{"id":"https://openalex.org/W2025752670","doi":null,"title":"A method to limit working hours and reduce sleep deprivation in an obstetrics and gynecology residency program.","display_name":"A method to limit working hours and reduce sleep deprivation in an obstetrics and gynecology residency program.","publication_year":1989,"publication_date":"1989-10-01","ids":{"openalex":"https://openalex.org/W2025752670","mag":"2025752670","pmid":"https://pubmed.ncbi.nlm.nih.gov/2797646"},"language":"en","primary_location":{"id":"pmid:2797646","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2797646","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Obstetrics and gynecology","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057972945","display_name":"J. Christopher Carey","orcid":"https://orcid.org/0000-0002-1625-3948","observed_orcids":["https://orcid.org/0000-0002-1625-3948"]},"institutions":[{"id":"https://openalex.org/I8692664","display_name":"University of Oklahoma","ror":"https://ror.org/02aqsxs83","country_code":"US","type":"education","lineage":["https://openalex.org/I8692664"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J C Carey","raw_affiliation_strings":["Department of Obstetrics and Gynecology, University of Oklahoma College of Medicine, Oklahoma City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, University of Oklahoma College of Medicine, Oklahoma City","institution_ids":["https://openalex.org/I8692664"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084312510","display_name":"Fishburne Ji","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J I Fishburne","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.8233,"has_fulltext":false,"cited_by_count":26,"citation_normalized_percentile":{"value":0.85641026,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"74","issue":"4","first_page":"668","last_page":"72"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.9848999977111816,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.9848999977111816,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11373","display_name":"Sleep and Work-Related Fatigue","score":0.011099999770522118,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/resident-duty-hours","display_name":"resident work hours","score":0.7229999899864197},{"id":"https://openalex.org/keywords/sleep-deprivation","display_name":"sleep deprivation","score":0.9480000138282776},{"id":"https://openalex.org/keywords/obstetrics-and-gynecology-residency","display_name":"obstetrics and gynecology residency","score":0.8920000195503235},{"id":"https://openalex.org/keywords/resident-fatigue","display_name":"resident fatigue","score":0.4020000100135803},{"id":"https://openalex.org/keywords/in-training-examination","display_name":"in-training examination","score":0.7739999890327454},{"id":"https://openalex.org/keywords/postgraduate-medical-education","display_name":"graduate medical education","score":0.6050000190734863}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9022005796432495},{"id":"https://openalex.org/C2993872870","wikidata":"https://www.wikidata.org/wiki/Q260732","display_name":"Work hours","level":3,"score":0.7760267853736877},{"id":"https://openalex.org/C2778329153","wikidata":"https://www.wikidata.org/wiki/Q1364801","display_name":"Sleep deprivation","level":3,"score":0.7075527310371399},{"id":"https://openalex.org/C3019285220","wikidata":"https://www.wikidata.org/wiki/Q256698","display_name":"Residency training","level":3,"score":0.6321439743041992},{"id":"https://openalex.org/C10885799","wikidata":"https://www.wikidata.org/wiki/Q80015","display_name":"Obstetrics and gynaecology","level":3,"score":0.6254544258117676},{"id":"https://openalex.org/C3018898988","wikidata":"https://www.wikidata.org/wiki/Q260732","display_name":"Working hours","level":2,"score":0.602304220199585},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.45919573307037354},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.34788450598716736},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34667158126831055},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.26594579219818115},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.1977715790271759},{"id":"https://openalex.org/C121446783","wikidata":"https://www.wikidata.org/wiki/Q208353","display_name":"Circadian rhythm","level":2,"score":0.16122853755950928},{"id":"https://openalex.org/C2988064887","wikidata":"https://www.wikidata.org/wiki/Q828748","display_name":"Continuing education","level":2,"score":0.08032223582267761},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C145236788","wikidata":"https://www.wikidata.org/wiki/Q28161","display_name":"Labour economics","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006176","descriptor_name":"Gynecology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D009774","descriptor_name":"Obstetrics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009825","descriptor_name":"Oklahoma","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014937","descriptor_name":"Work","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014940","descriptor_name":"Work Schedule Tolerance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:2797646","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2797646","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Obstetrics and gynecology","raw_type":"Journal Article"},{"id":"mag:2025752670","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2797646","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2084531644","https://openalex.org/W7098868459","https://openalex.org/W2041475155","https://openalex.org/W2332513683","https://openalex.org/W2243420886","https://openalex.org/W2105954873","https://openalex.org/W2397415404","https://openalex.org/W4210415171","https://openalex.org/W2088754163","https://openalex.org/W2030108703"],"abstract_inverted_index":{"We":[0,73],"adopted":[1],"a":[2,6,33,43,54],"system":[3,22,101],"in":[4,42,53,70],"which":[5],"team":[7],"of":[8],"residents":[9,16,58,80,85],"works":[10],"at":[11,66],"night":[12],"and":[13,46,65,84,118],"all":[14],"other":[15],"work":[17,28,37,103],"during":[18],"the":[19,87,97],"day.":[20],"This":[21],"allows":[23],"us":[24],"to":[25,30,77,90,127],"limit":[26],"resident":[27,114,119],"time":[29],"75":[31],"hours":[32,41,52],"week.":[34],"Residents":[35],"never":[36],"more":[38,49],"than":[39,50],"24":[40],"36-hour":[44],"period,":[45],"usually":[47],"no":[48],"13":[51],"24-hour":[55],"period.":[56],"All":[57],"have":[59,76,86],"1":[60],"day":[61],"off":[62],"each":[63],"week":[64],"least":[67],"one":[68],"weekend":[69],"three":[71],"off.":[72],"did":[74,95],"not":[75],"obtain":[78],"additional":[79],"or":[81],"ancillary":[82],"personnel,":[83],"same":[88],"exposure":[89],"operative":[91],"cases":[92],"as":[93,105,107,121],"they":[94],"under":[96],"old":[98],"system.":[99],"The":[100],"can":[102],"with":[104],"few":[106],"12":[108],"residents.":[109],"Sleep":[110],"deprivation":[111],"is":[112,116],"reduced,":[113],"morale":[115],"improved,":[117],"learning,":[120],"reflected":[122],"by":[123],"in-training":[124],"examinations,":[125],"appears":[126],"be":[128],"enhanced.":[129]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}