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Impact of work hours and sleep on well‐being and burnout for physicians‐in‐training: the Resident Activity Tracker Evaluation Study
Author(s) -
Mendelsohn Daniel,
Despot Ivan,
Gooderham Peter A,
Singhal Ashtush,
Redekop Gary J,
Toyota Brian D
Publication year - 2019
Publication title -
medical education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.776
H-Index - 138
eISSN - 1365-2923
pISSN - 0308-0110
DOI - 10.1111/medu.13757
Subject(s) - burnout , medicine , activity tracker , physical therapy , observational study , sleep medicine , incidence (geometry) , job satisfaction , sleep (system call) , orthopedic surgery , neurology , physical activity , sleep disorder , surgery , psychology , psychiatry , clinical psychology , insomnia , social psychology , physics , computer science , optics , operating system
Objective The Resident Activity Tracker Evaluation ( RATE ) is a prospective observational study evaluating the impact of work hours, sleep and physical activity on resident well‐being, burnout and job satisfaction. Background Physician burnout is common and its incidence is increasing. The impact of work hours and sleep on resident well‐being and burnout remains elusive. Activity trackers are an innovative tool for measuring sleep and physical activity. Methods Residents were recruited from (i) general surgery and orthopaedics ( SURG ), (ii) internal medicine and neurology ( MED ) and (iii) anaesthesia and radiology ( RCD ). Groups 1 and 2 do not enforce restrictions on the duration of being on‐call, and group 3 had restricted the duration of being on‐call to 12 hours. Participants wore FitBit trackers for 14 days. Total hours worked, daily sleep, sleep on‐call and daily steps were recorded. Participants completed validated surveys assessing self‐reported well‐being (Short‐Form Health Survey), burnout (Maslach Burnout Inventory), and satisfaction with medicine. Results Surgical residents worked the most hours per week, followed by medical and RCD residents ( SURG , 84.3 hours, 95% CI, 80.2–88.5; MED , 69.2 hours, 95% CI , 65.3–73.2; RCD , 52.2 hours, 95% CI, 48.2–56.1; p < 0.001). Surgical residents obtained fewer hours of sleep per day ( SURG , 5.9 hours, 95% CI, 5.5–6.3; MED , 6.9 hours, 95% CI , 6.5–7.3; RCD , 6.8 hours, 95% CI , 5.6–7.2; p < 0.001). Nearly two‐thirds of participants (61%) scored high burnout on the Maslach depersonalisation subscore. Total steps per day and well‐being, burnout and job satisfaction were comparable between groups. Total hours worked, daily sleep and steps per day did not predict burnout or well‐being. Conclusions Work hours and average daily sleep did not affect burnout. Physical activity did not prevent burnout. Work hour restrictions may lead to increased sleep but may not affect resident burnout or well‐being.