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Heavy Night Call vs Alcohol Ingestion in Residents—Reply
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In Reply: In our study, we emphasized that the laboratory-based tests we chose precluded us from "draw[ing] firm conclusions about the degree of training-related impairment associated with actual medical tasks or medical decision making." Nevertheless, residents have consistently identified drowsy driving as a specific concern,1 and results of a recent prospective, large-scale survey study supported this concern, finding a 2.3 times greater risk for a motor vehicle crash after working an extended shift ( 24 hours).2 Thus, drowsy driving is a significant issue for sleepy residents.
We concur with Dr Merenstein's assertion that more "real-world" clinical trials are needed. However, while we did not permit residents in our study to engage in all behaviors that they might choose, we made compromises in our study design to enhance the generalizability of our findings. For example, we did not impose a schedule on residents' sleep during the light call month to ensure . . . [Full Text of this Article]
J. Todd Arnedt, PhD
tarnedt@med.umich.edu
University of Michigan
Ann Arbor
Judith A. Owens, MD, MPH;
Mary A. Carskadon, PhD
Brown Medical School
Providence, RI
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Heavy Night Call vs Alcohol Ingestion in Residents
Daniel Merenstein
JAMA. 2006;295(2):162.
EXTRACT
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Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion
J. Todd Arnedt, Judith Owens, Megan Crouch, Jessica Stahl, and Mary A. Carskadon
JAMA. 2005;294(9):1025-1033.
ABSTRACT
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