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Graduate medical training, learning, relationships, and sleep loss.

机译:研究生医学培训,学习,人际关系和睡眠障碍。

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摘要

An extensive literature exists regarding the potential effect of sleep loss on human performance and the recent regulatory changes that now limit the duty hours of resident-physicians. Recent studies and reviews emphasize the effects of sleepiness on medical errors of commission and to a lesser extent omission. This review focuses on an emerging literature on the effects of sleep loss on personal, social and professional growth and development of residents. As with the early literature on sleep loss and resident performance, this literature is largely at an observational level, but there is sufficient evidence from other professions to indicate that sleep loss will affect post-graduate career and life skills. A multi-dimensional approach is needed to counter the adverse outcomes of sleep loss and fatigue and might consist of education on healthy sleep habits, family outreach, personal alertness strategies, and reversal of bias if sleepiness is personally disclosed. The multi-dimensional approach might include not only resident physicians, but also residency program directors and attending physicians at their institutions.
机译:关于睡眠丧失对人类绩效的潜在影响以及最近限制住院医师工作时间的最新法规变化,已有大量文献报道。最近的研究和评论强调了困倦对医疗佣金错误的影响,并在较小程度上省略了影响。这篇评论的重点是关于睡眠丧失对居民个人,社会和专业成长与发展的影响的新兴文献。与早期关于睡眠丧失和居民表现的文献一样,该文献在很大程度上是观察性的,但是其他专业的充分证据表明睡眠丧失会影响研究生的职业和生活技能。需要一种多维方法来应对失眠和疲劳的不良后果,其中可能包括对健康睡眠习惯,家庭外展,个人警觉策略的教育,以及如果个人披露了嗜睡则可以扭转偏见。多维方法可能不仅包括住院医师,还包括住院医师项目主管和所在机构的主治医师。

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