scholarly journals Excessive Daytime Sleepiness and Its Associated Factors among Emergency Medicine Residents in South Korea: A Nationwide Survey

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Song Yi Park ◽  
Kwang Hyun Cho ◽  
Ho Jung Kim ◽  
In Byung Kim ◽  
Bum Suk Seo ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Associated Factors ◽  
Working Hours ◽  
Nationwide Survey ◽  
Working Environment ◽  
Multivariable Logistic Regression Analysis ◽  
Emergency Medicine Resident ◽  
Medicine Resident

Objective. Excessive daytime sleepiness (EDS) in emergency medicine (EM) residents is associated with patient safety. However, studies regarding EDS in EM residents are limited. The objective of this study was to identify the prevalence of EDS and its associated factors among EM residents. Methods. Epworth sleepiness scale scores, working hours per week (WHW), night working days per month, working environment, and depression were analyzed using data from the 2019 Korean Emergency Medicine Resident Survey. Results. The survey response rate was 63.8% (384/601). Among 241 respondents, the prevalence rate of EDS was 32.4%. Multivariable logistic regression analysis demonstrated that WHW (odds ratio [OR] = 1.03, 95% confidence interval [CI] = 1.01–1.06) and depression (OR = 3.64, 95% CI = 1.91–6.96) had increased ORs for EDS. Conclusions. Approximately one-third of EM residents had EDS. Depression and WHW were the associated factors.

Excessive Daytime Sleepiness and Associated Factors in Military Search and Rescue Personnel

2021 ◽  
Vol 92 (12) ◽  
pp. 975-979
Author(s):  
Rokshana Akter ◽  
Tricia L. Larose ◽  
Jannicke Sandvik ◽  
Vivianne Fonne ◽  
Anders Meland ◽  
...  
Keyword(s):  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Associated Factors ◽  
Lifestyle Factors ◽  
Search And Rescue ◽  
Outcome Variable ◽  
Study Cohort ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Rescue Personnel

BACKGROUND: Abnormal excessive daytime sleepiness (EDS) has been reported worldwide, but too little is known about EDS and its determinants in Search and Rescue (SAR) populations. We aimed to determine the prevalence of abnormal EDS and contributing factors among Royal Norwegian Air Force (RNoAF) SAR helicopter personnel.METHODS: In this cross-sectional study, a total of N = 175 RNoAF SAR personnel completed an electronic survey including socio-demographic and lifestyle questions. The Epworth Sleepiness Scale (ESS) was used as both a continuous and categorical outcome variable to measure EDS.RESULTS: Abnormal EDS defined by ESS was found in 41% of the participants in this study. We observed no associations between socio-demographic and lifestyle factors and abnormal EDS in this study. DISCUSSION: There is a high prevalence of abnormal EDS in the current RNoAF SAR population. Despite this elevated level of fatigue, we did not find that the socio-demographic and lifestyle factors assessed in this study were associated with abnormal EDS in RNoAF SAR helicopter personnel. Also unusually, the study cohort did not demonstrate higher scores in factors found to change ESS scores in similar study populations (e.g., caffeine use, tobacco use, exercise level). Further research is required to investigate other factors (organizational, operational) that may be associated with abnormal EDS in this and other SAR populations.Akter R, Larose TL, Sandvik J, Fonne V, Meland A, Wagstaff AS. Excessive daytime sleepiness and associated factors in military search and rescue personnel. Aerosp Med Hum Perform. 2021; 92(12):975–979.

scholarly journals Changes in Sex, Race, and Ethnic Origin of Emergency Medicine Resident Physicians From 2007 to 2017

2019 ◽  
Vol 26 (3) ◽  
pp. 331-334 ◽  
Author(s):  
Christopher L. Bennett ◽  
David A. McDonald ◽  
Shelley Hurwitz ◽  
Hui Zheng ◽  
Eric Nadel ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Ethnic Origin ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

scholarly journals P150: Emergency medicine resident perspectives on journal club as a community of practice and its impact on clinical medicine

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S110-S110
Author(s):  
D. K. Ting ◽  
B. Bailey ◽  
F. Scheuermeyer ◽  
T. M. Chan ◽  
D. R. Harris
Keyword(s):  
Emergency Medicine ◽  
Medical Education ◽  
Focus Group ◽  
Community Of Practice ◽  
Journal Club ◽  
Clinical Care ◽  
Pilot Testing ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Select Group

Introduction: Despite revolutionary changes in the medical education landscape, journal club (JC) continues to be a ubiquitous pedagogical tool and is a primary way that residency programs review new evidence and teach evidence-based medicine. JC is a community of practice among physicians, which may help translate research findings into practice. Program representatives state that JC should have a goal of translating novel research into changes in clinical care, but there has been minimal evaluation of the success of JC in achieving this goal. Specifically, emergency medicine resident perspectives on the utility of JC remain unknown. Methods: We designed a multi-centre qualitative study for three distinct academic environments at the University of British Columbia (Vancouver, Victoria and Kelowna). Pilot testing was performed to generate preliminary themes and to finalize the interview script. An exploratory, semi-structured focus group was performed, followed by multiple one-on-one interviews using snowball sampling. Iterative thematic analysis directed data collection until thematic sufficiency was achieved. Analysis was conducted using a constructivist Grounded Theory method with communities of practice as a theoretical lens. Themes were compared to the existing literature to corroborate or challenge existing educational theory. Results: Pilot testing has revealed the following primary themes: (1) Only select residents are able to increase their participation in JC over the course of residency and navigate the transition from peripheral participant to core member; (2) These residents use their increased clinical experience to perceive relevance in JC topics, and; (3) Residents who remain peripheral participants identify a lack time to prepare for journal club and a lack of staff physician attendance as barriers to resident engagement. We will further develop these themes during the focus group and interview phases of our study. Conclusion: JC is a potentially valuable educational resource for residents. JC works as a community of practice only for a select group of residents, and many remain peripheral participants for the duration of their residency. Incorporation of Free Open-Access Medical Education resources may also decrease preparation time for residents and staff physicians and increase buy-in. To augment clinical impact, the JC community of practice may need to expand beyond emergency medicine and include other specialties.

scholarly journals The American Academy of Emergency Medicine Resident and Student Association Blog

2017 ◽  
Vol 92 (2) ◽  
pp. 138-139 ◽  
Author(s):  
Andrew W. Phillips ◽  
Gregory K. Wanner ◽  
Jonathan Morgan ◽  
Mark Langdorf
Keyword(s):  
Emergency Medicine ◽  
American Academy ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Student Association
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