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Assessing Physicians' Recall Bias of Work Hours With a Mobile App: Interview and App-Recorded Data Comparison.
J Med Internet Res
December 2021
Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan.
Background: Previous studies have shown inconsistencies in the accuracy of self-reported work hours. However, accurate documentation of work hours is fundamental for the formation of labor policies. Strict work-hour policies decrease medical errors, improve patient safety, and promote physicians' well-being.
View Article and Find Full Text PDFSmart-phone Based Geofencing: A Novel Approach to Monitoring Clinical Work Hours in Surgery Residency.
J Surg Educ
March 2022
Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address:
Objective: The Accreditation Council for Graduate Medical Education specifies strict requirements for clinical work hours during residency training, with serious consequences for violations. Self-reporting of work hours by trainees can be inaccurate due to recall bias, giving program directors limited data to influence change. We aimed to assess the impact of a smart-phone based geofencing application on submission rates for work hours and reported violations in a general surgery residency program at a university-based medical center.
View Article and Find Full Text PDFA Review on Strategies to Manage Physician Burnout.
Cureus
June 2019
Psychiatry, Brookdale Hospital, Brooklyn, USA.
Physician burnout is an emerging condition that can adversely affect the performance of modern-day medicine. Its three domains are emotional exhaustion, depersonalization, and a sense of reduced accomplishment among physicians, with the Maslach Burnout Inventory (MBI) being the gold standard questionnaire used to scale physician burnout. This concern not only impacts physicians but the entire healthcare system in general.
View Article and Find Full Text PDFStrict workhour regulations: For whom?
J Obstet Gynaecol Res
July 2019
Department of Surgery, Jichi Medical University, Tochigi, Japan.
The Interventional Arm of the Flexibility In Duty-Hour Requirements for Surgical Trainees Trial: First-Year Data Show Superior Quality In-Training Initiative Outcomes.
J Surg Educ
November 2017
Department of Surgery, Mercer University School of Medicine, Memorial University Medical Center, Savannah, Georgia.
Purpose: With the implementation of strict 80-hour work week in general surgery training, serious questions have been raised concerning the quality of surgical education and the ability of newly trained general surgeons to independently operate. Programs that were randomized to the interventional arm of the Flexibility In duty-hour Requirements for Surgical Trainees (FIRST) Trial were able to decrease transitions and allow for better continuity by virtue of less constraints on duty-hour rules. Using National Surgical Quality Improvement Program Quality In-Training Initiative data along with duty-hour violations compared with old rules, it was hypothesized that quality of care would be improved and outcomes would be equivalent or better than the traditional duty-hour rules.
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