153 Impact of Quality Improvement Curriculum on Intensive Care Unit Upgrades by Resident Physicians

Abstract

Study Objectives: Sleep is crucial for the optimal function of all human beings, physicians included. As administrations have begun to focus on the well-being of healthcare workers, more studies are needed to determine how current working patterns affect emotional and physical well-being of these workers. It is therefore important to understand the effects of the demands of residency training on sleep quality. The goal of this study was to better evaluate the characteristics of junior physicians' sleep and to determine how shift work impacts sleep quality in these doctors.Methods: This was an IRB-approved, prospective, observational study in which EM residents had sleep characteristics (sleep time, light, deep, and REM sleep) recorded by a Fitbit© device (Charge 3). 34 emergency medicine residents were consented and had their sleep data sent to a secure database, Fitabase ©. Data was recorded from December 2019 to May 2021 for six months total, although some residents opted out of the study early due to the COVID-19 pandemic. Emergency department shifts were 8-10 hours long and coded as either day (starting between 6a-10a), evening (starting between 11a-4p), night shift (starting between 9p-12a), post-night (day after night shift), or off. One way ANOVA test was used to compare sleep times, with Bonferroni Correction post hoc analysis performed to determine between group differences.Results: There were statistically significant differences found between the sleep times based on shift. ANOVA for total time in bed F(4, 2067)