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The stress of being a doctor: steroid excretion rates in internal medicine residents on and off duty

  • Heinrich Vierhapper
    Correspondence
    Correspondence should be addressed to Heinrich Vierhapper, MD, Clinical Division of Endocrinology and Metabolism, University-Clinic for Internal Medicine III, Währinger Gürtel 18-20, A-1090 Wien, Austria
    Affiliations
    Clinical Division of Endocrinology and Metabolism, Department of Internal Medicine III, University of Vienna, Vienna, Austria
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  • Peter Nowotny
    Affiliations
    Clinical Division of Endocrinology and Metabolism, Department of Internal Medicine III, University of Vienna, Vienna, Austria
    Search for articles by this author
      Emotional and physical stress is an intrinsic part of medical practice (
      • McCue J.D
      The effects of stress on physicians and their medical practice.
      ). This may be intensified by sleep deprivation, resulting in fatigue and impaired mental and physical performance (
      • Leighton K
      • Livingston M
      Fatigue in doctors.
      ,
      • Laczika K
      • Staudinger T
      • Locker G.J
      • et al.
      Tetris and physician’s performance state.
      ,
      • Friedman R.C
      • Bigger J.T
      • Kornfeld D.S
      The intern and sleep loss.
      ). However, little is known about the effects of prolonged working hours on hormonal and metabolic parameters in physicians (
      • Friedman R.C
      • Bigger J.T
      • Kornfeld D.S
      The intern and sleep loss.
      ). We therefore studied urinary excretion rates of several steroid metabolites in a group of internal medicine residents during a 24-hour working period.
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