PURPOSE: Sleep disorders are present in up to 66% of patients seen in primary care clinics. We previously demonstrated that an educational intervention improved awareness of sleep disorders (SD) as measured by a pre- and post-intervention test in an internal medicine residency workshop. It is unknown whether this translates into an increase in detection of SD in patient care. We evaluated the change in the percentage of patients diagnosed with a SD in a residents’ clinic to determine if an educational intervention can improve upon the SD detection rate.
METHODS: Eleven second year internal medicine residents participated in a 2.5 hour educational workshop on SD. The medical records of patients seen by the residents’ were obtained for three 3-month periods: prior to, immediately after, and again one year following the workshop. Current procedural terminology (CPT) codes submitted were used as an indicator of SD detected. The study was powered to detect at least a doubling of the detection rate.
RESULTS: Each resident saw an average of 33 patients in the 3 months prior to the workshop and identified a SD in 6.7% of patients. Following the workshop, each resident saw an average of 43 patients, with a SD detection rate of 7.7%. This represents a 1% increase in detection (95% CI -4.4 to +6.5). One year later, 37 patients were evaluated per resident with 9.2% diagnosed with a SD. The change from the pre-intervention rate was 2.4% (CI -4.6 to +9.5).
CONCLUSION: We failed to show significant increase in detection of SD by residents following an educational workshop on SD despite improvement in awareness in this area by subjective report and in knowledge by testing. A larger study is necessary to determine if an education workshop increases the detection rate of SD to a lesser extent.
CLINICAL IMPLICATIONS: Brief exposure to sleep education during residency may be insufficient to impact practice habits; more in depth training may be required for a significant effect.
DISCLOSURE: Marwan Mouammar, No Financial Disclosure Information; No Product/Research Disclosure Information