RT Journal Article
SR Electronic
T1 Influence of medical trainee sleep pattern (chronotype) on burn-out and satisfaction with work schedules: a multicentre observational study
JF Postgraduate Medical Journal
JO Postgrad Med J
FD The Fellowship of Postgraduate Medicine
SP 936
OP 941
DO 10.1136/postgradmedj-2021-140975
VO 98
IS 1166
A1 Gohar, Ashraf A
A1 Knauert, Melissa
A1 Kalot, Mohamad A
A1 Khan, Akram
A1 Sider, Darby
A1 Javed, Muhammad Ali
A1 Wooldridge, David
A1 Eck, Leigh
A1 Buckhold, Fred
A1 Colaco, Brendon
A1 Bhat, Abid
A1 Castillo, Dubier Matos
A1 Newman, Ross
A1 Mustafa, Reem A
YR 2022
UL http://pmj.bmj.com/content/98/1166/936.abstract
AB Background Medical trainees’ work schedule is designed to cover duties without consideration of differences in circadian rhythms during a 24-hour period (chronotype).Objective To explore chronotype variation among medical trainees and understand its association with burn-out and schedule satisfaction.Methods In a multicentre observational study, we conducted two surveys between 1 October 2018 and 1 April 2019. Trainees from nine centres across the USA participated. We measured burn-out using Maslach Burnout Inventory (MBI), and trainee chronotype using the Morningness-Eveningness Questionnaire (MEQ).Results 324 (32%) out of 1012 responded to our survey. Participants were 51% female and had a mean age of 30.8 years. Most participants had an intermediate MEQ type (65%). A large proportion of participants had burn-out on at least one of three tested MBI scales (62%); 5% of participants had burn-out on all three MBI scales. More participants with evening MEQ type had burn-out (66%) compared with morning MEQ type (55%), however, the results were not statically significant (p=0.294). Overall satisfaction with work shifts was 6.5 (95% CI 6.3 to 6.7), with higher satisfaction with day shift 7.7 (95% CI 7.5 to 7.9) and lowest satisfaction with overnight 24-hour call 3.5 (95% CI 3.2 to 3.9). Satisfaction was lower in trainees with burn-out 6.0 (95% CI 5.7 to 6.4), (p<0.001). In the follow-up survey, burn-out was present in at least one scale in 64% compared with 60% of respondents in the initial survey.Conclusion Burn-out is prevalent among medical trainees. Improving alignment between trainee preferences may improve performance, reduce human errors and burn-out.Data are available in a public, open access repository. Data are available upon request.