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Originally published October 3 2005

Study finds the performance of sleep-deprived doctors comparable to alcohol-impaired performance

by Mike Adams, the Health Ranger, NaturalNews Editor

A new study conducted at the University of Michigan finds alarming similarities between the reaction times of doctors who have been drinking and those who have been working the standard 80-hour week for residents.



Working long hours is considered a hallmark of a medical residency. But in recent years, concerns have risen about how shifts that can last days affect a doctor's ability to function. The results of a new study quantify the negative effects and show that the performance of fatigued residents is comparable to how they would act after imbibing three or four cocktails. An 80-hour limit for a resident's workweek was introduced in July 2003 in response to concerns about overwork. The volunteers took part in the tests on four different occasions, after working mostly day shifts with only a few overnight calls, or after working intense overnight shifts that added up to about 80 hours in a week. For some of the tests, the doctors were also given alcoholic drinks or nonalcoholic placebos. After a month of difficult work schedules, the doctors exhibited reaction times that were seven percent slower than their responses after working a lighter schedule. In the driving simulator, doctors coming off a month of working nights displayed comparable skills to the subjects who had an easier schedule but had a blood-alcohol level just below the legal driving limit. What is more, the post-call doctors were 30 percent more likely to not maintain a steady speed in the driving simulator compared to well-rested doctors who had been drinking. ADVERTISEMENT (article continues below) "We have to continue to educate doctors-in-training, and we should help them develop sleep risk-management strategies," remarks study co-author Judith Owens of Brown Medical School. "This is particularly important since our study shows that many sleep-starved residents don't recognize that they're impaired." A report describing the findings is published today in the Journal of the American Medical Association.


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