end of the day relief: when expectations meet reality scott hoffman, m.d. department of...
TRANSCRIPT
![Page 1: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/1.jpg)
END OF THE DAY RELIEF:WHEN EXPECTATIONS MEET
REALITY
SCOTT HOFFMAN, M.D.DEPARTMENT OF ANESTHESIOLOGY
VANDERBILT UNIVERSITY SCHOOL OF MEDICNE
NASHVILLE, TENNESSEE
![Page 2: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/2.jpg)
PREMISE:
• EVERYONE WANTS TO GO HOME.....EVENTUALLY!!!
![Page 3: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/3.jpg)
SO…….
• WE NEED A PLAN!!!
![Page 4: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/4.jpg)
SUCH A PLAN WILL….
• ALLOW FOR SOME DEGREE OF PREDICTABILITY FOR FACULTY
• BE A TOOL TO ASSIST THE AIC IN PLANNING STAFFING FOR THE NEXT DAY
• PROVIDE STAFFING INFORMATION/PLANNING FOR THE EVENING/NIGHT CALL TEAM
![Page 5: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/5.jpg)
CHARACTERISTICS OF OUR PLAN
• FAIRNESS• CONSISTENCY• FLEXIBILTIY
![Page 6: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/6.jpg)
SUCH A PLAN WILL….
• MEET END-OF-DAY STAFFING NEEDS• TAKE INTO ACCOUNT SUPERVISION RATIOS• HAVE BUY-IN BY THOSE AFFECTED• CAN BE EASILY MODIFIED AS NEEDS DICTATE
![Page 7: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/7.jpg)
OUR PLAN AT VANDERBILT
• DOES NOT INCLUDE OUR CARDIAC ANESTHESIOLOGY DIVISION
• DOES NOT INCLUDE OUR OB ANESTHESIOLOGY DIVISION
• MIGHT INCLUDE AN ON-CAMPUS AMBULATORY SURGERY CENTER
![Page 8: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/8.jpg)
END-OF-DAY RELIEF
• BASED ON PRE- AND POST-CALL STATUS
![Page 9: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/9.jpg)
OUR PRIORITY LIST
![Page 10: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/10.jpg)
OUR PLAN IS A GOOD ONE…BUT NOT PERFECT
• OOR LOCATIONS• LATE CALL SWITCHES• FACULTY WHO “ARRANGE” THEIR OWN RELIEF• A SHORT CALL TEAM
![Page 11: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/11.jpg)
OUR PLAN IS A GOOD ONE….BUT NOT PERFECT
• COMPLEX CASES (e.g. BIG VASCULAR CASES)• FACULTY WHO WANT TO FINISH THEIR CASES
![Page 12: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/12.jpg)
TEMPORARY RELIEF DURING THE CLINICAL WORK DAY
• WHAT ABOUT RELIEF FOR FACULTY WHO MUST ATTEND MEETINGS DURING THE CLINICAL WORK DAY?
![Page 13: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/13.jpg)
WAIT…..
• NOT ONLY ATTENDING FACULTY WANT TO GO HOME!!!
![Page 14: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/14.jpg)
THE C-1 POSITION
• MANAGES COVERAGE FOR IN-ROOM STAFF ABSENCES
• COORDINATES AFTERNOON RELIEF FOR IN-ROOM PROVIDERS
![Page 15: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/15.jpg)
RESIDENT RELIEF
• EDUCATION VS. WORK HOUR REQUIREMENTS
![Page 16: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/16.jpg)
TRACKING WORK HOURS
• WE TRACK OUR RESIDENTS’ AND SRNAs’ WORK HOURS
![Page 17: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/17.jpg)
24/7
• VANDERBILT UNIVERSITY HOSPITAL’S MAIN OPERATING ROOM IS A 24/7 OPERATION
![Page 18: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/18.jpg)
THE END
• EVERYONE HAS GONE HOME!• SEE YOU TOMORROW!
![Page 19: END OF THE DAY RELIEF: WHEN EXPECTATIONS MEET REALITY SCOTT HOFFMAN, M.D. DEPARTMENT OF ANESTHESIOLOGY VANDERBILT UNIVERSITY SCHOOL OF MEDICNE NASHVILLE,](https://reader035.vdocuments.us/reader035/viewer/2022081603/56649f1b5503460f94c30c7b/html5/thumbnails/19.jpg)
LIAM IS WAITING AT HOME!