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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING &
PATIENT CARE PHILIPPINE COLLEGE OF SURGEONS (PCS)
and PHILIPPINE ASSOCIATION OF TRAINING OFFICERS IN SURGERY
(PATOS)
PHILIPPINE COLLEGE OF SURGEONS62ND ANNUAL CLINICAL CONGRESS
Kamia Rm. EDSA Shangrila HotelMandaluyong City
December 3 (Sunday), 2006
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•“SLEEP IS A STRANGER TO MANY MANAGERS. RESEARCH BY LEADING SCIENTISTS SHOWS JUST HOW DANGEROUS THAT PROBLEM IS”
• PROF. CHARLES A. SZEISLER, BALDINO PROFESSOR OF SLEEP MEDICINE
• SLEEP DEFICIT: THE PERFORMANCE KILLER
• HARVARD MEDICAL SCHOOL
• OCTOBER 2006
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•“STAY AWAKE LONGER THAN 18 CONSECUTIVE HOURS, AND YOUR REACTION SPEED, SHORT-TERM & LONG-TERM MEMORY, ABILITY TO FOCUS, DECISION-MAKING CAPACITY, MATH PROCESSING, COGNITIVE SPEED, AND SPATIAL ORIENTATION ALL START TO SUFFER”
• DITTO
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•“....FRENZIED CULTURES STILL CONFUSE SLEEPLESSNESS WITH VITALITY AND HIGH PERFORMANCE...”
• DITTO
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•“....THIS IS REASON PERHAPS THAT AMONG AMBITIOUS MANAGERS, DOCTORS, TRADERS, LAWYERS, AND LEADERS, AFTER OIL, THE SECOND MOST-WIDELY SOLD COMMODITY IS... COFFEE”.....
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•“.... SLEEPLESS MACHISMO.... IS THE ANTITHESIS OF INTELLIGENT MANAGEMENT...”
• DITTO
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
• INSTITUTIONAL PREVENTION OF ENDANGERMENT:
•NO TO:• SMOKING
• DRINKING
• DRUGS
• SEXUAL HARASSMENT
• JUST BE “ON” PRETTY MUCH AROUND THE CLOCK - SELF-DESTRUCTION
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•“IF THEY AVERAGE 4 HOURS OF SLEEP A NIGHT FOR 4-5 DAYS, THEY DEVELOP THE SAME LEVEL OF COGNITIVE IMPAIRMENT AS IF THEY’D BEEN AWAKE FOR 24 HOURS - EQUIVALENT TO LEGAL DRUNKENNESS”
• CZEISLER, C
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•SLEEPLESSNESS OR LACK OF IT:
•HEALTH HAZARD
•OCCUPATIONAL HAZARD
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•BURNOUT SYNDROME (BOS)
•STRESS DISORDERS
• EMOTIONAL EXHAUSTION
• DEPERSONALIZATION
• LACK OF PERSONAL ACCOMPLISHMENT
• FEELING OF ILL-HEALTH
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•RELATIVE INCIDENCES OF BOS
• SAUDI ARABIA (AUG ‘05) - 44-60% ORTHO/TRAUMA SURGEONS, KING FADH UNIVERSITY HOSPITAL
• SPAIN (APR ‘02) - 40-82% - PEDIA SURGEONS, HOSPITAL UNIVERSITARIO, GRANDA
• USA (OCT ‘01) - 4-32% - AMERICAN SURGEONS, ANN ARBOR, MICHIGAN
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON
TRAINING & PATIENT CARE
•“....PEOPLE WHO FAIL TO RELAX..... ARE THE PEOPLE WHO DIE EARLY....”
• LES WAAS, FOUNDER, PROCRASTINATORS’ CLUB OF AMERICA
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
• AIM:
• TO DETERMINE THE PROBABLE IMPACT OF REDUCED RESIDENTS WORK HOURS ON SURGICAL TRAINING AND PATIENT CARE IN ACCREDITED PROGRAMS AS PERCEIVED BY THEIR CHAIRPERSONS, TRAINING OFFICERS AND CHIEF RESIDENTS.
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL
TRAINING & PATIENT CARE
• OBJECTIVES
• DEFINE SURGICAL TRAINING & PATIENT CARE
• SHOW PROFILE OF RESPONDERS
• SHOW WORK HOUR PROFILE OF ACCREDITED TRAINING PROGRAMS
• SHOW PERCEIVED IMPACT ON SURGICAL TRAINING
• DEMONSTRATE PERCEIVED IMPACT ON PATIENT CARE
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE• METHODOLOGY
• NON-VALIDATED SURVEY INSTRUMENT• CHAIRMAN
• TRAINING OFFICER
• CHIEF RESIDENT
• ACCREDITED TRAINING PROGRAMS IN GENERAL SURGERY
• SEPTEMBER - NOVEMBER, 2006
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE• METHODOLOGY
• NON-VALIDATED SURVEY INSTRUMENT
• CHECK-LIST FORMAT
• 4 PARTS: 18 QUESTIONS: PROFILE, CURRENT WORK HOUR, PERCEIVED IMPACT ON SURGICAL TRAINING & PERCEIVED IMPACT ON PATIENT CARE
• TARGET RESPONDENTS: CHAIRMAN, TRAINING OFFICER, CHIEF RESIDENT
• PERCEPTIONS OF RESPONDERS ARE NOT STRATIFIED
• NO FREE-FORM COMMENTS
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE• OUTCOME MEASURES
• AVERAGE IN-HOSPITAL WORK HOURS PER WEEK
• FREQUENCY OF 24-HOUR DUTY
• T.O.-TRAINEE CONTACT TIME (MENTORSHIP)
• NUMBER & VARIETY OF CASES
• PATIENT CARE TIME (ROUNDS, OPERATING, ASSISTING)
• CONFERENCES & TEACHING ROUNDS
• RESIDENTS’ QUALITY OF LIFE
• STRESS, FAMILY & FEELING OF SATISFACTION
• ERRORS OF JUDGMENT & TECHNICAL MISTAKES
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE• LIMITATIONS
• NON-VALIDATED SURVEY INSTRUMENT
• DELIMITED TO GS PROGRAMS ONLY
• EXCLUDED JUNIOR & MEDIUM LEVEL TRAINEES
• OUTCOME ARE PERCEPTIONS (NOT OBJECTIVE PARAMETERS)
• NO CORRELATION TO OUTCOME ANALYSES
• NO CORRELATION TO PBS-RITE OUTCOME
• STRUCTURED RESPONSES (NOT AT-LIBERTY)
• ONE-TIME SURVEY (NOT AN ACTUAL LOG)
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•DEFINITION
• REDUCED RESIDENTS’ WORK HOURS - FROM CURRENT TO 80-HOUR WORK WEEK INCLUDING DUTY HOURS
• PERCEIVED IMPACT - ANTICIPATED OR FORECASTED POSITIVE AND/OR NEGATIVE EFFECTS
• SURGICAL TRAINING - CURRICULUM, TRAINEE, TRAINER, NUMBER & VARIETY OF CASES
• PATIENT CARE - QUALITY & CONTINUITY
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PCS ACCREDITED TRAINING PROGRAMS
• PSGS - 64
• PAO - 42
• AFN - 7
• PSPS - 3
• PSO-HNS - 25
• PSCRS - 2
• PUA - 11
• POA - 18
• PATACSI - 8
• PPRAS - 10
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•RESPONDERS
•123 RESPONDERS
•49 / 64 ACCREDITED GS PROGRAMS
•76.5%
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REDUCED RESIDENTS’ WORK HOUR: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•PROFILE OF RESPONDERS
•60 GOVT. INSTITUTIONS
•51 PRIVATE INSTITUTIONS
•25 UNIVERSITY-BASED HOSPITALS
•39 NON-UNIVERSITY-BASED HOSPITALS
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•PROFILE OF RESPONDERS
• SIZE OF INSTITUTION
• < 100 BEDS 9 7.9%
• 101-300 54 47.8
• 301-400 17 15.0
• 401-600 21 18.6
• >600 12 10.6
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•PROFILE OF RESPONDERS
•POSITION
• CHAIRMAN 40 32.5%
• TRAINING OFFICER 46 37.4
• CHIEF RESIDENT 36 29.2
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•PROFILE OF RESPONDERS
•GENDER
•MALE 113 91.8%
•FEMALE 7 5.7
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•PROFILE OF RESPONDERS
• YEARS IN POSITION
• < 3 YRS 70 56.9%
• 3-5 32 26.0
• > 5 21 17.0
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•PROFILE OF RESPONDERS
•LENGTH OF GS TRAINING PROGRAM
•4 YRS 36 29.3%
•5 84 68.3
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•IN-HOSPITAL WORK HOURS PROFILE
• FREQUENCY OF 24-HOUR DUTY
Q OTHER Q 2 DAYS Q 3 DAYS ON CALL
JUNIOR 26 24 67 5
MIDDLE 19 22 70 5
SENIOR 19 27 60 3
CHIEF 24 17 52 22
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE
•PROFILE OF IN-HOSPITAL WORK HOURS
•ESTIMATED IN-HOSPITAL STAY PER WEEK:
HOURS 40 60 80 120 >120
JUNIOR 1 8 36 71 5
MIDDLE 1 8 36 72 3
SENIOR 1 5 39 67 6
CHIEF 1 4 30 51 29
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PROFILE OF IN-HOSPITAL WORK HOURS
•ESTIMATE DEDICATED HRS/WEEK FOR PATIENT CARE
HOURS 30 40 50 60 >60
JUNIOR 6 27 18 63 3
MIDDLE 6 25 21 61 3
SENIOR 6 26 19 58 3
CHIEF 6 14 26 66 3
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PROFILE OF IN-HOSPITAL WORK HOURS
•ESTIMATE HRS/WK FOR NON PATIENT CARE TASKS (RESEARCH & CONFERENCES)
HOURS 10 15 20 25 30
JUNIOR 32 42 27 2 15
MIDDLE 32 39 29 3 14
SENIOR 30 40 27 5 12
CHIEF 28 34 35 11 12
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PROFILE OF IN-HOSPITAL WORK HOURS
•ESTIMATE HRS/WK MENTORING TIME
HOURS 20 30 40 50 60
JUNIOR 71 22 18 3 6
MIDDLE 70 23 16 3 6
SENIOR 53 37 12 5 6
CHIEF 44 36 23 9 7
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPANT ON SURGICAL TRAINING & PATIENT
CARE•PERCEIVED IDEAL IN-HOSPITAL
WORK HOURS PER WEEK
HOURS 40 60 80 120 >120
JUNIOR 7 16 72 18 0
MIDDLE 7 16 72 18 0
SENIOR 7 16 67 17 1
CHIEF 4 11 63 25 6
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PERCEIVED IDEAL FREQUENCY OF
24-HOUR DUTY
FREQ/WK ONCE TWICE THRICE ON CALL
JUNIOR 0 56 59 8
MIDDLE 0 56 59 8
SENIOR 0 46 66 9
CHIEF 0 40 59 22
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PERCEIVED EFFECT ON SURGICAL
CURRICULUM
NO EFFECT 59 40.4%
REQUIRES CURRICULAR
CHANGES51 35.0
PROLONGATION OF TRAINING
PROGRAM36 24.7
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REDUCED RESIDENTS’ WORK HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PERCEIVED EFFECT ON TRAINEES
QUALITY POORER BETTER CAN’T PREDICT
SKILLS 48 72 0
KNOWLEDGE 18 95 5
ATTITUDE 29 88 1
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REDUCED RESIDENTS’ WORK JOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•PERCEIVED EFFECT ON MENTORING
MORE EFFECTIVE CONTACT TIME
82
LESS EFFECTIVE CONTACT TIME
26
MORE RELIABLE EVALUATION OF PERFORMANCE
82
LESS RELIABLE EVALUATION OF PERFORMANCE
32
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REDUCED RESIDENTS’ WORL HOURS: PERCEIVED IMPACT ON SURGICAL TRAINING & PATIENT
CARE•SUMMARY
•MEAN IN-HOSPITAL STAY 120 HRS/WK
•FREQUENCY OF 24-HR DUTY IS 3 TIMES PER WEEK
•PROPENSITY TOWARD PERCEIVED POSITIVE IMPACT OF REDUCED RESIDENTS’ WORK HOURS ON TRAINING & PATIENT CARE
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•“...THE OBSESSIVE-COMPULSIVE PERSONALITIES ARE MOST PRONE TO BURNOUT SYNDROME...”
• FRANK MINIRTH, MD & CHRIS THRUMAN, PHD, BEFORE BURNOUT BALANCE LIVING FOR BUSY PEOPLE, 1990
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•“NEVER DO TODAY WHAT YOU CAN PUT OFF TILL TOMORROW”
• PAUL MEIER, MD, ADVISE TO ALL OBSESSIVE COMPULSIVES
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THANK YOU