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Editor's Correspondence
June 9, 2008

Improving Sleep Hygiene

Arch Intern Med. 2008;168(11):1229-1230. doi:10.1001/archinte.168.11.1229-b

As members of the American Academy of Sleep Medicine task force that recently revised the Sleep, Alertness, and Fatigue Education in Residency (SAFER) program, we are writing to express our concerns regarding the article “Improving Sleep Hygiene of Medical Interns.”1 The study examined the impact of a single exposure to the SAFER Power Point educational program on precall and postcall sleep duration and maintenance napping in medical interns. The authors conclude that there was no beneficial effect of the SAFER program on sleep and imply that there may have even been a detrimental effect on recovery sleep. While we applaud and encourage efforts to objectively quantify outcomes of educational programs such as SAFER, we are concerned that the “take-home message” appears to be that efforts targeted at educating medical trainees about the effects of sleep restriction and the use of appropriate alertness management strategies are largely doomed to failure.

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