Objectives: 

1. Describe the homeostatic and circadian processes that regulate sleep and explain why night shift work creates circadian misalignment.

2. Recognize the cognitive and performance effects of acute and chronic sleep deprivation, including impaired vigilance, microsleeps, and sleep-related errors.

3. Identify the links between sleep loss, burnout, and mental health in physicians, and the barriers to seeking help.

4. Apply evidence-based strategies for fatigue mitigation, including strategic napping, timed caffeine and bright light, and protected recovery sleep.

5. Implement behavioral approaches for insomnia and sleep hygiene (CBT-I principles, stimulus control, sleep technology hygiene) and know when to refer to sleep medicine.