A reliable method for monitoring stress and burnout among medical students is critically needed. To address this gap, our team aims to utilize the cost-effective WHOOP strap 4.0 wearable device to continuously capture stress-relevant physiologic data (i.e., sleep hours, heart rate variability, respiration rate, resting heart rate) among up to 50 third-year medical students at 24 Sidney Kimmel Medical College at Thomas Jefferson University for 6 months.
Aim 1: To determine whether physiologic metrics of sleep and heart rate variability correlate with subjective assessments of medical student wellness in a 6-month period. Hypothesis: Less total sleep hours will correlate with higher scores for Perceived Stress Scale-4, Medical Student Well-Being Index, and Patient Health Questionnaire-9, but lower heart rate variability will correlate with higher scores on Perceived Stress Scale-4, Medical Student Well Being Index, and Patient Health Questionnaire-9. Aim 2: To determine whether physiologic metrics of sleep and heart rate variability correlate with performance on shelf examinations for clinical rotations in a 6-month period. Hypothesis: Less total sleep hours and lower heart rate variability will correlate with poorer performance on shelf examinations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
50
The WHOOP strap 4.0 provides continuous physiologic data via remote monitoring. Subjects will have full remote monitoring data access throughout the entirety of the study (6 months).
The WHOOP strap 4.0 provides continuous physiologic data via remote monitoring. Subjects will be blinded to remote monitoring data for the first 3 months of the study followed by an unblinding and full access to remote monitoring data at the 3 month mark (continued for the remainder of the study).
Sidney Kimmel Medical College at Thomas Jefferson University
Philadelphia, Pennsylvania, United States
Total sleep hours per night
Sleep (hours per night) will be objectively measured nightly.
Time frame: 180 days
Medical Student Well-Being Index (MSWBI)
The MSWBI consists of 7 items, scored 0-7, with lower scores indicative of better medical student wellbeing. This survey will be administered biweekly.
Time frame: 180 days
REM sleep hours, nightly
REM sleep hours will be measured nightly by the WHOOP strap 4.0.
Time frame: 180 days
Deep sleep hours, nightly
Deep sleep hours will be measured nightly by the WHOOP strap 4.0.
Time frame: 180 days
Resting heart rate, nightly
Resting heart rate will be measured nightly by the WHOOP strap 4.0.
Time frame: 180 days
Heart rate variability, nightly
Heart rate variability will be measured nightly by the WHOOP strap 4.0.
Time frame: 180 days
Respiration rate, nightly
Respiration rate will be measured nightly by the WHOOP strap 4.0.
Time frame: 180 days
Pulse oximetry, nightly
Pulse oximetry will be measured nightly by the WHOOP strap 4.0.
Time frame: 180 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Body temperature, nightly
Body temperature will be measured nightly by the WHOOP strap 4.0.
Time frame: 180 days
Average duty hours per week
Duty hours will be self-reported every week
Time frame: 180 days
Perceived Stress Scale-4
The PSS-4 consists of 4 items that assess perceived stress. The items are scored on a 4-point scale. This survey will be administered biweekly.
Time frame: 180 days
Patient Health Questionnaire-9 (PHQ-9)
The (Patient Health Questionnaire-9) PHQ-9 consists of 9 items that assess major depressive disorder. This survey will be administered biweekly. It is scored on a 0-27 scale with 27 representing most severe depression (worse outcomes).
Time frame: 180 days
Scores on shelf examinations
Subjects will self-report examination scores for shelf exams administered after each clinical rotation. Scores are reported on a 0-100 scale with 100 being the best score possible.
Time frame: 180 days