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Related Experiment Videos

Black clouds. Work load, sleep, and resident reputation

R R Tanz1, J Charrow

  • 1Division of General Academic and Emergency Pediatrics, Children's Memorial Hospital, Chicago, IL 60614.

American Journal of Diseases of Children (1960)
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

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Residents with "black clouds" sleep less, perceive harder work, and have a reputation for difficult on-call experiences. This perception is linked to sleep, not actual workload, highlighting differences in resident work styles.

Area of Science:

  • Medical Education
  • Resident Well-being
  • Workload Perception

Background:

  • Pediatric residents often perceive unequal on-call experiences, with some experiencing more difficult shifts.
  • These perceived disparities are informally termed having a "black cloud".

Purpose of the Study:

  • To investigate if residents' perceptions of difficult on-call experiences correlate with objective measures of workload.
  • To identify factors contributing to the "black cloud" phenomenon in residency programs.

Main Methods:

  • Collected data on sleep hours, admissions, patient numbers, and subjective workload from first-year pediatric residents (PL-1s) over 358 days.
  • Assessed resident reputation for difficult on-call experiences through peer ratings.
  • Utilized analysis of variance and multiple linear regression to analyze perceived vs. actual workload and sleep.

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Main Results:

  • Significant variations in perceived workload and sleep duration among residents were observed (P < .001).
  • Actual workload, measured by admissions or patient numbers, did not significantly differ between residents.
  • Reduced sleep hours strongly predicted both perceived workload (r = -.75) and reputation for difficult shifts (r = -.77), but not actual workload.

Conclusions:

  • Residents with a "black cloud" experience less sleep, perceive greater workload, and are reputed to have tougher on-call shifts.
  • Differences in resident work styles, rather than objective workload, explain these perceptions.
  • Residency program directors should acknowledge these functional differences for effective evaluation and counseling of house officers.