surgeons on call

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stephew

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i found this an amusing study:
Am J Surg. 2004 Sep;188(3):225-9. Related Articles, Links


What do surgery residents do on their call nights?

Morton JM, Baker CC, Farrell TM, Yohe ME, Kimple RJ, Herman DC, Udekwu P, Galanko JA, Behrns KE, Meyer AA.

Department of Surgery, University of North Carolina, Chapel Hill, NC, USA. [email protected]

BACKGROUND: Surgical resident education is entering a critical era of achieving core competencies despite work hour restrictions. An assessment of on-call activity is needed to maximize educational merit. METHODS: A time-motion study of resident on-call activity was performed at a university medical center and an urban affiliate hospital. Residents were followed by "shadow" residents who concurrently recorded resident activity. RESULTS: Activities of daily living and patient evaluation comprised the majority of on-call activity. Residents slept a median of 200 minutes per night. Cross-coverage activities accounted for 41% of pages and 19% of patient evaluation. Direct patient contact comprised only 7% of call night duties. Communication activity occupied 15% of total minutes, and a mean of 16 pages were received nightly. Significant differences in activities existed between resident levels and hospitals. CONCLUSIONS: Call activity consists primarily of activities of daily living, patient evaluation, and communication. Sleep accounts for nearly one third of all on-call activity. These data may be useful in improving both patient care and resident call experience. Copyright 2004 Excerpta Medica, Inc.
 
stephew said:
i found this an amusing study:
Am J Surg. 2004 Sep;188(3):225-9. Related Articles, Links


What do surgery residents do on their call nights?

Morton JM, Baker CC, Farrell TM, Yohe ME, Kimple RJ, Herman DC, Udekwu P, Galanko JA, Behrns KE, Meyer AA.

Department of Surgery, University of North Carolina, Chapel Hill, NC, USA. [email protected]

BACKGROUND: Surgical resident education is entering a critical era of achieving core competencies despite work hour restrictions. An assessment of on-call activity is needed to maximize educational merit. METHODS: A time-motion study of resident on-call activity was performed at a university medical center and an urban affiliate hospital. Residents were followed by "shadow" residents who concurrently recorded resident activity. RESULTS: Activities of daily living and patient evaluation comprised the majority of on-call activity. Residents slept a median of 200 minutes per night. Cross-coverage activities accounted for 41% of pages and 19% of patient evaluation. Direct patient contact comprised only 7% of call night duties. Communication activity occupied 15% of total minutes, and a mean of 16 pages were received nightly. Significant differences in activities existed between resident levels and hospitals. CONCLUSIONS: Call activity consists primarily of activities of daily living, patient evaluation, and communication. Sleep accounts for nearly one third of all on-call activity. These data may be useful in improving both patient care and resident call experience. Copyright 2004 Excerpta Medica, Inc.

that is amusing... amazing what kind of stuff gets into journals...

though i have to say that i have had 200 minutes of sleep on maybe one night of call... most nights i don't get any.
 
I don't know how accurate that is, but let me just say: 16 pages per night average! I average about 16 pages between 4:30 pm and 6:30pm on an average call night. This doesn't seem to fit with the surgery residents I know either.
 
Did they say 200 minutes of sleep while on call PER NIGHT or PER YEAR?????
 
I didn't read the article, but perhaps it is the average among interns all the way to chiefs..???
I would love to think chiefs get more sleep and less pages 🙂

there is always hope 🙁
 
"Activities of daily living" huh .. eating and going to the bathroom I guess? Imagine someone standing outside the bathroom timing the residents throughout the night 🙂.
 
Cool article. 16 pages is a little light for junior call. More likely represents an average. AS a senior i get a lot fewer pages, but each page means a lot of work (ie. a junior paging me to tell me about a consult that i then have to review, the OR paging me saying they are ready for me, an outside hospital trying to send in a sick patient). 300 minutes for sleep - yes, okay, but if you scatter those 16 pages throughout that 300 minutes, that means on average 18.75 minutes of sleep at a time; and giving the time to fall back asleep each time = very little sleep.

It's interesting how much of the time on call is actually related to actual patient care. That has been my experience as well. Most of the pages i got as a junior were for crap that could have waited til morning. I'd love to repeat this study but break it down between jr. and senior, and record each page and what could have waited til the am and calculate the difference in hours sleeping, etc. very interesting indeed!
 
:idea: 16 pages, was that for FP residents or surgical residents....anthing less than 40 pages is a light night. What aboput drawing blood, transporting patients, arguing with nurses about Tylenol orgers for pt w/ fever(eventhough their temp is 37.9)....man i should train at the hospital that the study was done in......
 
I just got reminded of this post. I'm on call right now and just got 13 pages from 10:35 am to 10:57 am.
 
Whisker Barrel Cortex said:
I just got reminded of this post. I'm on call right now and just got 13 pages from 10:35 am to 10:57 am.

good news for you! just three more, and you can turn that sucker OFF! 😀

or else it means you are an above average resident?
 
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