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Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system.


ABSTRACT:

Objectives

To determine the perceptions of staff and resident physicians on the impact of implementation of a new team based multi-specialty resident night shift system.

Methods

An electronic survey was distributed anonymously to all resident physicians in the Core Internal Medicine residency program at the University of Alberta. A similar survey was distributed to staff physicians in the 4 specialties impacted by this new system: hematology, respirology, nephrology and gastroenterology.

Results

74 physicians completed the survey. A majority of respondents (67%) indicated the new system was a positive change. Most shared it was better than traditional 1 in 4 call (65%), with resident physicians appreciating the team based nature of the system (65%), and just more than half of residents (55%) indicating this system improved their overall wellness. Most respondents (78%) did not feel the additional handover required had a negative impact. Respondents indicated daytime teaching and feedback improved as a result of this system (52%) with most others indicating it had no impact, although overnight feedback remained a challenge.

Conclusion

The implementation of this new team based system was well accepted by both staff and resident physicians across a number of domains. Future study is required to determine its impact on access and quality of care.

SUBMITTER: Katz SJ 

PROVIDER: S-EPMC9119506 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system.

Katz Steven J SJ  

PloS one 20220519 5


<h4>Objectives</h4>To determine the perceptions of staff and resident physicians on the impact of implementation of a new team based multi-specialty resident night shift system.<h4>Methods</h4>An electronic survey was distributed anonymously to all resident physicians in the Core Internal Medicine residency program at the University of Alberta. A similar survey was distributed to staff physicians in the 4 specialties impacted by this new system: hematology, respirology, nephrology and gastroente  ...[more]

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