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Sleep Quality and Duration Can Influence Junior Physicians' Performance in High-Level Assessments for Residency

Julio Torales1,2,3, Carlos Mena-Canata1, Macarena Morínigo4

  • 1Facultad de Ciencias Médicas, Universidad Nacional de Asunción, Cátedra de Psiquiatría, San Lorenzo, Paraguay.

Sleep Science (Sao Paulo, Brazil)
|September 18, 2025
PubMed
Summary
This summary is machine-generated.

Junior physicians’ sleep quality and duration significantly impacted their medical residency assessment scores. Ensuring adequate rest before high-stakes evaluations is crucial for optimal cognitive performance.

Keywords:
clinical assessmentperformancephysicianssleep durationsleep qualityundergraduate medical education

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Area of Science:

  • Medical Education
  • Sleep Medicine
  • Cognitive Performance

Background:

  • Junior physicians face high-stakes assessments for medical residency.
  • Sleep quality and duration are critical factors influencing cognitive function.
  • Understanding sleep patterns in this demographic is essential for performance evaluation.

Purpose of the Study:

  • To evaluate sleep quality and duration among junior physicians in Paraguay.
  • To determine the relationship between sleep patterns and performance on residency assessment evaluations.
  • To identify factors affecting sleep in physicians preparing for high-stakes exams.

Main Methods:

  • A self-administered survey using the Pittsburgh Sleep Quality Index (PSQI) was employed.
  • Data collected on sleep patterns the month and night before the National Commission for Medical Residencies (CONAREM) evaluation.
  • Survey responses were analyzed and correlated with CONAREM scores.

Main Results:

  • A 66.3% response rate was achieved among 407 junior physicians.
  • Over half (55.5%) reported very poor sleep quality (PSQI > 10).
  • Poor sleep quality and short sleep duration (≤ 6 hours) before the CONAREM evaluation were associated with lower scores.

Conclusions:

  • Physicians' sleep quality and duration the night before a high-stakes evaluation positively correlate with their performance.
  • Adequate sleep is vital for optimal cognitive function in stressful medical assessment scenarios.
  • Findings underscore the need to address sleep health in medical training programs.