Scheduling the resident 80-hour work week: an operations research algorithm

Current Surgery
T Eugene DayPaul C Kuo

Abstract

The resident 80-hour work week requires that programs now schedule duty hours. Typically, scheduling is performed in an empirical "trial-and-error" fashion. However, this is a classic "scheduling" problem from the field of operations research (OR). It is similar to scheduling issues that airlines must face with pilots and planes routing through various airports at various times. The authors hypothesized that an OR approach using iterative computer algorithms could provide a rational scheduling solution. Institution-specific constraints of the residency problem were formulated. A total of 56 residents are rotating through 4 hospitals. Additional constraints were dictated by the Residency Review Committee (RRC) rules or the specific surgical service. For example, at Hospital 1, during the weekday hours between 6 am and 6 pm, there will be a PGY4 or PGY5 and a PGY2 or PGY3 on-duty to cover Service "A." A series of equations and logic statements was generated to satisfy all constraints and requirements. These were restated in the Optimization Programming Language used by the ILOG software suite for solving mixed integer programming problems. An integer programming solution was generated to this resource-constrained assignment probl...Continue Reading

References

Dec 4, 2003·Journal of the American College of Surgeons·Paul C KuoR Randall Bollinger

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Citations

Aug 31, 2014·Health Care Management Science·Hannah K Smalley, Pinar Keskinocak
Dec 16, 2010·Journal of Surgical Education·Heron RodriguezDebra Darosa
May 14, 2017·Health Care Management Science·Ruben A Proano, Akshit Agarwal
Feb 9, 2012·Annals of Surgery·Jonathan P TurnerDebra A DaRosa

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