Insomnia-A Systematic Review and Comparison of Medical Resident's Average Off-Call Sleep Times

Int J Environ Res Public Health. 2023 Feb 26;20(5):4180. doi: 10.3390/ijerph20054180.

Abstract

Sleep deprivation is known to have serious consequences, including a decrease in performance, attention and neurocognitive function. It seems common knowledge that medical residents are routinely sleep deprived, yet there is little objective research recording their average sleep times. To discern whether residents may be suffering from the abovementioned side effects, this review aimed to analyze their average sleep times. Thirty papers recording the average sleep time of medical residents were found via a literature search using the key words "resident" and "sleep". An analysis of the mean sleep times cited therein revealed a range of sleep from 4.2 to 8.6 h per night, the median being 6.2 h. A sub-analysis of papers from the USA showed barely any significant differences in sleep time between the specialties, but the mean sleep times were below 7 h. The only significant difference (p = 0.039) was between the mean sleep times of pediatric and urology residents, with the former achieving less sleep. The comparison of methods for data collection showed no significant difference in the sleep times collected. The results of this analysis imply that residents are regularly sleep deprived and may therefore suffer from the abovementioned consequences.

Keywords: residency; sleep; sleep deprivation; sleep times; systematic review.

Publication types

  • Systematic Review
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attention
  • Child
  • Humans
  • Internship and Residency*
  • Sleep
  • Sleep Deprivation / psychology
  • Sleep Initiation and Maintenance Disorders*

Grants and funding

Open Access Publishing Fund of University of Tübingen. This research received no additional external funding.