Sleep Medicine Clinics
Volume 4, Issue 4 , Pages 527-540, December 2009

Physicians and Sleep Deprivation

  • Robert Daniel Vorona, MD

      Affiliations

    • Department of Internal Medicine, Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 410, Norfolk, VA 23507, USA
    • Eastern Virginia Medical School/Sentara Norfolk General Hospital Sleep Disorders Center, 600 Gresham Drive, Norfolk, VA 23507, USA
    • Corresponding Author InformationCorresponding author. Department of Internal Medicine, Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 410, Norfolk, VA 23507.
  • ,
  • Ian Alps Chen, MD, MPH

      Affiliations

    • Department of Internal Medicine, Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 410, Norfolk, VA 23507, USA
  • ,
  • J. Catesby Ware, PhD

      Affiliations

    • Department of Internal Medicine, Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 410, Norfolk, VA 23507, USA
    • Department of Psychiatry and Behavioral Medicine, Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 410, Norfolk, VA 23507, USA

An increasing body of literature reveals that physician sleep deprivation puts patients and physicians at risk. Rigorous control of work hours per the ACGME improves physician trainee quality of life and probably reduces trainee medical errors. Whether these measures unequivocally reduce patient morbidity and mortality is uncertain. Research that comprehensively elucidates the effects of work hours, sleep hours, and circadian rhythms has the potential to save lives and money by directing data-driven physician work schedules. The effects of these work hour and work schedule limitations on patient and physician outcomes should then be rigorously followed.

Keywords: Residents, Sleep loss, Medical errors, Physician burnout, Physician work hours

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PII: S1556-407X(09)00089-7

doi:10.1016/j.jsmc.2009.07.003

Sleep Medicine Clinics
Volume 4, Issue 4 , Pages 527-540, December 2009