Abstract
Shift work is known to result in desynchronosis and cognitive decline. The 24-hour coverage of the emergency medicine (EM) specialty requires shift work, but any decline in cognitive performance could potentially jeopardize patient care. We employed a battery of validated neuropsychiatric tests to measure changes in cognition, executive function, and impulsiveness in emergency medicine attending physicians before and after day and overnight shifts. This study tested the hypothesis that the work-induced decline in cognition would differ between day and overnight shifts.
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