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{
    "pk": 18462,
    "title": "What the Fika? Implementation of Swedish Coffee Breaks During Emergency Medicine Conference",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> In this study we aimed to investigate the effects of incorporating Swedish-style fika (coffee) breaks into the didactic schedule of emergency medicine residents on their sleepiness levels during didactic sessions. Fika is a Swedish tradition that involves a deliberate decision to take a break during the workday and usually involves pastries and coffee. We used the Karolinska Sleepiness Scale to assess changes in sleepiness levels before and after the implementation of fika breaks.</p>\n<p><strong>Methods:</strong> The study design involved a randomized crossover trial approach, with data collected from emergency medicine residents over a specific period. This approach was done to minimize confounding and to be statistically efficient.</p>\n<p><strong>Results:</strong> Results revealed the average sleepiness scale was 4.6 and 5.5 on fika and control days, respectively (P = 0.004).</p>\n<p><strong>Conclusion: </strong>Integration of fika breaks positively influenced sleepiness levels, thus potentially enhancing the educational experience during residency didactics.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "didactics"
        },
        {
            "word": "Residency"
        }
    ],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7f42038g",
    "frozenauthors": [
        {
            "first_name": "Jesse",
            "middle_name": "Zane",
            "last_name": "Kellar",
            "name_suffix": "",
            "institution": "Saint Agnes Medical Center, Department of Emergency Medicine, Fresno, California",
            "department": ""
        },
        {
            "first_name": "Hanna",
            "middle_name": "",
            "last_name": "Barrett",
            "name_suffix": "",
            "institution": "Saint Agnes Medical Center, Department of Emergency Medicine, Fresno, California",
            "department": ""
        },
        {
            "first_name": "Jaclyn",
            "middle_name": "",
            "last_name": "Floyd",
            "name_suffix": "",
            "institution": "Eisenhower Health, Emergency Medicine Residency, Rancho Mirage, California",
            "department": ""
        },
        {
            "first_name": "Michelle",
            "middle_name": "",
            "last_name": "Kim",
            "name_suffix": "",
            "institution": "Riverside Community Hospital, Department of Emergency Medicine, Riverside, California",
            "department": ""
        },
        {
            "first_name": "Matthias",
            "middle_name": "",
            "last_name": "Barden",
            "name_suffix": "",
            "institution": "Eisenhower Health, Emergency Medicine Residency, Rancho Mirage, California",
            "department": ""
        },
        {
            "first_name": "Jason",
            "middle_name": "",
            "last_name": "An",
            "name_suffix": "",
            "institution": "Riverside Community Hospital, Department of Emergency Medicine, Riverside, California",
            "department": ""
        },
        {
            "first_name": "Ashley",
            "middle_name": "",
            "last_name": "Garispe",
            "name_suffix": "",
            "institution": "Saint Agnes Medical Center, Department of Emergency Medicine, Fresno, California",
            "department": ""
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Hysell",
            "name_suffix": "",
            "institution": "Emergency Medicine Residency Corewell Health South, Graduate Medical Education Department, St. Joseph, Michigan",
            "department": ""
        }
    ],
    "date_submitted": "2023-09-13T01:17:18Z",
    "date_accepted": "2024-02-29T15:58:58.006000Z",
    "date_published": "2024-06-20T13:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/westjem/article/18462/galley/14513/download/"
    },
    "galleys": [
        {
            "label": "Layout",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18462/galley/10798/download/"
        },
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18462/galley/14513/download/"
        }
    ]
}