Effect of sleep deprivation on medical resident and student cognitive function: A prospective study

Effect of sleep deprivation on medical resident and student cognitive function: A prospective study

Objective: The purpose of this study was to determine whether cognitive function test results decrease after a typical night of on-call duty, on the basis of the amount of sleep that is obtained. Study Design: Two standard cognitive functions tests (the Grooved Pegboard and California Verbal Learnin...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology Vol. 188; no. 5; pp. 1198 - 1201
Main Authors: Halbach, Melissa M., Spann, Cyril O., Egan, Glen
Format: Journal Article
Language:English
Published: Philadelphia, PA Mosby, Inc 01-05-2003
Elsevier
Subjects:
Activity levels. Psychomotricity
Adult
Biological and medical sciences
Cognition
Cognitive function
Female
Fundamental and applied biological sciences. Psychology
Humans
Internship and Residency
Medical sciences
Medical Staff - psychology
Miscellaneous
Neuropsychological Tests
Occupational medicine
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychomotor Performance
Public health. Hygiene-occupational medicine
resident
sleep deprivation
Sleep Deprivation - psychology
Students, Medical - psychology
Verbal Learning
Vigilance. Attention. Sleep
Cognitive function
sleep deprivation
resident
Human
Deprivation
Sleep
Resident(student)
Adult
Working time table
Psychometrics
Cognition
Comparative study
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Summary:Objective: The purpose of this study was to determine whether cognitive function test results decrease after a typical night of on-call duty, on the basis of the amount of sleep that is obtained. Study Design: Two standard cognitive functions tests (the Grooved Pegboard and California Verbal Learning Test II) were administered to the 30 participants who were members of the obstetrics and gynecology house staff and to medical students at Emory University School of Medicine. Each test was administered twice, before and after on-call duty. The data were analyzed with a paired two-tailed Student t test. Results: For the California Verbal Learning Test II, trial 5 showed a decrease in score of 0.8 (P =.05) after on-call duty. Trials 1 through 5 showed a decrease in score of 3.5 (P =.01). Conclusion: This finding suggests that cognitive function test scores do decrease after on-call duty. Scrutiny of this issue by the Accreditation Council of Graduate Medical Education is justified, and the issue should continue to be evaluated. Our finding suggests that a change in our current educational structure is warranted. (Am J Obstet Gynecol 2003;188:1198-1201.)
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0002-9378
1097-6868
DOI:10.1067/mob.2003.306