for people ages 18 years and up (full criteria)
Healthy Volunteers
healthy people welcome
at Stanford, California
study started
estimated completion



Reliably achieving peak performance requires balancing the strain of the prior day with sufficient recovery to be ready for the next day. Surgery has a long standing tradition long hours of hard work often at the expense of adequate sleep. Decreased sleep and recovery has physiologic consequences which can be measured using biometric data. The goal of this study is to quantify surgeon performance and biometric data to understand how modifiable behaviors including mindfulness training and diet can maximize recovery and performance. The goal of this study is to quantify the impact if modifiable daily behaviors including sleep, nutrition, in order to understand the factors that contribute to high level performance, burnout, and physician wellbeing in surgical trainees and attendings.

Official Title

Impact of Circadian Alignment, Autonomic Control, and Physiologic Feedback on Measures of Resilience


Informed consent will be obtained prior to participation in the research study. A member of the research team will provide the participant with the consent form and allow them adequate time to read and ask questions prior to giving consent. If consent is not obtained, the participant will not be allowed to participate in the research study. Participants will be asked to wear a biometric sensor for six months. The biometric sensor, namely, 'The Whoop strap' collects heart rate and heart rate variability data. Half of the participants will complete coaching to improve resilience with Arena Strive and half will be a control group instructed that sleep is important. If we are able to 600 participants then we will have a third group called the circadian alignment groups that will be told that sleep can be enhanced by 1) maintaining a regular sleep/wake schedule, 2) avoiding meals within two hours of bedtime, and 3) viewing bright light within 20min of waking and avoiding bright lights within 3 hours of bedtime. During the study period participants will also have the opportunity to participate in executive functioning tasks with EEG monitoring (via the Neurable wearable headset) on a voluntary basis. At the completion of the study period all participants will have access to Arena strive coaching. Other data gathered will be in the form of surveys and comments from subjects on wellness, burnout, modifiable activities including sleep, nutrition, glucose levels using continuous glucose monitoring, exercise and mindfulness, and surgical performance as well as video and audio recordings during a simulated surgical task.


Burnout, Professional Resilience coaching Coaching


You can join if…

Open to people ages 18 years and up

  • Study participants will include full time clinically active trainees, attendings and PAs/NPs in the surgery, anesthesia and medicine departments.

You CAN'T join if...

  • Exclusion criteria will be anyone who is not a trainee, attending or PA/NP in the departments of surgery, anesthesia or medicine or anyone who does not want to participate in the study.


  • Stanford Health Care
    Stanford California 94305 United States


not yet accepting patients
Start Date
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Stanford University
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