), social workers (24%), and other (12%). Univariate analyses showed normative values for all variables. Sleep disturbances were significantly and most strongly correlated with perceived stress and poorer health, but also with less mindfulness and self-compassion. Resilience was strongly and significantly correlated with less stress and better mental health, more mindfulness, and more self-compassion. Conclusions: In these young health professionals and trainees, sleep and resilience are correlated with both mindfulness and self-compassion. Prospective studies are needed to determine whether training to increase mindfulness and self-compassion can improve clinicians' sleep and resilience or whether decreasing sleep disturbances and building resilience improves mindfulness and compassion.

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Effects of the new Accreditation Council for Graduate Medical Education work hour rules on surgical interns: a prospective study in a community teaching hospital

Cited by 21 publications

References 18 publications

Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

Are Mindfulness and Self-Compassion Associated with Sleep and Resilience in Health Professionals?

Are mindfulness and self-compassion associated with sleep and resilience in health professionals?

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