Document Detail


The composition of intern work while on call.
MedLine Citation:
PMID:  22865015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The work of house staff is being increasingly scrutinized as duty hours continue to be restricted.
OBJECTIVE: To describe the distribution of work performed by internal medicine interns while on call.
DESIGN: Prospective time motion study on general internal medicine wards at a VA hospital affiliated with a tertiary care medical center and internal medicine residency program.
PARTICIPANTS: Internal medicine interns.
MAIN MEASURES: Trained observers followed interns during a "call" day. The observers continuously recorded the tasks performed by interns, using customized task analysis software. We measured the amount of time spent on each task. We calculated means and standard deviations for the amount of time spent on six categories of tasks: clinical computer work (e.g., writing orders and notes), non-patient communication, direct patient care (work done at the bedside), downtime, transit and teaching/learning. We also calculated means and standard deviations for time spent on specific tasks within each category. We compared the amount of time spent on the top three categories using analysis of variance.
KEY RESULTS: The largest proportion of intern time was spent in clinical computer work (40 %). Thirty percent of time was spent on non-patient communication. Only 12 % of intern time was spent at the bedside. Downtime activities, transit and teaching/learning accounted for 11 %, 5 % and 2 % of intern time, respectively.
CONCLUSION: Our results suggest that during on call periods, relatively small amounts of time are spent on direct patient care and teaching/learning activities. As intern duty hours continue to decrease, attention should be directed towards preserving time with patients and increasing time in education.
Authors:
Kathlyn E Fletcher; Alexis M Visotcky; Jason M Slagle; Sergey Tarima; Matthew B Weinger; Marilyn M Schapira
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2012-06-27
Journal Detail:
Title:  Journal of general internal medicine     Volume:  27     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-19     Completed Date:  2013-04-19     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1432-7     Citation Subset:  IM    
Affiliation:
Clement J. Zablocki VAMC, Milwaukee, WI, USA. Kathlyn.fletcher@va.gov
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Internal Medicine / organization & administration*
Internship and Residency / statistics & numerical data*
Male
Prospective Studies
Time and Motion Studies*
Workload / statistics & numerical data*
Comments/Corrections
Comment In:
J Gen Intern Med. 2012 Nov;27(11):1400-1   [PMID:  22878856 ]
J Gen Intern Med. 2013 Apr;28(4):495   [PMID:  23319412 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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