Word: sleepings
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...lost 40 lb. and lowered his blood pressure since starting a pilot version of the program last summer, which has him taking about 8,500 steps a day. "And I got four $100 gift cards just for taking care of myself," he says. "I also feel better, sleep better and have more energy. That's the real payoff...
...follow our report and put it into practice, residents would have greater opportunity to get more sleep," says Dr. Michael M.E. Johns, chairman of the residency-optimization committee at the IOM and chancellor of Emory University. "[Residents] would also have increased supervision by experienced doctors...
There has been much hand-wringing over the dangers of medical residents' grueling schedules. Doctors-in-training often forgo sleep entirely, racking up as many as 30 work hours in a single stretch. The term resident is in fact no accident, says Dr. Teryl Nuckols, an internist and assistant professor at the David Geffen School of Medicine at UCLA, who says that when she was in training 10 years ago, 36-hour shifts without rest were common. "[Residents] used to live in the hospital," Nuckols says. "They were there 24/7...
Even medical residents are wary of the proposed changes, and some are reluctant to give up their exhausting schedules, which many deem necessary for learning. Dr. Erika Roshanravan, a first-year resident in the family-medicine program at the University of Washington in Seattle, agrees that getting more sleep is crucial but thinks it makes little sense to mandate a five-hour nap in the middle of a shift. With patients' cases still fresh in the mind, and with the awareness of having get back to work soon, Roshanravan thinks few residents would actually get any rest. A better solution...
...John Scales, a first-year resident at the University of Florida who will begin his training in radiology this summer, says more sleep would enable him to better retain everything, "to consolidate some of the learning that happens on an almost daily basis," he explains. But he worries that more mandatory rest could mean missed educational opportunities. "More days off always sounds nice, but it distances us from what is going on in day-to-day patient care. A lot can change in 24 to 48 hours," he says...