Saint Agnes Medical Center, Department of Emergency Medicine, Fresno, California.
Eisenhower Health, Emergency Medicine Residency, Rancho Mirage, California.
West J Emerg Med. 2024 Jul;25(4):574-578. doi: 10.5811/westjem.18462.
In this study we aimed to investigate the effects of incorporating Swedish-style (coffee) breaks into the didactic schedule of emergency medicine residents on their sleepiness levels during didactic sessions. Fika is a Swedish tradition that involves a deliberate decision to take a break during the workday and usually involves pastries and coffee. We used the Karolinska Sleepiness Scale to assess changes in sleepiness levels before and after the implementation of breaks.
The study design involved a randomized crossover trial approach, with data collected from emergency medicine residents over a specific period. This approach was done to minimize confounding and to be statistically efficient.
Results revealed the average sleepiness scale was 4.6 and 5.5 on and control days, respectively ( = 0.004).
Integration of breaks positively influenced sleepiness levels, thus potentially enhancing the educational experience during residency didactics.
在这项研究中,我们旨在探讨将瑞典式(咖啡)休息时间纳入急诊住院医师的教学时间表对他们在教学期间困倦程度的影响。Fika 是瑞典的一种传统,它涉及在工作日期间故意决定休息一下,通常包括糕点和咖啡。我们使用 Karolinska 睡眠量表来评估在实施休息时间前后困倦程度的变化。
研究设计采用随机交叉试验方法,在特定时间段内从急诊住院医师那里收集数据。这样做是为了最大限度地减少混杂因素并提高统计学效率。
结果显示,休息时间组和对照组的平均困倦量表评分分别为 4.6 和 5.5( = 0.004)。
整合休息时间对困倦程度有积极影响,从而有可能提高住院医师教学中的教育体验。