Characterization of Medical Student Burnout Using Remote Physiologic Monitoring

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Characterization of Medical Student Burnout Using Remote Physiologic Monitoring

Conditions
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Burnout, Wellness, Remote Monitoring

Intervention / Treatment
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* Device: WHOOP strap 4.0 (full data access)
* Device: WHOOP strap 4.0 (partial data access)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Third-year medical student at Thomas Jefferson University ≥18 years of age Actively participating in family medicine, internal medicine, neurology, obstetrics/gynecology, pediatrics, psychiatry, surgery, or emergency medicine rotations Own a smart phone for Bluetooth pairing with WHOOP strap 4.0 Exclusion Criteria: Allergies, contraindications, or unwillingness to wear a wrist device for the study period

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Subjects will be randomized to a treatment group (full remote monitoring data) versus a control arm (blinded data).
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment group<br>Subjects will have full remote monitoring data access throughout the entirety of the study (6 months). | Device: WHOOP strap 4.0 (full data access)<br>* 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).<br>|
| Active Comparator: Control group<br>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). | Device: WHOOP strap 4.0 (partial data access)<br>* 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).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total sleep hours per night | Sleep (hours per night) will be objectively measured nightly. | 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. | 180 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| REM sleep hours, nightly | REM sleep hours will be measured nightly by the WHOOP strap 4.0. | 180 days | 
| Deep sleep hours, nightly | Deep sleep hours will be measured nightly by the WHOOP strap 4.0. | 180 days | 
| Resting heart rate, nightly | Resting heart rate will be measured nightly by the WHOOP strap 4.0. | 180 days | 
| Heart rate variability, nightly | Heart rate variability will be measured nightly by the WHOOP strap 4.0. | 180 days | 
| Respiration rate, nightly | Respiration rate will be measured nightly by the WHOOP strap 4.0. | 180 days | 
| Pulse oximetry, nightly | Pulse oximetry will be measured nightly by the WHOOP strap 4.0. | 180 days | 
| Body temperature, nightly | Body temperature will be measured nightly by the WHOOP strap 4.0. | 180 days | 
| Average duty hours per week | Duty hours will be self-reported every week | 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. | 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). | 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. | 180 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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WHOOP strap 4.0