Urology Residents' Perspectives on the In-House On-Call Systems: A Study in an Accredited Academic Center
المؤلف | Khalil, Ibrahim A. and Ibrahim, Tarek and Aldeeb, Maya and Mohamed, Ahmed and Ben Salah, Rym and Aboumarzouk, Omar M. and Al-Naimi, Abdulla |
تاريخ الإتاحة | 2024-07-22T09:19:58Z |
تاريخ النشر | 2022 |
اسم المنشور | Qatar Medical Journal |
المصدر | Scopus |
المعرّف | http://dx.doi.org/10.5339/qmj.2022.49 |
الرقم المعياري الدولي للكتاب | 2538253 |
الملخص | Introduction: Medical education and training are crucial in maintaining patients' safety and improving patient care quality. Multiple studies have evaluated the effects of restrictive policies on the resident's quality of life and education. Due to the compiling data and the fact that these trials evaluated programs with a substantial number of residents, it remains uncertain whether these conclusions can be extended to urology programs with a small number of residents. Multiple on-call systems have been adopted in residency programs across the world. This study evaluated the residents' quality of life, clinical experience, and education upon transitioning from 24-hour to 12-hour in-house on-call systems. Methods and materials: In this observational and questionnaire-based study, the effect of the transition from 24-hour to 12-hour in-house on-call systems was compared in terms of the resident's quality of life and education, surgical case volume, and working hours' rules compliance. Quality of life and education: We adopted a validated survey based on a 5-point Likert scale to assess the residents' perception of the transition to a 12-hour on-call system on their quality of life and education. Surgical case volume: We extracted the number of cases the residents operated on from the operating theater database at our institution. Working hours: compliance and violations: The weekly working hours, compliance, and violations per ACGME-I rules were collected from the MedHub platform. Results: Quality of life and education: Residents rated the 12-hour on-call system superior in terms of quality of life, education, and surgical case volume. Surgical case volume: There was a 45% increment in the surgical case volume (p = 0.04) with the 12-hour on-call system. Working hours: compliance and violations There was no significant difference in the mean weekly working hours (p = 0.1). However, the total number of duty hours violations decreased in the 12-hour on-call system. Conclusion: The 12-hour system is a better alternative to the 24-hour system in terms of the resident's quality of life, education, surgical case volume, and compliance with duty hour rules. |
راعي المشروع | We thank Mrs. Annu Kattikaren, the Urology Resident Program coordinator at HMC, for her help in the retrieval of data used in this manuscript. |
اللغة | en |
الناشر | HBKU Press |
الموضوع | 12-hour on-call system on-call systems postgraduate training quality of life Surgical education urology Residency program |
النوع | Article |
رقم العدد | 4 |
رقم المجلد | 2022 |
الملفات في هذه التسجيلة
هذه التسجيلة تظهر في المجموعات التالية
-
أبحاث الطب [1382 items ]