Resident fatigue in otolaryngology residents: a Web based survey

Nida, Andrew; Googe, Benjamin; Lewis, Andrea F.; May, Warren

doi:10.1016/j.amjoto.2016.01.017

Cited by 11 publications

(35 citation statements)

References 25 publications

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“…Pediatric otolaryngology and head and neck oncology had higher sleepiness compared to the research rotation, likely due to longer operative times18 and greater clinical or teaching duties on these rotations 19. More sleepiness was also found in the Head and Neck rotation by Nida et al20 In our institution, the research rotation has dedicated research time without clinical duties unless emergencies arise, giving the resident more control over schedule and life.…”

Section: Discussionsupporting

confidence: 56%

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A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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ObjectivesThis study aimed to determine otolaryngology residents' quality of life and sleepiness.MethodsAn electronic survey was distributed to otolaryngology residents in the United States in October 2014 and May 2015. The survey included questions from the Physician Well‐Being Index (PWBI) and Epworth Sleepiness Scale (ESS). Data were analyzed using standard descriptive and frequency analyses, Spearman correlations, and Student's t‐test.ResultsThe 196 respondents (13% response rate) had a mean age of 29.9 years and worked an average of 70.88 hours/week. Higher PWBI score (lower quality of life) correlated with higher ESS (more sleepiness) for all respondents regardless of rotation (Spearman coefficient of .45; p = .001). PWBI scores were higher for head/neck oncology. Both PWBI and ESS scores were highest for postgraduate year two. PWBI showed a significant positive correlation with hours worked (correlation coefficient .35; p = .001) as well as a significant negative correlation with exercise time (correlation coefficient ‐.18; p = .010). There was a positive correlation between hours worked and ESS (correlation coefficient .48; p = .001).ConclusionFor the otolaryngology survey respondents, sleepiness and overall well‐being were better during the first year with a dramatic worsening during junior years followed by an improvement in the senior years. More work hours and poor quality of life was associated with less physically active residents. Focused interventions during these rotations may reduce distress, improve quality of life, and enhance learning.Level of EvidenceNA

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Section: Discussionsupporting

confidence: 56%

“…The Nida et al group report that their web-based survey was sent out to all otolaryngology residents in the US and only 190 residents responded to their survey but only 176 completed the ESS similarly showing a low response rate. 20 In our study, 196 residents completed the survey. Both studies report a similar response rate.…”

Section: Discussionmentioning

confidence: 98%

A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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“…Our findings and previous research suggest that the association between sleepiness and technical skill may be of larger magnitude in rotations with higher workloads. 1 Third, the association between trainee sleepiness and technical skill acquisition in the operating room must be adequately characterized. Access to high-fidelity simulation technologies and an intensive focus on patient safety may make it unethical for trainees who have not progressed to a certain point on their learning curve to operate on patients.…”

Section: Discussionmentioning

confidence: 99%

“…early half (44.4%) of residents in otolaryngologyhead and neck surgery reported excessive or severe daytime sleepiness in a nationwide survey. 1 Prolonged work hours and sleep interruption during nighttime shiftwork while in surgical training that leads to sleep deprivation can pose a safety risk to patient care. Despite resident duty-hour restrictions implemented by the Accreditation Council for Graduate Medical Education, no improvement in resident well-being or patient care has been found.…”

mentioning

confidence: 99%

Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Septoplasty

Tseng

Vedula

Malpani

et al. 2019

JAMA Facial Plast Surg

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IMPORTANCE Daytime sleepiness in surgical trainees can impair intraoperative technical skill and thus affect their learning and pose a risk to patient safety. OBJECTIVE To determine the association between daytime sleepiness of surgeons in residency and fellowship training and their intraoperative technical skill during septoplasty. DESIGN, SETTING, AND PARTICIPANTS This prospective cohort study included 19 surgical trainees in otolaryngology-head and neck surgery programs at 2 academic institutions (Johns

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“…To prepare for this exam, residency programs are mandated by the Accreditation Council for Graduate Medical Education to have a structured educational program for residents . However, even with new duty hour limitations, residents are still fatigued and time constrained . Due to this work compression, where residents must complete short‐ and long‐term tasks in a limited amount of time, it is desirable to make residency education more efficient and optimized for improved knowledge retention without the need for extended study time.…”

Section: Introductionmentioning

confidence: 99%