Residents who stay late at hospital and how they perform the following day

Medical Education
Chen-Chung Liu, Lawrence S Wissow

Abstract

The limits imposed on the official working hours of paediatric residents do not necessarily reduce the amount of time they spend at work. Fatigue and stress can result from staying late voluntarily, and this in turn can alter clinical performance, much as long obligatory hours did in the past. A cross-sectional analysis was made of a systematic sample of 243 primary care visits conducted in 1990 by 52 paediatric residents at a teaching hospital. The paediatric residents reported on their work responsibilities the night before each primary care visit and their communication style during the visit was analysed from recordings made on audiotapes using the Roter Interactional Analysis System (RIAS). Paediatric residents who care for critically ill children were more likely to stay late even if they were not on call. During primary care visits the next day, those paediatric residents who stayed late were more verbally dominant--their verbal input, as a proportion of the total, was: 0.67 (stayed late) versus 0.62 (on call), P = 0.007; 0.67 (stayed late) versus 0.64 (left on time), P = 0.02. Paediatric residents who stayed late displayed less patient-centredness: patient-centred talk as a proportion of total 0.31 (stayed late) versus ...Continue Reading

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Citations

Jun 9, 2011·Medical Education·Chen-Chung Liu, Lawrence Wissow
Jul 4, 2009·Medical Education·Peter CantillonYvonne Steinert
Oct 22, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Ning-Zi SunDiana Dolmans
Dec 29, 2019·World Neurosurgery·Benjamin R Hartley, Eric Elowitz
Mar 25, 2009·Current Opinion in Pediatrics

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