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  1. Intern call schedules and their relationship to sleep, operating room participation, stress, and satisfaction.

    Article, Communication - En anglais

    Annual Meeting of the Society of University Surgeons. New Orleans, LA, USA, 1999/02/11.

    Background

    The ideal resident call schedule remains unknown.

    This study assessed the impact of different call schedules on intern performance and education.

    Methods

    A year-long, prospective, observational study of first-year residents in a surgery training program was performed with use of intern sleep/operative logs and questionnaires, and faculty questionnaires.

    Results

    Compared with interns taking call every third or fourth night (and cross-covering a separate service), interns taking call every other night reported the greatest amount of fatigue and stress, the lowest satisfaction, and the fewest operative cases.

    Errors in patient care were not different between schedules.

    Multivariate analysis revealed that operative participation was inversely related to frequency of night call and level of fatigue post call, stress was related to fatigue while off call and service census, and overall satisfaction was associated with infrequency of call and operative cases performed.

    Faculty reported more errors by interns cross-covering other services and less operating room participation by interns taking call every other night.

    Conclusions

    No single resident schedule optimally balances patient care and resident education and satisfaction.

    All 3 patterns of call studied are acceptable ; specific decisions regarding the allocation of house staff manpower should be flexible and dependent on individual service and educational needs.

    Mots-clés Pascal : Chirurgie, Homme, Personnel sanitaire, Chirurgien, Résident, Formation professionnelle, Performance, Sommeil, Participation, Bloc opératoire, Stress, Satisfaction, Garde

    Mots-clés Pascal anglais : Surgery, Human, Health staff, Surgeon, Resident, Occupational training, Performance, Sleep, Participation, Operating room, Stress, Satisfaction

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0461113

    Code Inist : 002B30A05. Création : 22/03/2000.