- 作者：Elaine B. Josephson ; MD ; FACEP&lowast ; ; ; Nicholas D. Caputo ; MD ; MSc&lowast ; ; Solimar Pedraza ; MD&lowast ; ; Toussaint Reynolds ; MD&lowast ; ; Rahim Sharifi ; MD&lowast ; ; Muhammad Waseem ; MD&lowast ; ; Robert J. Kornberg ; MD ; FACC&dagger ;
- 关键词：wellness ; resident training ; pedometer ; steps
- 刊名：Journal of Emergency Medicine
- 出版年：2013
- 出版时间：January, 2013
- 年：2013
- 卷：44
- 期：1
- 页码：204-208
- 全文大小：91 K
Background
The debate on the quality of health care provided in the United States has continued to be waged as concerns have grown over the years. Stress, sleep deprivation, poor diet, and lack of exercise may lead to inadequate work performance by physicians.Objective
This study was undertaken to determine whether Emergency Medicine (EM) residents satisfy daily recommendations for total number of steps taken per day set forth by the Centers for Disease Control and Prevention and Surgeon General in a 12-h shift.
Methods
An observational prospective cohort study was conducted between August 2009 and November 2009 at an urban Level I trauma center with an annual census of over 165,000 Emergency Department (ED) visits per year. The mean number of steps taken by EM residents during 12-h shifts was measured.
Results
Mean steps taken during a shift were 7333 (95 % confidence interval 6901-7764). Only nine (9.9 % ) pedometer readings reached the target level of 10,000 (10 K) steps or above. A t-test was used to compare steps with the hypothesized 10 K steps target. Recordings of 10 K steps or greater were not correlated with ED sections (p = 0.60) shift (medical vs. surgical, p = 0.65) or ED census (r2 < 0.0017).
Conclusion
A majority of residents (90 % ) did not meet the target number of steps for shifts. More rigorous charting needs, overcrowding, or even spatial limitations may explain this. This warrants further investigation to determine if some daily physical activity regimens may help improve the overall well-being of EM residents.