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We appreciate the commentary and efforts of Owens and colleagues who have developed the SAFER program. We agree that a 1-hour education session itself is unlikely to result in changes in sleep hygiene, as we explicitly stated in our hypothesis.1 We also agree that education remains important to heighten awareness regarding the detrimental effects of sleep deprivation and counsel residents on available countermeasures to fatigue. In fact, we continue to provide education annually to our internal medicine residents using components of the SAFER program.
Arora VM, Georgitis E, Woodruff JN, Humphrey HJ, Meltzer DO. Improving Sleep Hygiene—Reply. Arch Intern Med. 2008;168(11):1230. doi:10.1001/archinte.168.11.1230-a