title: Sleep history is neglected diagnostic information. Challenges for primary care physicians.
abstract: Sleep problems are treatable causes of morbidity and mortality, but little is known about how often the history fundamental to diagnosis is obtained. We recorded the frequency of sleep histories during encounters with simulated patients by 20 experienced primary care practitioners, 23 uninstructed medical interns, and 22 interns who had previous instruction about sleep disorders. Sleep histories were uncommonly obtained by uninstructed physicians (0% of practitioners, 13% of interns), but trained interns more often (81.8%) asked about sleep. If sleep problems are to be prioritized, major changes in physician education and behaviors are essential. Focused instruction about sleep influences physician behavior.
authors.affiliation: Section on Pulmonary/Critical Care, Bowman Gray School of Medicine, Winston-Salem, NC 27157, USA.
authors.forename: E F
authors.initials: EF
authors.lastname: Haponik
authors.forename: A W
authors.initials: AW
authors.lastname: Frye
authors.forename: B
authors.initials: B
authors.lastname: Richards
authors.forename: A
authors.initials: A
authors.lastname: Wymer
authors.forename: A
authors.initials: A
authors.lastname: Hinds
authors.forename: K
authors.initials: K
authors.lastname: Pearce
authors.forename: V
authors.initials: V
authors.lastname: McCall
authors.forename: J
authors.initials: J
authors.lastname: Konen
mesh_terms: D004502:Education, Medical, Continuing; D005194:Family Practice / Q000193:education; D006801:Humans; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency; D008487:Medical History Taking; D016544:Patient Simulation; D010821:Physicians, Family / Q000193:education; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000453:epidemiology