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#futurefriday: effect of #sleep on #burnout and surgeon #wellbeing "both 'home call' and 'in house call' have the potential to #damage the health and well-being of surgeons by disrupting normal circadian sleep patterns." -->> "sleep loss from call, of any amount, is not fully regained" 😴 🛌 💤 👨⚕️ 👩⚕️ In this publication by Jamie Jones Coleman et al. the effect of #sleep is investigated in with data from 224 acute care #surgeons over 6 months. Participants wore a physiological tracking device and responded to daily surveys. Results showed the following: - home call without calls was associated with 3 minutes of sleep loss - home call with 1 or more call resulted in a further 14 minutes of sleep los - home call with a return to the hospital led to an additional 70 minutes of sleep loss -->> All variations of home call resulted in decreased feelings of #restedness and increased feelings of daily #burnout 😩😩 The emotional impact of call stems from both #direct and #indirect opportunity costs: 😴 direct costs: the inability to participate in social activities or be more than 30 minutes away from the hospital, being tied to a phone or pager, the need to have a plan for childcare in case of a return to hospital ---> direct opportunity costs result in an increase in stress and mental workload 😴 indirect costs: feelings of uncertainty inherent to home call—uncertain if they will be called, when they might be called, and even what work might be required if they are called ---> This environment of uncertainty has wide-reaching effects on sleep, behavior, and mood. Conclusions: - home call resulted in #sleepdisruption as well as increased feelings of #burnout, even on nights in which the surgeon was never called. - home call contributes to the development of burnout via physical and emotional factors. As suggested by the authors, the intensity and impact of home call should be taken into consideration when looking at the solutions and achieving a workable #worklifebalance where we are all #fittoperform and keep our profession durable #futuresurgeon You can listen to the interview with the authors in 'The Operative Word from JACS' podcast here: https://lnkd.in/eCcYfQYR Future Surgeon Koen van der Bogt Thomas Varghese Jr. MD, MS, MBA, FACS Lillian Erdahl, MD Groene Hart Ziekenhuis VAGH De Jonge Specialist Nederlandse Vereniging voor Heelkunde American College of Surgeons Floortje Huizing Vincent Sier Begüm P. Stijn Gorgels Marald Wikkeling MD MBA Heleen Snijders Joris Blok

Home Is Not Always Where the Sleep Is: Effect of Home Call... : Journal of the American College of Surgeons

Home Is Not Always Where the Sleep Is: Effect of Home Call... : Journal of the American College of Surgeons

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