Impact of Volume and Type of Overnight Pages on Resident Sleep During Home Call.

BACKGROUND:Little research exists regarding factors that contribute to resident fatigue during home call. OBJECTIVE:We objectively tracked the number and type of pages received, as well as residents' sleep time, during home call. We then examined the relationship between paging volume, resident sleep, and resident fatigue. METHODS:A total of 4 of 4 urology residents (100%) at a single institution wore a FitBit Charge HR device from July 2015 to July 2016 to track sleep. Between January and July 2016, pages received by the on-call resident were counted as either floorclinicotherfatiguedRESULTS:Residents slept an average of 408 minutes per night while not on call, versus 368 minutes while on call but not fatigued, and 181 minutes while on call and fatigued ( PotherfloorCONCLUSIONS:Objective sleep data correlate with subjective assessment of resident fatigue and with volume and type of pages received. Senior residents spent less time awake per page and received fewer pages.