Sleep deprivation is the norm in medical training. But does it have to be? I sit down with the Dr. Gabriela De Bruin to discuss the effects of sleep deprivation on residents and patients. We review the medical literature on the topic and discuss alternative work schedules. Dr. Gabriela De Bruin is a neurologist at Washington University who specializes in the treatment of patients with sleep disorders. She completed medical school at the Federal university of Ceara in Brazil and then came to Washington University for her neurology residency. After residency she completed a fellowship in sleep medicine.
Time stamps:
02:40: Dr. De Bruin background
10:08: Non-medical book recommendation
11:25: Sleep deprivation during residency
12:23: Acute vs chronic sleep deprivation
14:30: How much sleep should you get each night?
17:30: Adverse health effects of sleep deprivation
22:50: Sleep deprivation and cognition, attention, and motor skills
25:18: Sleep deprivation compared to alcohol intoxication
28:17: Personal perception of sleepiness
31:50: Research on the impact of sleep on patient care
35:48: Sleep deprivation and length of stay and patient mortality
39:30: Duty hours reform
44:36: Impact of duty hours on patient safety outcomes
48:48: Why didn’t duty hours reform improve patient outcomes?
51:38: Long shifts vs a night float system
57:50: Strategies to reduce and mitigate the effects of sleep deprivation
Disclosures:
Dr. De Bruin report no relevant financial disclosures. Brain Boy Neurology reports no relevant financial disclosures.
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