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Consistent direction despite wavering policy: reductions in resident physician extended duration shifts over 20 years.
Am J Med
January 2025
Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, MA; Division of Sleep Medicine, Harvard Medical School, Boston, MA; Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.
We examined data from 17,498 physicians-in-training who reported on 92,662 months of work over a 20 year study interval that included three major revisions to work hour limits. Extended duration shifts (≥24 hours; EDS) are much less common than they used to be. On average, first-year resident physicians (PGY1s) currently work a total of 4 EDS per year and 3 EDS per month during months in which any EDS are worked.
View Article and Find Full Text PDFAbsenteeism of Healthcare Workers in Primary Healthcare in Sub-Saharan Africa: A Scoping Review.
Int J Health Plann Manage
January 2025
Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Introduction: Sub-Saharan Africa is facing a severe crisis in human resources for health. Primary healthcare is the most affected. This problem is aggravated by absenteeism, implying that healthcare workers are absent on duty during scheduled working hours.
View Article and Find Full Text PDFSocioeconomic inequalities in depression and the role of job conditions in China.
Front Public Health
December 2024
Asian Demographic Research Institute, School of Sociology and Political Sciences, Shanghai University, Shanghai, China.
Background: The rising prevalence of depression in China, coupled with a tightening job market, highlights concern for the workforce's mental health. Although socioeconomic inequalities in depression have been well documented in high-income countries, the association between socioeconomic status (SES) and depression, along with its work-related mediators, has not been sufficiently studied in China.
Methods: The study participants are 6,536 non-agriculturally employed working adults from the 2020 China Family Panel Studies (CFPS).
Investigating Emotional Intelligence: A Cross-Sectional Study of Pune's Postgraduate Medical Scholars.
Cureus
November 2024
Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to Be University), Pune, IND.
Introduction Emotional intelligence (EI), which encompasses the ability to perceive, understand, and manage emotions, is crucial for effective human interaction. In healthcare, especially in medicine, compassion and empathy are prioritized qualities associated with enhanced patient outcomes, increased patient compliance, and overall improved healthcare experiences. This study focused on postgraduate medical students to assess their EI levels and identify influencing factors.
View Article and Find Full Text PDFLeveraging Lean Methodology to Improve Compliance With Work-Hour Restrictions.
JAMA Surg
December 2024
Department of Surgery, University of California, San Diego Health, La Jolla.
Importance: Since work-hour restrictions were instituted in 2003, sustainably complying with duty-hour regulations remains a challenge for general surgery residency programs across the nation.
Objective: To determine whether industry-based process improvement techniques could be leveraged to increase compliance with work-hour restrictions within a general surgery residency.
Design, Setting, And Participants: This quality improvement project using Lean methodology was conducted from October to November of the 2021 to 2022 academic year.
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