当前位置： SCI文献检索 > AMERICAN JOURNAL OF OTOLARYNGOLOGY期刊下所有文献 > Resident fatigue in otolaryngology residents: a Web based survey.

Resident fatigue in otolaryngology residents: a Web based survey.

Abstract：

IMPORTANCE:Resident fatigue has become a point of emphasis in medical education and its effects on otolaryngology residents and their patients require further study. OBJECTIVE:The purpose of our study was to evaluate the prevalence and nature of fatigue in otolaryngology residents, evaluate various quality of life measures, and investigate associations of increased fatigue with resident safety. STUDY DESIGN:Anonymous survey. SETTING:Internet based. PARTICIPANTS:United States allopathic otolaryngology residents. INTERVENTION:None. MAIN OUTCOME(S) AND MEASURES:The survey topics included demographics, residency structure, sleep habits and perceived stress. Responses were correlated with a concurrent Epworth Sleep Scale questionnaire to evaluate effects of fatigue on resident training and quality of life. RESULTS:190 residents responded to the survey with 178 completing the Epworth Sleep Scale questionnaire. Results revealed a mean Epworth Sleep Scale score of 9.9±5.1 with a median of 10.0 indicating a significant number of otolaryngology residents are excessively sleepy. Statistically significant correlations between Epworth Sleep Scale and sex, region, hours of sleep, and work hours were found. Residents taking in-house call had significantly fewer hours of sleep compared to home call (p=0.01). Residents on "head and neck" (typically consisting of a large proportion of head and neck oncologic surgery) rotations tended to have higher Epworth Sleep Scale and had significantly fewer hours of sleep (p=.003) and greater work hours (p<.001). Additionally, residents who reported no needle stick type incidents or near motor vehicle accidents had significantly lower mean Epworth Sleep Scale scores. Only 37.6% of respondents approve of the most recent Accreditation Council for Graduate Medical Education work hour restrictions and 14% reported averaging greater than 80hours of work/week. CONCLUSION AND RELEVANCE:A substantial number of otolaryngology residents are excessively sleepy. Our data suggest that the effects of fatigue play a role in resident well-being and resident safety.

journal_name

Am J Otolaryngol

journal_title

American journal of otolaryngology

authors

Nida AM,Googe BJ,Lewis AF,May WL

doi

10.1016/j.amjoto.2016.01.017

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

210-6

issue

3

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(16)00019-3

journal_volume

37

pub_type

杂志文章

相关文献

AMERICAN JOURNAL OF OTOLARYNGOLOGY文献大全
  • Surgical management of recurrent Zenker's diverticulum: A multi-institutional cohort study.

    abstract：OBJECTIVE:This study identifies how recurrent Zenker's diverticula are treated. METHODS:A retrospective chart review was performed from four tertiary referral academic voice and swallowing centers to identify individuals who underwent surgery for recurrent Zenker's diverticulum. Demographic data, surgical modalities f...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2020.102755

    authors： Berger MH,Weiland D,Tierney WS,Bryson PC,Weissbrod PA,Shah PV,Shah RN,Buckmire RA,Verma SP

    更新日期：2021-01-01 00:00:00

  • Morbidity after tonsillectomy in children with autism spectrum disorders.

    abstract：OBJECTIVES:As the incidence of autism spectrum disorder (ASD) increases, otolaryngologists are more likely to encounter patients from this population during tonsillectomy. The purpose of this study was to examine whether outcomes differ between pediatric patients with and without ASD in a national cohort of children un...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2019.05.026

    authors： Printz JN,Mirkin KA,Hollenbeak CS,Carr MM

    更新日期：2019-01-01 00:00:00

  • Temporal bone fractures: sequelae and their impact on quality of life.

    abstract：PURPOSE:To present a prospective temporal bone fracture database, and study facial and cochleovestibular sequelae and their impact on quality of life. MATERIALS AND METHODS:Prospective study of consecutive cases of 39 patients with 45 temporal bone fractures over 11-month period in a university tertiary referral cente...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2014.12.011

    authors： Montava M,Mancini J,Masson C,Collin M,Chaumoitre K,Lavieille JP

    更新日期：2015-05-01 00:00:00

  • Cochlear nerve size evaluation in children with sensorineural hearing loss by high-resolution magnetic resonance imaging.

    abstract：PURPOSE:To determine differences in size of cochlear nerves among subjects with deafness due to connexin 26 (Cx26) mutations, subjects with deafness of unknown origin, and normal hearing subjects by sagittal high-resolution magnetic resonance (HRMR) imaging of the temporal bone. MATERIALS AND METHODS:Cross-sectional a...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2005.09.007

    authors： Russo EE,Manolidis S,Morriss MC

    更新日期：2006-05-01 00:00:00

  • Metastatic calcification involving the true vocal cord.

    abstract：:Metastatic calcification (MC) commonly results secondary to phosphorus and calcium dysregulation in end-stage renal disease (ESRD). Only once before has MC been reported to involve a true vocal cord. A 35-year-old man with ESRD and secondary hyperparathyroidism was evaluated for hoarseness. Three years ago, he underwe...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2008.04.006

    authors： Patel NP,Wright SC,Bergman S

    更新日期：2009-05-01 00:00:00

  • Cochlear implantation after resection of an intralabyrinthine schwannoma.

    abstract：:Intralabyrinthine schwannomas are rare tumors of the distal ends of the cochlear and vestibular nerve. Their presence can be debilitating secondary to symptoms of hearing loss, vertigo, tinnitus, and imbalance. Currently, treatment to restore hearing in those who have become profoundly deaf is not attempted. Additiona...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2013.11.002

    authors： Schutt CA,Kveton JF

    更新日期：2014-03-01 00:00:00

  • Further evidence of a relation between noise-induced permanent threshold shift and vibration-induced digital vasospasms.

    abstract：:The relation between noise-induced permanent threshold shift (NIPTS) and vibration-induced dysfunction in the digital circulation was examined in a longitudinal survey among forest workers. The survey was based on annual examinations done between 1972 and 1983. Thirty-two forest workers with digital vasospasms were co...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(86)80013-8

    authors： Pyykkö I,Starck J,Pekkarinen J

    更新日期：1986-11-01 00:00:00

  • Laryngeal alveolar soft part sarcoma: A case report of a rare malignancy in an atypical location.

    abstract：:Laryngeal sarcoma is a rare and potentially aggressive malignancy. In this case report, we present a 23year-old-male with four-years of progressive hoarseness who was found to have a large left paraglottic mass. A partial laryngectomy was successful at completely excising the lesion. Final pathology returned as alveol...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2017.01.017

    authors： Tamaki A,Wasman J,Weidenbecher M

    更新日期：2017-01-01 00:00:00

  • Effects of carbonic anhydrase inhibitor on the otolithic organs of developing chick embryos.

    abstract：:Carbonic anhydrase appears to be involved in the process of otoconial formation. The purpose of this investigation was to observe the morphologic change in the surface structure of the otolithic organ in developing chick embryos after injection of the carbonic anhydrase inhibitor, acetazolamide. Acetazolamide (1.5, 3,...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/0196-0709(91)90119-z

    authors： Kido T,Sekitani T,Yamashita H,Endo S,Masumitsu Y,Shimogori H

    更新日期：1991-07-01 00:00:00

  • Primary sphenoid sinus esthesioneuroblastoma.

    abstract：:Esthesioneuroblastoma is a rare malignant tumor of undifferentiated neuroectodermal origin. Because these tumors are derived from olfactory epithelium, most cases arise in the superior nasal cavity at the level of the cribriform niche. The development of an esthesioneuroblastoma outside of the region in which olfactor...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2004.03.002

    authors： Morris L,Govindaraj S,Genden EM

    更新日期：2004-09-01 00:00:00

  • Visual observations of glottal configuration and vocal outcomes in arytenoid adduction.

    abstract：:Arytenoid adduction procedures involve approximation of the arytenoid cartilages with the goal of reducing posterior glottal gap size and improving voice. However, voice outcomes after arytenoid adduction are not always optimal and may be improved by precise use of suture placements, forces, and direction angles. The ...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(03)00054-1

    authors： Inagi K,Connor NP,Suzuki T,Bless DM,Kamijo T

    更新日期：2003-09-01 00:00:00

  • Correlation between the dizziness handicap inventory and balance performance during the acute phase of unilateral vestibulopathy.

    abstract：PURPOSE:The dizziness handicap inventory (DHI) is widely used to evaluate self-perceived handicap due to dizziness, and is known to correlate with vestibular function tests in chronic dizziness. However, whether DHI reflects subjective symptoms during the acute phase has not been studied. This study aims to investigate...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.amjoto.2015.07.011

    authors： Son EJ,Lee DH,Oh JH,Seo JH,Jeon EJ

    更新日期：2015-11-01 00:00:00

  • Retrospective study of Langerhans cell histiocytosis in ear, nose and neck.

    abstract：OBJECTIVE:Langerhans cell histiocytosis (LCH) is a rare clinical disorder. We retrospectively analysed the clinical manifestations, treatments and prognoses of LCH cases involving the ear, nose, and neck. MATERIALS AND METHODS:28 cases with confirmed LCH in ear, nose or neck were reviewed. We recorded patient age, sex...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2019.102369

    authors： Guo Y,Ning F,Wang G,Li X,Liu J,Yuan Y,Dai P

    更新日期：2020-01-01 00:00:00

  • Merkel cell carcinoma of the skin with leptomeningeal metastases.

    abstract：:Merkel cell carcinoma is a rare skin tumor that is thought to arise from epithelial cells that have undergone neuroendocrine differentiation. It usually presents in older adults and has a slight male predominance. The most frequent site of occurrence is in the head and neck. It is an aggressive disease that has a high...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2004.11.013

    authors： Chang DT,Mancuso AA,Riggs CE Jr,Mendenhall WM

    更新日期：2005-05-01 00:00:00

  • Acute suppurative thyroiditis and the branchial apparatus.

    abstract：:Acute suppurative thyroiditis and thyroid abscess are rare. The finding of a sinus tract arising from the pyriform sinus in some cases highlights the possibility of a branchial apparatus origin. We present three case histories that include a left-sided lesion and radiologic or surgical-anatomic evidence of an internal...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/0196-0709(91)90067-p

    authors： Har-el G,Sasaki CT,Prager D,Krespi YP

    更新日期：1991-01-01 00:00:00

  • Aminoglycoside ototoxicity.

    abstract：:Aminoglycoside antibiotics are frequently employed in the treatment of serious infections caused by aerobic gram negative bacilli. The use of these potent antibacterial agents is limited by the risks of ototoxicity and nephrotoxicity. Aminoglycosides are excreted by glomerular filtration at a rate proportional to the ...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(80)80012-3

    authors： Lerner SA,Matz GJ

    更新日期：1980-02-01 00:00:00

  • Bacteriology and antimicrobial susceptibility of pediatric chronic rhinosinusitis: a 6-year result of maxillary sinus punctures.

    abstract：PURPOSE:Few studies in the past decade have focused on antimicrobial resistance of bacteria in pediatric rhinosinusitis. This study aimed to characterize organisms cultured from pediatric chronic rhinosinusitis, as well as current resistance patterns of pathogens. MATERIALS AND METHODS:The study was conducted from Jan...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2008.11.014

    authors： Hsin CH,Su MC,Tsao CH,Chuang CY,Liu CM

    更新日期：2010-05-01 00:00:00

  • 2-Octyl cyanoacrylate to prevent salivary fistula formation following oral cavity microvascular reconstruction: A prospective trial.

    abstract：BACKGROUND:Salivary fistulas remain a significant problem in patients undergoing major head and neck reconstructive surgery. Surgical sealants have become increasingly used in cutaneous and non-cutaneous wound closure, providing a barrier to fluids/gases and promoting healing. The purpose of this study was to determine...

    journal_title：American journal of otolaryngology

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.amjoto.2020.102552

    authors： Roof SA,Perez ER,Villavisanis DF,Khan MN,Ferrandino RM,Chouake RJ,Pacheco CW,Yao M,Teng MS,Genden EM,Miles BA

    更新日期：2020-01-01 00:00:00

  • Prognostic value of metastatic lymph node ratio in node-positive head and neck carcinomas.

    abstract：PURPOSE:The purpose of the study was to determine the prognostic significance of the ratio between metastatic and examined lymph nodes to the survival rate of patients with squamous cell carcinoma of the head and neck. MATERIALS AND METHODS:The study included 142 patients in whom metastatic lymph nodes were observed i...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2009.03.004

    authors： Süslü N,Hoşal AS,Sözeri B

    更新日期：2010-09-01 00:00:00

  • Molecular and immunologic analysis of laryngeal squamous cell carcinoma in smokers and non-smokers.

    abstract：BACKGROUND:Laryngeal squamous cell carcinoma (LSCC) is strongly associated with tobacco use, but recent reports suggest an increasing incidence of LSCC in patients without traditional risk factors, suggesting an alternative etiology of tumorigenesis. The purpose of this study is to characterize this non-smoking populat...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2018.11.009

    authors： Malm IJ,Rooper LM,Bishop JA,Ozgursoy SK,Hillel AT,Akst LM,Best SR

    更新日期：2019-01-01 00:00:00

  • Long-term voice and swallowing modifications after supracricoid laryngectomy: objective, subjective, and self-assessment data.

    abstract：PURPOSE:The supracricoid laryngectomies (SCLs) are conservative surgical techniques for the treatment of selected laryngeal carcinomas. The advantage of SCL is that a permanent tracheostoma is not required, thus, maintaining the principal laryngeal functions. The aim of the study is to report objective, subjective, and...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2006.01.010

    authors： Schindler A,Favero E,Nudo S,Albera R,Schindler O,Cavalot AL

    更新日期：2006-11-01 00:00:00

  • Bilateral vocal cord paralysis caused by laryngeal mask airway.

    abstract：:The laryngeal mask airway (LMA) is regarded as a safer supraglottic airway for general anesthesia compared with conventional endotracheal tubes. We report a case of bilateral vocal cord palsy temporarily observed after using the LMA, which required urgent tracheotomy. Severe swelling of the arytenoid suggested that bi...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.amjoto.2006.07.001

    authors： Endo K,Okabe Y,Maruyama Y,Tsukatani T,Furukawa M

    更新日期：2007-03-01 00:00:00

  • Neuromuscular function of the soft palate and uvula in snoring and obstructive sleep apnea: A systematic review.

    abstract：OBJECTIVE:A collapsible upper airway is a common cause of obstructive sleep apnea. The exact pathophysiology leading to a more collapsible airway is not well understood. A progressive neuropathy of the soft palate and pharyngeal dilators may be associated with the progression of snoring to OSA. The purpose of this stud...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.amjoto.2018.03.006

    authors： Patel JA,Ray BJ,Fernandez-Salvador C,Gouveia C,Zaghi S,Camacho M

    更新日期：2018-01-01 00:00:00

  • Emergency management of carotid artery rupture.

    abstract：:Rupture of the carotid artery has been one of the most feared postoperative complications in head and neck cancer patients. Traditional management of carotid artery rupture has been disappointing, and morbidity and mortality have been high. Experience with carotid artery rupture at the authors' institution over the pa...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(86)80009-6

    authors： Porto DP,Adams GL,Foster C

    更新日期：1986-05-01 00:00:00

  • The practicality of a two-incision surgical approach for hypoglossal nerve stimulator implantation.

    abstract：INTRODUCTION:Determine the feasibility of a two-incision surgical approach to hypoglossal nerve stimulator implantation based on anatomic considerations. METHODS:Upper airway stimulation (UAS) using the Inspire system uses three implanted devices-the implantable pulse generator (IPG), stimulation lead and sensing ches...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2020.102585

    authors： Meleca JB,Kominsky AH

    更新日期：2020-01-01 00:00:00

  • Sensory interaction platform posturography in patients with Ménière's syndrome.

    abstract：INTRODUCTION:The influence on balance by the peripheral vestibular disturbance in Ménière's disease is studied. The influence of visual and proprioceptive support in balance is evaluated. MATERIALS AND METHODS:Patients with recurrent spontaneous vertigo attacks (n = 134) were studied, 90 with Ménière's disease and 44 ...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/0196-0709(93)90114-m

    authors： Norré ME

    更新日期：1993-11-01 00:00:00

  • Managing regional metastasis in patients with cutaneous head and neck melanoma - is selective neck dissection appropriate?

    abstract：BACKGROUND:Neck dissection is recommended for patients with head and neck cutaneous melanoma and nodal metastasis. However, there appears to be no clear evidence to guide the extent of nodal resection. METHODS:Loco-regional recurrence (LR), overall survival (OS) and progression free survival (PFS) was retrospectively ...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.amjoto.2014.06.011

    authors： Supriya M,Narasimhan V,Henderson MA,Sizeland A

    更新日期：2014-09-01 00:00:00

  • T1N0 laryngeal sarcomatoid carcinoma that showed rapid systemic metastases after radical radiotherapy: a case report and review of literature.

    abstract：:Sarcomatoid carcinomas of the larynx account for less than 1% of all malignant laryngeal tumors and there is currently no consensus regarding the clinical course or appropriate management of this disease. A case of sarcomatoid carcinoma of the larynx displaying rapid systemic progression after radiotherapy and a brief...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.amjoto.2005.02.017

    authors： Onishi H,Kuriyama K,Komiyama T,Yamaguchi M,Tanaka S,Marino K,Sano N,Araki T,Miyata K

    更新日期：2005-11-01 00:00:00

  • The superiorly based auricular flap.

    abstract：:A regional random pattern flap is described which may be used to cover the mastoid area in cases in which the inferior auricle and adjacent tissue have been removed by trauma or surgery. The viability of this vascularized tissue offers a distinct advantage over skin grafting when protection of exposed facial nerve and...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0196-0709(88)80032-2

    authors： Hoffman HT,Bolz EA

    更新日期：1988-09-01 00:00:00

  • Localization of interleukin-1 in human cholesteatoma.

    abstract：:Recent studies by other investigators have shown that interleukin-1 (IL-1) promotes bone resorption by stimulating various cells. Interleukin-1 not only stimulates collagenase production by fibroblasts and macrophages, but also acts as an osteoclast-activating factor. In this study, IL-1 was localized in human cholest...

    journal_title：American journal of otolaryngology

    pub_type： 杂志文章

    doi：10.1016/0196-0709(90)90001-c

    authors： Ahn JM,Huang CC,Abramson M

    更新日期：1990-03-01 00:00:00