Chest
Original ResearchSleep MedicineSleepiness in Medical ICU Residents
Section snippets
Setting
This institutional review board-approved protocol study was conducted at Ben Taub General Hospital, a tertiary care hospital affiliated with the Baylor College of Medicine, between August 2006 and February 2007. Consecutive internal medicine residents (postgraduate years 1, 2, and 3) rotating through the medical ICU (MICU) were recruited to participate in the study. A total of 21 residents were screened for the study. Signed informed consent forms were obtained from the subjects. One resident
Results
A total of 14 men and 6 women were studied (mean [± SD] age, 27.4 ± 2.21 years; mean body mass index, 24.3 ± 2.6).
Discussion
In 2003, in response to an accumulating body of evidence showing the deleterious influence of long work hours on resident sleepiness and its relationship to medical errors, the ACGME mandated a work-hour reduction. The standards limit the following: (1) the maximum number of hours a resident physician can work is limited to 80 h per week, averaged over 4 weeks; and (2) continuous duty time is limited to 24 h.5 The standards also require rest periods between duty shifts and that the resident has
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The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
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