Characterization of Medical Student Burnout Using Remote Physiologic Monitoring
Study Details
Study Description
Brief Summary
A reliable method for monitoring stress and burnout among medical students is critically needed. To address this gap, our team aims to utilize the cost-effective WHOOP strap 4.0 wearable device to continuously capture stress-relevant physiologic data (i.e., sleep hours, heart rate variability, respiration rate, resting heart rate) among up to 50 third-year medical students at 24 Sidney Kimmel Medical College at Thomas Jefferson University for 6 months.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Detailed Description
Aim 1: To determine whether physiologic metrics of sleep and heart rate variability correlate with subjective assessments of medical student wellness in a 6-month period.
Hypothesis: Less total sleep hours will correlate with higher scores for Perceived Stress Scale-4, Medical Student Well-Being Index, and Patient Health Questionnaire-9, but lower heart rate variability will correlate with higher scores on Perceived Stress Scale-4, Medical Student Well Being Index, and Patient Health Questionnaire-9.
Aim 2: To determine whether physiologic metrics of sleep and heart rate variability correlate with performance on shelf examinations for clinical rotations in a 6-month period.
Hypothesis: Less total sleep hours and lower heart rate variability will correlate with poorer performance on shelf examinations.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Treatment group Subjects will have full remote monitoring data access throughout the entirety of the study (6 months). |
Device: WHOOP strap 4.0 (full data access)
The WHOOP strap 4.0 provides continuous physiologic data via remote monitoring. Subjects will have full remote monitoring data access throughout the entirety of the study (6 months).
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| Active Comparator: Control group Subjects will be blinded to remote monitoring data for the first 3 months of the study followed by an unblinding and full access to remote monitoring data at the 3 month mark (continued for the remainder of the study). |
Device: WHOOP strap 4.0 (partial data access)
The WHOOP strap 4.0 provides continuous physiologic data via remote monitoring. Subjects will be blinded to remote monitoring data for the first 3 months of the study followed by an unblinding and full access to remote monitoring data at the 3 month mark (continued for the remainder of the study).
|
Outcome Measures
Primary Outcome Measures
- Total sleep hours per night [180 days]
Sleep (hours per night) will be objectively measured nightly.
- Medical Student Well-Being Index (MSWBI) [180 days]
The MSWBI consists of 7 items, scored 0-7, with lower scores indicative of better medical student wellbeing. This survey will be administered biweekly.
Secondary Outcome Measures
- REM sleep hours, nightly [180 days]
REM sleep hours will be measured nightly by the WHOOP strap 4.0.
- Deep sleep hours, nightly [180 days]
Deep sleep hours will be measured nightly by the WHOOP strap 4.0.
- Resting heart rate, nightly [180 days]
Resting heart rate will be measured nightly by the WHOOP strap 4.0.
- Heart rate variability, nightly [180 days]
Heart rate variability will be measured nightly by the WHOOP strap 4.0.
- Respiration rate, nightly [180 days]
Respiration rate will be measured nightly by the WHOOP strap 4.0.
- Pulse oximetry, nightly [180 days]
Pulse oximetry will be measured nightly by the WHOOP strap 4.0.
- Body temperature, nightly [180 days]
Body temperature will be measured nightly by the WHOOP strap 4.0.
- Average duty hours per week [180 days]
Duty hours will be self-reported every week
- Perceived Stress Scale-4 [180 days]
The PSS-4 consists of 4 items that assess perceived stress. The items are scored on a 4-point scale. This survey will be administered biweekly.
- Patient Health Questionnaire-9 (PHQ-9) [180 days]
The (Patient Health Questionnaire-9) PHQ-9 consists of 9 items that assess major depressive disorder. This survey will be administered biweekly. It is scored on a 0-27 scale with 27 representing most severe depression (worse outcomes).
- Scores on shelf examinations [180 days]
Subjects will self-report examination scores for shelf exams administered after each clinical rotation. Scores are reported on a 0-100 scale with 100 being the best score possible.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Third-year medical student at Thomas Jefferson University
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≥18 years of age
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Actively participating in family medicine, internal medicine, neurology, obstetrics/gynecology, pediatrics, psychiatry, surgery, or emergency medicine rotations
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Own a smart phone for Bluetooth pairing with WHOOP strap 4.0
Exclusion Criteria:
- Allergies, contraindications, or unwillingness to wear a wrist device for the study period
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sidney Kimmel Medical College at Thomas Jefferson University | Philadelphia | Pennsylvania | United States | 19107 |
Sponsors and Collaborators
- Thomas Jefferson University
Investigators
- Principal Investigator: Alexander Hajduczok, MD, Thomas Jefferson University Hospital, Department of Cardiology
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 21D.754