Journal of General Internal Medicine

, Volume 11, Issue 12, pp 759–761

Sleep history is neglected diagnostic information

Challenges for primary care physicians
  • Edward F. Haponik
  • Ann W. Frye
  • Boyd Richards
  • Antoinette Wymer
  • Ann Hinds
  • Kevin Pearce
  • Vaughn McCall
  • Joseph Konen
Brief Reports

DOI: 10.1007/BF02598994

Cite this article as:
Haponik, E.F., Frye, A.W., Richards, B. et al. J Gen Intern Med (1996) 11: 759. doi:10.1007/BF02598994

Abstract

Sleep problems are treatable causes of morbidity and mortality, but little is known about how often the history fundamental to diagnosis is obtained. We recorded the frequency of sleep histories during encounters with simulated patients by 20 experienced primary care practitioners, 23 uninstructed medical interns, and 22 interns who had previous instruction about sleep disorders. Sleep histories were uncommonly obtained by uninstructed physicians (0% of practitioners, 13% of interns), but trained interns more often (81.8%) asked about sleep. If sleep problems are to be prioritized, major changes in physician education and behaviors are essential. Focused instruction about sleep influences physician behavior.

Key words

sleep problems sleep histories physician education 

Copyright information

© Blackwell Science, Inc. 1996

Authors and Affiliations

  • Edward F. Haponik
    • 8
  • Ann W. Frye
    • 1
  • Boyd Richards
    • 1
  • Antoinette Wymer
    • 2
  • Ann Hinds
    • 3
  • Kevin Pearce
    • 4
  • Vaughn McCall
    • 5
  • Joseph Konen
    • 6
    • 7
  1. 1.Office of Educational Research and ServicesBowman Gray School of MedicineWinston-Salem
  2. 2.the Department of Internal MedicineBowman Gray School of MedicineWinston-Salem
  3. 3.Department of DermatologyBowman Gray School of MedicineWinston-Salem
  4. 4.Department of Family and Community MedicineBowman Gray School of MedicineWinston-Salem
  5. 5.Department of PsychiatryBowman Gray School of MedicineWinston-Salem
  6. 6.Department of Family MedicineBowman Gray School of MedicineWinston-Salem
  7. 7.Carolinas Medical CenterCharlotte
  8. 8.Section on Pulmonary/Critical Care, Department of MedicineBowman Gray School of MedicineWinston-Salem