The purpose of this study was to evaluate the effect of acute sleep deprivation on the fine motor coordination in obstetrics and gynecology residents.
Twenty-eight obstetrics and gynecology residents completed a series of tasks using the Purdue pegboard standardized protocol for testing fine motor coordination both before and after a 24-hour call.
Twenty-three participants were women and 5 were men. There was a learning curve demonstrated for performance of the tasks. There was a statistically significant decline in performance of residents after overnight call. When adjusting for the learning curve, effects of sleep deprivation were magnified for all tasks: right (dominant) hand (P = .0005), left hand (P = .0020), both hands (P < .0001), and assembly (P < .0001). There were significant differences in performance when segregated by year of training and sex; female residents appeared to tolerate better lack of sleep.
Acute sleep deprivation has a deleterious effect on fine motor coordination in this group of obstetrics and gynecology residents.
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New York Comp Codes R. & Regs. Title 10, §405.4, 2002.
- Resident duty hours language.Accessed August 31, 2007)
- Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform.JAMA. 2007; 298: 975-983
- Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.JAMA. 2007; 298: 984-992
- Reducing resident work hours: Unproven assumptions and unforeseen outcomes.Ann Intern Med. 2004; 140: 814-815
- The effect of work-hour limitations on resident well-being, patient care and education in an internal medicine residency program.Arch Intern Med. 2005; 165: 2601-2606
- Fatigue, sleepiness and medical errors.(Evidence Report/Technology Assessment: Number 43. AHRQ Publication No 01-E058. Rockville, MD: Agency for Healthcare Research and Quality; July 2001)
- Effect of sleep deprivation on the performance of simulated laparoscopic surgical skill.Am J Surg. 2003; 186: 169-174
- The effects of sleep-deprivation on performance of surgical residents.Am J Surg. 1987; 154: 520-525
- Purdue pegboard quick reference guide. revised edition. Lafayette Instruments, Lafayette, IN1999
- Effect of reducing interns' work hours on serious medical errors in intensive care units.N Engl J Med. 2004; 351: 1838-1848
- Short-term sleep deficits do not adversely affect acquisition of laparoscopic skills in a laboratory setting.Surg Endosc. 2004; 18: 948-953
- Effects of a twenty-four hour call period on resident performance during simulated endoscopic sinus surgery in an accreditation council for graduate medical education-compliant training program.Laryngoscope. 2005; 115: 143-146
- Effect of sleep deprivation on surgeons' dexterity on laparoscopy simulator.Lancet. 1998; 352: 1191-1192
- Laparoscopic performance after one night on call in a surgical department: A prospective study.BMJ. 2001; 323: 1222-1223
- The effects of chronic limitation of sleep length.Psychophysiology. 1974; 11: 265-274
Published online: September 26, 2008
Accepted: June 25, 2008
Received in revised form: May 3, 2008
Received: February 24, 2008
Cite this article as: Ayalon RD; Friedman F Jr. The effect of sleep deprivation on fine motor coordination in obstetrics and gynecology residents. Am J Obstet Gynecol 2008;199:576.e1-576.e5.
© 2008 Mosby, Inc. Published by Elsevier Inc. All rights reserved.