Episode 35 - Sleep, Wellness, and the Acute Care Surgeon

Learning Objectives

By the end of Rounds, you should be able to:

  1. Understand the impact of acute and chronic sleep deprivation on wellness.

  2. Appreciate the importance of self-care and resilience on surgeon performance.

  3. Self-reflect on your current habits and practices in an effort to identify unhealthy patterns or behaviors in need of modification.

Take-Home Points

  • Sleep deprivation is COMMON among acute care surgeons

  • Mental health disorders, including suicide, are common among physicians and frontline health care workers

  • “It’s okay to not be okay”. Once we accept this, we need to talk through our emotions, feelings, and thoughts with peers, friends, or with the assistance of professionals in the fields of mental health.

Time Stamps

00:58 Introduction

03:54 “Sleep is the mirror to your soul…”

07:08 On Sarcasm

09:05 “The best preparation for the air is the preparation you do on the ground”

10:25 Acute and chronic sleep deprivation among Acute Care Surgeons

12:40 SUPER Trial

13:40 How should we be working?

16:24 First things first “Recognize the battle”

17:29 ‘Twas the night before call

26:04 “It’s okay, not to be okay”

29:42 The stigma of mental health disease among healthcare professionals

34:46 Trauma systems and structure of call

38:57 Shifts versus overnight call: is one better than the other?

41:29 Duty hours& preparing our students for a life in surgery

45:05 Physician burnout: Thanks EHR!

48:51 Outro (interview cut a little short due to call obligations)

Recommended Readings & Resources

Dr. Jamie Coleman’s Website:

https://jjcolemanmd.com

Journal Articles

Coleman JJ, Robinson CK, Zarzaur BL, Timsina L, Rozycki GS, Feliciano DV. To Sleep, Perchance to Dream: Acute and Chronic Sleep Deprivation in Acute Care Surgeons. J Am Coll Surg. 2019 Aug;229(2):166-174. doi: 10.1016/j.jamcollsurg.2019.03.019. Epub 2019 Apr 6. PMID: 30959105.

Online Resources

National Suicide Prevention Lifeline:

https://suicidepreventionlifeline.org

American Foundation for Suicide Prevention: Healthcare professional burnout, depression and suicide prevention

https://afsp.org/healthcare-professional-burnout-depression-and-suicide-prevention

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Episode 34 - Bowel Obstruction & the Role of the Gastrografin Challenge