Episode 35 - Sleep, Wellness, and the Acute Care Surgeon
Learning Objectives
By the end of Rounds, you should be able to:
Understand the impact of acute and chronic sleep deprivation on wellness.
Appreciate the importance of self-care and resilience on surgeon performance.
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