Sustained management of the variability in work hours among anesthesiologists providing patient care in operating rooms and not on call to work late if necessary

Dexter, Franklin; Epstein, Richard H.; Marian, Anil A.

doi:10.1016/j.jclinane.2020.110151

Cited by 9 publications

(5 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Earlier review summarised multiple reasons for lesser productivity at non‐operating room anesthesia locations 36 . Comparison of our results to those of Piersa and colleagues suggests benefit to anesthesia groups adjusting their staff scheduling seasonally for non‐operating room locations, 19 especially for sites with long workdays 33,34 …”

Section: Discussionsupporting

confidence: 53%

“…We quantified variation among months in elective surgery, not variations in late afternoon workloads including add‐on cases. Late afternoon workload routinely has seasonal variation (e.g., longer work hours in the summer of a large teaching hospital) 33,34 . Because the dataset used does not include the start and end times of cases, we could not explore this issue.…”

Section: Discussionmentioning

confidence: 99%

“…Late afternoon workload routinely has seasonal variation (e.g., longer work hours in the summer of a large teaching hospital). 33,34 Because the dataset used does not include the start and end times of cases, we could not explore this issue.…”

Section: Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

More surgery in December among US patients with commercial insurance is offset by unrelated but lesser surgery among patients with Medicare insurance

Dexter

Epstein

Fahy

2022

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

Study Objective: Evaluate whether there is more surgery (in the US State of Florida) at the end of the year, specifically among patients with commercial insurance. Design: Observational cohort study. Setting: The 712 facilities in Florida that performed inpatient or outpatient elective surgery from January 2010 through December 2019. Results: Among patients with commercial insurance, December had more cases than November (1.108 [1.092-1.125]) or January (1.257 [1.229-1.286]). In contrast, among patients with Medicare insurance (traditional or managed care), December had fewer cases than November (ratio 0.917 [99% confidence interval 0.904-0.930]) or January (0.823 [0.807-0.839]) of the same year. Summing among all cases, December did not have more cases than November (ratio 1.003 [0.992-1.014]) or January (0.998 [0.984-1.013]). Comparing December versus November (January)

show abstract

Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

More surgery in December among US patients with commercial insurance is offset by unrelated but lesser surgery among patients with Medicare insurance

Dexter

Epstein

Fahy

2022

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is often difficult to predict the completion time of a clinical day when working in the operating room, further impacting work-life balance. A study evaluating late work hours at a single institution reported the percentage of days in which anesthesiologists worked past 5:00 PM when not on call was 18% [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Automated Emails to Improve Evening Staffing for Anesthesiologists

et al. 2023

View full text Add to dashboard Cite

Scheduling flexibility and predictability to the end of a clinical workday are strategies aimed at addressing physician burnout. A voluntary relief shift was created to increase the pool of anesthesiologists providing end of the day relief. We hypothesized that an automated email reminder would improve the number of evening relief shifts filled and increase the number of anesthesiologists participating in the program. An automated email reminder was implemented, which selectively emailed anesthesiologists without a clinical assignment one day in advance when the voluntary relief shifts were not filled, and anticipated case volume past 4:00 PM was expected to exceed the capacity of the on-call team. After implementation of the automated email reminder, the median number of providers who worked the relief shift on a typical day was 2.6, compared to 1.75 prior to the intervention. After the initial increase in the number of volunteers post-intervention, the trend in the weekly average number of volunteers tended to decrease but remained higher than before the intervention. A total of 22 unique anesthesiologists chose to participate in this program after the intervention. An automated email reminder increased the number of anesthesiologists volunteering for a relief shift. Leveraging automation to match staffing needs with case volume allows for recruitment of additional personnel on the days when volunteers are most needed. Increasing the pool of anesthesiologists available to provide relief is one strategy to improve end of the day predictability and work-life balance.

show abstract

“…A 2021 study examining an academic anesthesiology department demonstrated that, in addition to working assigned overnight call (7p-7a) and "late" shifts (a shift with expected work past 5 pm), anesthesiologists work later than 5 pm nearly 1 in every 5 evenings. 14 Due to the structure of a teaching practice, academic departments often need to staff longer days than their community practice counterpart. 15 Accordingly, those practicing in academic environments frequently lack sufficient protected time to participate in investigative endeavors.…”

Section: Original Researchmentioning

confidence: 99%

A Call to Action: A Specialty-Specific Course to Support the Next Generation of Clinician Scientists in Anesthesiology

Cavallone

Duggan

Berger

2022

JEPM

View full text Add to dashboard Cite

show abstract

Sustained management of the variability in work hours among anesthesiologists providing patient care in operating rooms and not on call to work late if necessary

Cited by 9 publications

References 43 publications

More surgery in December among US patients with commercial insurance is offset by unrelated but lesser surgery among patients with Medicare insurance

More surgery in December among US patients with commercial insurance is offset by unrelated but lesser surgery among patients with Medicare insurance

Automated Emails to Improve Evening Staffing for Anesthesiologists

A Call to Action: A Specialty-Specific Course to Support the Next Generation of Clinician Scientists in Anesthesiology

Contact Info

Product

Resources

About