Shadab A Rahman, Jason P Sullivan, Laura K Barger, Melissa A St Hilaire, Conor S O'Brien, Katie L Stone, Andrew J K Phillips, Elizabeth B Klerman, Salim Qadri, Kenneth P Wright, Ann C Halbower, Jeffrey L Segar, John K McGuire, Michael V Vitiello, Horacio O de la Iglesia, Sue E Poynter, Pearl L Yu, Amy L Sanderson, Phyllis C Zee, Christopher P Landrigan, Charles A Czeisler, Steven W Lockley
OBJECTIVES: Extended-duration work rosters (EDWRs) with shifts of 24+ hours impair performance compared with rapid cycling work rosters (RCWRs) that limit shifts to 16 hours in postgraduate year (PGY) 1 resident-physicians. We examined the impact of a RCWR on PGY 2 and PGY 3 resident-physicians. METHODS: Data from 294 resident-physicians were analyzed from a multicenter clinical trial of 6 US PICUs. Resident-physicians worked 4-week EDWRs with shifts of 24+ hours every third or fourth shift, or an RCWR in which most shifts were ≤16 consecutive hours...
March 2021: Pediatrics