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Related Experiment Videos

Emergency medicine residents' shiftwork tolerance and preference.

M T Steele1, O J Ma, W A Watson

  • 1Department of Emergency Medicine, Truman Medical Center, University of Missouri-Kansas City School of Medicine, 64108, USA. steelemt@trumed1.trumanmed.org

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|July 25, 2000
PubMed
Summary

Emergency medicine residents prefer shorter shifts, with most favoring 8 or 10 hours over 12-hour shifts. Factors like eveningness preference and sleep flexibility influence shiftwork tolerance.

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Area of Science:

  • Medical Education
  • Occupational Health
  • Sleep Medicine

Background:

  • Shiftwork is common in emergency medicine (EM) residency programs.
  • Understanding resident preferences and tolerance for different shift lengths is crucial for well-being and performance.

Purpose of the Study:

  • To assess current shift lengths worked by EM residents.
  • To determine EM residents' preferred shift lengths.
  • To identify factors influencing residents' tolerance of shiftwork.

Main Methods:

  • A survey was distributed to allopathic EM residents (PGY-2 to PGY-4) in May 1996.
  • The questionnaire collected data on worked shift lengths, preferred shifts, night schedules, and subjective shiftwork tolerance.
  • Factors assessed included overcoming drowsiness, sleep flexibility, and chronotype (morningness-eveningness).

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Main Results:

  • Most residents worked 12-hour shifts (37%) or combinations (34%).
  • A significant majority (73%) preferred 8-hour or 10-hour shifts over 12-hour shifts (21%).
  • Eveningness preference, better drowsiness management, sleep flexibility, younger age, and having no children were linked to higher shiftwork tolerance.

Conclusions:

  • EM residents generally tolerate shiftwork well but prefer shorter shifts (8 or 10 hours).
  • Residency programs utilizing 12-hour shifts should consider transitioning to shorter durations.
  • Addressing resident preferences may improve overall well-being and potentially performance.