A Randomized Controlled Trial of Mandatory Naps for Physicians in Training
| Status: | Completed |
|---|---|
| Conditions: | Other Indications |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/21/2016 |
| Start Date: | June 2009 |
| End Date: | December 2013 |
Interventions to Improve Fatigue Management Among Physician Trainees
This study will consist of a randomized controlled trial in which the investigators test the
feasibility and effectiveness of mandatory nap programs for physicians in training. One site
will be the general medical service of the Philadelphia Veterans Affairs Medical Center. The
other will be the oncology service of the Hospital of the University of Pennsylvania. The
primary outcome will be the amount slept while on call. The first year will test the
efficacy of a 5 hour mandatory nap schedule, the second year will test the efficacy of a 3
hour mandatory nap schedule.
feasibility and effectiveness of mandatory nap programs for physicians in training. One site
will be the general medical service of the Philadelphia Veterans Affairs Medical Center. The
other will be the oncology service of the Hospital of the University of Pennsylvania. The
primary outcome will be the amount slept while on call. The first year will test the
efficacy of a 5 hour mandatory nap schedule, the second year will test the efficacy of a 3
hour mandatory nap schedule.
Background: The release of the Institute of Medicine report on resident work hours and
patient safety highlighted the risks to patient and resident safety of extended duty on-call
shifts.
Objectives: The purpose of this study is to test the feasibility and effectiveness of
mandatory naps during extended duty overnight shifts for residents.
Methods: For each site (PVAMC and HUP), every other month residents will be randomized to
either work the standard schedule (which involves interns being on duty for 30 continuous
hours) vs. the mandatory nap schedule, which involves interns signing out their beepers for
5 hours in the middle of the night to covering night floats and for 3 hours in Year 2. The
primary outcome will be the amount slept as measured by actigraphs, with secondary outcomes
of cognitive alertness measured by 3-minute psychomotor vigilance testing (PVT), Stanford
sleepiness Scale, and other measures of resident and patient well-being.
Status: Recruitment complete, analyses phase only
patient safety highlighted the risks to patient and resident safety of extended duty on-call
shifts.
Objectives: The purpose of this study is to test the feasibility and effectiveness of
mandatory naps during extended duty overnight shifts for residents.
Methods: For each site (PVAMC and HUP), every other month residents will be randomized to
either work the standard schedule (which involves interns being on duty for 30 continuous
hours) vs. the mandatory nap schedule, which involves interns signing out their beepers for
5 hours in the middle of the night to covering night floats and for 3 hours in Year 2. The
primary outcome will be the amount slept as measured by actigraphs, with secondary outcomes
of cognitive alertness measured by 3-minute psychomotor vigilance testing (PVT), Stanford
sleepiness Scale, and other measures of resident and patient well-being.
Status: Recruitment complete, analyses phase only
Inclusion Criteria:
- Residents in the University of Pennsylvania Internal Medicine Training Program who
are rotating through either Philadelphia VA Medical Center Medical Service or
Hospital of University of Pennsylvania Oncology Service
Exclusion Criteria:
- Refusal to consent to participate
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