| A gender-based analysis of work patterns, fatigue, and work/life balance among physicians in postgraduate training. | |
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MedLine Citation:
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PMID: 20736682 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To document fatigue in New Zealand junior doctors in hospital-based clinical training positions and identify work patterns associated with work/life balance difficulties. This workforce has had a duty limitation of 72 hours/week since 1985. The authors chose a gender-based analytical approach because of the increasing proportion of female medical graduates. METHOD: The authors mailed a confidential questionnaire to all 2,154 eligible junior doctors in 2003. The 1,412 respondents were working > or = 40 hours/week (complete questionnaires from 1,366: response rate: 63%; 49% women). For each participant, the authors calculated a multidimensional fatigue risk score based on sleep and work patterns. RESULTS: Women were more likely to report never/rarely getting enough sleep (P < .05), never/rarely waking refreshed (P < .001), and excessive sleepiness (P < .05) and were less likely to live with children up to 12 years old (P < .001). Fatigue risk scores differed by specialty but not by gender.Fatigue risk scores in the highest tertile were an independent risk factor for reporting problems in social life (odds ratio: 3.83; 95% CI: 2.79-5.28), home life (3.37; 2.43-4.67), personal relationships (2.12; 1.57-2.86), and other commitments (3.06; 2.23-4.19).Qualitative analyses indicated a common desire among men and women for better work/life balance and for part-time work, particularly in relation to parenthood. CONCLUSIONS: Limitation of duty hours alone is insufficient to manage fatigue risk and difficulties in maintaining work/life balance. These findings have implications for schedule design, professional training, and workforce planning. |
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Authors:
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Philippa Gander; Celia Briar; Alexander Garden; Heather Purnell; Alistair Woodward |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 85 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-25 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 1526-36 Citation Subset: AIM; IM |
Affiliation:
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Sleep/Wake Research Centre, Massey University, Wellington, New Zealand. p.h.gander@massey.ac.nz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Burnout, Professional
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epidemiology,
prevention & control Chi-Square Distribution Fatigue / epidemiology* Female Humans Internship and Residency* Job Satisfaction Logistic Models Male New Zealand / epidemiology Occupational Health* Parenting Physicians / psychology* Physicians, Women / psychology Questionnaires Risk Assessment Risk Factors Sex Factors Sleep Deprivation / epidemiology Work Schedule Tolerance Workload* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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