To the Editor We read with interest the article by Tseng et al,1 and we congratulate the authors on the originality of their study. However, besides the biases and limitations already reported by the authors, we noticed some further ambiguities that could potentially mislead readers.
First, trainees reported a normal level of daytime sleepiness (Epworth sleepiness scale ≤10)2 during the majority (90.6%) of the surgical procedures, which partially contradicts the article’s title.
Ori M, D’Ascanio L, Ricci G. Daytime Sleepiness and Surgical Skill. JAMA Facial Plast Surg. Published online April 04, 201921(4):343–344. doi:10.1001/jamafacial.2018.2040
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