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Purpose: This study aimed to explore the perspectives of residency program directors in Japan regarding overtime duty hours and the balance between clinical training and self-improvement activities. This study explores the impact of work-hour regulations on resident well-being and training quality, contributing to global discourse on medical education reform.
Participants And Methods: A cross-sectional survey was distributed to 701 residency training hospitals across Japan to investigate their readiness for new duty-hour limits under the Medical Care Act, which categorizes working hours into Level A (960 hours/year), Level B (1440 hours/year), and Level C-1 (1920 hours/year).
Ethical issues in residency education related to the COVID-19 pandemic: a narrative inquiry study.
J Med Ethics
June 2024
Pediatrics, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
Background: The COVID-19 pandemic introduced new challenges to provide care and educate junior doctors (resident physicians). We sought to understand the positive and negative experiences of first-year resident physicians and describe potential ethical issues from their stories.
Method: We used narrative inquiry (NI) methodology and applied a semistructured interview guide with questions pertaining to ethical principles and both positive and negative aspects of the pandemic.
Hospital Unit Type and Professional Roles as a Predictor of Relational Coordination in an Army Medical Center.
Qual Manag Health Care
December 2024
Author Affiliations: University of North Carolina at Greensboro School of Nursing (Dr House); The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts (Dr Naim Ali); and Center for Nursing Science and Clinical Inquiry (CNSCI), Landstuhl Regional Medical Center, Landstuhl, AE, Germany (Dr Stucky).
Background And Objectives: High-quality communication and relationships are associated with quality of care. Workflow differences across hospital units can impede communication and relationships among health care professionals. Relational coordination (RC) is a process of communication supported by shared goals, shared knowledge, and mutual respect and is associated with quality of care and better performance outcomes in civilian hospitals.
View Article and Find Full Text PDFPredicting neurobehavioral performance of resident physicians in a Randomized Order Safety Trial Evaluating Resident-Physician Schedules (ROSTERS).
Sleep Health
February 2024
Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Division of Sleep Medicine, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Article Synopsis
- The study investigates how different work schedules affect the performance of resident physicians, particularly focusing on the impact of extended duty hours and sleep deprivation.
- Using a mathematical model, researchers compared performance metrics, specifically attentional failures, between those on standard prolonged shifts and those on a rapidly cycling schedule designed to limit continuous work hours.
- Results indicated that physicians on extended shifts experienced significantly more performance impairment, particularly at night, and that overall performance declined over time on both schedules, with a greater decline observed in those with extended hours.
Resident physician duty hours, resting times and European Working Time Directive compliance in Spain: a cross-sectional study.
Hum Resour Health
August 2023
Plan de Atención Integral al Profesional Sanitario Enfermo, Servicio Madrileño de Salud, Madrid, Spain.
Background: There is a growing interest in understanding the impact of duty hours and resting times on training outcomes and the well-being of resident physicians. However, to this date no state-wide analysis exists in any European country.
Objectives: Our aim is to describe the shift work scheduling and to detail the degree of compliance with the Spanish legislation and the European Working Time Directive (EWTD) of Spanish resident physicians, focusing on territorial and specialty distribution.
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