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

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 prog...

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Autor principal: Katz, Steven J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9119506/
https://www.ncbi.nlm.nih.gov/pubmed/35588439
http://dx.doi.org/10.1371/journal.pone.0268569
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author Katz, Steven J.
author_facet Katz, Steven J.
author_sort Katz, Steven J.
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description 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.
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spelling pubmed-91195062022-05-20 Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system Katz, Steven J. PLoS One Research Article 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. Public Library of Science 2022-05-19 /pmc/articles/PMC9119506/ /pubmed/35588439 http://dx.doi.org/10.1371/journal.pone.0268569 Text en © 2022 Steven J. Katz https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Katz, Steven J.
Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system
title Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system
title_full Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system
title_fullStr Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system
title_full_unstemmed Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system
title_short Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system
title_sort staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9119506/
https://www.ncbi.nlm.nih.gov/pubmed/35588439
http://dx.doi.org/10.1371/journal.pone.0268569
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