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COMMENTS AND OPINIONS
Improving Sleep Hygiene—Reply
Vineet M. Arora, MD, MA;
Emily Georgitis, BA;
James N. Woodruff, MD;
Holly J. Humphrey, MD;
David O. Meltzer, MD, PhD
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In reply
We appreciate the commentary and efforts of Owens and colleagues who have developed the SAFER program. We agree that a 1-hour education session itself is unlikely to result in changes in sleep hygiene, as we explicitly stated in our hypothesis.1 We also agree that education remains important to heighten awareness regarding the detrimental effects of sleep deprivation and counsel residents on available countermeasures to fatigue. In fact, we continue to provide education annually to our internal medicine residents using components of the SAFER program.
However, we believe that education, even on "an ongoing and repeated basis," will not be enough to truly achieve a desirable change in resident sleep hygiene. In particular, the well-documented and powerful informal "hidden" curriculum can often undermine formal education, especially when attitudes . . . [Full Text of this Article]
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RELATED ARTICLE
Improving Sleep Hygiene of Medical Interns: Can the Sleep, Alertness, and Fatigue Education in Residency Program Help?
Vineet M. Arora, Emily Georgitis, James N. Woodruff, Holly J. Humphrey, and David Meltzer
Arch Intern Med. 2007;167(16):1738-1744.
ABSTRACT
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RELATED LETTER
Improving Sleep Hygiene
Judith A. Owens, Alon Avidan, DeWitt Baldwin, and Christopher Landrigan
Arch Intern Med. 2008;168(11):1229-1230.
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