title: Night shifts in emergency medicine: the american board of emergency medicine longitudinal study of emergency physicians.
abstract: BACKGROUND
  Night shift work is an integral component of the practice of emergency medicine (EM). Previous studies have demonstrated the challenges of night shift work to health and well being among health care providers.
  
  
  OBJECTIVE
  This study was undertaken to describe the self-reported experience of emergency physicians regarding night shift work with respect to quality of life and career satisfaction.
  
  
  METHODS
  The 2008 American Board of Emergency Medicine (ABEM) Longitudinal Study of Emergency Physicians (LSEP) was administered by mail to 1003 ABEM diplomates.
  
  
  RESULTS
  Among 819 participants in the 2008 LSEP Physician Survey, most participants responded that night shift work negatively influenced job satisfaction with a moderate or major negative influence (58%; n = 467/800). Forty-three percent of participants indicated that night shifts had caused them to think about leaving EM (n = 344/809). Most participants responded that working night shifts has had mild negative effects (51%; n = 407/800) or major negative effects (9%; n = 68) on their health. Respondents were asked to describe how working night shifts has affected their health. Common themes included fatigue (36%), poor quality of sleep (35%), mood decrement/irritability (29%), and health maintenance challenges (19%). Among participants in the 2008 LSEP Retired Physician Survey, night shifts were a factor in the decision to retire for 56% of participants.
  
  
  CONCLUSIONS
  Emergency physicians report negative impacts of night shift work, including fatigue, poor quality of sleep, mood decrement, irritability, and health challenges. Night shifts have a negative influence on job satisfaction and can be a factor in the decision to retire.
authors.affiliation: Division of Emergency Medicine, Stanford University, Stanford, California.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Smith-Coggins
authors.affiliation: Department of Emergency Medicine, University of Colorado at Denver, Denver, Colorado.
authors.forename: Kerryann B
authors.initials: KB
authors.lastname: Broderick
authors.affiliation: Department of Emergency Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, Ohio.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Marco
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004635:Emergency Medicine; D005221:Fatigue / Q000209:etiology; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology; D010820:Physicians; D011788:Quality of Life; D020178:Sleep Disorders, Circadian Rhythm / Q000209:etiology; D011795:Surveys and Questionnaires; D014481:United States; D014940:Work Schedule Tolerance / Q000502:physiology / Q000523:psychology*; D016526:Workload / Q000523:psychology
keywords: fatigue; job satisfaction; night shift; physician wellness; sleep