Stoller Eleanor P, Papp Klara K, Aikens James E, Erokwu Bernadette, Strohl Kingman P
a Center on Aging and Health Center on Aging and Health at Case Western Reserve University.
b School of Medicine, Case Western Reserve University Geriatric Research Education and Clinical Center (GRECC) Cleveland VA Medical Center.
Med Educ Online. 2005 Dec;10(1):4376. doi: 10.3402/meo.v10i.4376.
Our purpose is to examine strategies or countermeasures resident-physicians used in dealing with the effects of sleep loss and fatigue during residency training. A total of 149 residents across five sites and six specialty areas were recruited for the study. Focus groups consisted of an average of 7 individuals in the same year of training and residency program, and included 60 interns and 89 senior residents. Trained moderators conducted focus groups using a semi-structured discussion guide. Transcripts were analyzed using the grounded theory tradition. The range of strategies adopted was: Chemical, Dietary, Sleep Management, Behavioral, and Cognitive. Residents exhibited a trial-and-error approach to identifying management strategies. None mentioned searching the scientific literature or consulting local sleep medicine experts. Residents relied on putative countermeasures even when they were aware of their negative effects. Our results document the need to educate resident physicians on self-care strategies during residency training.
我们的目的是研究住院医师在住院医师培训期间应对睡眠不足和疲劳影响时所采用的策略或对策。该研究共招募了来自五个地点和六个专业领域的149名住院医师。焦点小组平均由同一年培训和住院医师项目中的7个人组成，包括60名实习生和89名高年级住院医师。训练有素的主持人使用半结构化讨论指南主持焦点小组。使用扎根理论传统对转录本进行分析。所采用的策略范围包括：化学、饮食、睡眠管理、行为和认知。住院医师在确定管理策略时采用了试错法。没有人提到查阅科学文献或咨询当地睡眠医学专家。即使住院医师意识到这些对策的负面影响，他们仍然依赖这些假定的对策。我们的结果证明有必要在住院医师培训期间对住院医师进行自我护理策略教育。
