Biophysiological stress and sleep deprivation among abdominal transplant surgery fellows: A prospective multi-institutional study using a wearable device

Transplant surgery fellowship is physically and emotionally demanding. The objective of this study was to characterize biophysiological stress and sleep patterns among transplant surgery fellows. Participating fellows wore a biophysical monitor over a 28-day period and completed biweekly surveys. Sl...

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Bibliographic Details
Published in:The American journal of surgery 2023-06, Vol.225 (6), p.962-966
Main Authors: Vaysburg, Dennis M., Delman, Aaron M., Sisak, Stephanie, Turner, Kevin M., Ammann, Allison M., Cortez, Alexander R., Shah, Shimul A., Quillin III, Ralph C.
Format: Article
Language:English
Subjects:
Abdomen
Accreditation
Burnout
Burnout, Professional - psychology
Compliance
Data collection
Fellowship training
Fellowships and Scholarships
Heart rate
Humans
Medical errors
Nervous system
Pilot projects
Prospective Studies
Scholarships & fellowships
Sleep
Sleep Deprivation
Stress
Surgeons
Surgery
Surveys and Questionnaires
Transplant surgery
Transplants & implants
Wearable computers
Wearable Electronic Devices
Wearable technology
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Summary:Transplant surgery fellowship is physically and emotionally demanding. The objective of this study was to characterize biophysiological stress and sleep patterns among transplant surgery fellows. Participating fellows wore a biophysical monitor over a 28-day period and completed biweekly surveys. Sleep patterns were dichotomized as normal or sleep deprived, and heart rate variability (HRV) was used to assess stress. Seventeen fellows participated. Fellows were frequently sleep deprived (43.9% of nights) and stress was near universal (87.2% of days). Burnout was reported by 2 fellows (11.8%). Only 4 fellows (23.5%) reported compliance with the Transplant Accreditation and Certification Council managed time policy; these fellows experienced fewer days of stress than non-compliant fellows (79.8% vs 89.2% p = 0.02). This is the first study to quantify sleep deprivation and stress among transplant fellows. Future work is needed to evaluate the effects of sleep deprivation, and stress on burnout and patient outcomes. •Transplant surgery fellows experience frequent sleep deprivation.•Biophysiological stress is prevalent among abdominal transplant surgery fellows.•Transplant surgery fellows are often non-compliant with policies created to reduce burnout.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2022.11.004