Shift Length and Shift Length Preference Among Acute Care Surgeons.

The American Surgeon
John KeprosTina Sheppard

Abstract

Work hour restrictions have been imposed by the Accreditation Council for Graduate Medical Education since 2003 for medical trainees. Many acute care surgeons currently work longer shifts but their preferred shift length is not known. The purpose of this study was to characterize the distribution of the current shift length among trauma and acute care surgeons and to identify the surgeons' preference for shift length. Data collection included a questionnaire with a national administration. Frequencies and percentages are reported for categorical variables and medians and means with SDs are reported for continuous variables. A chi-square test of independence was performed to examine the relation between call shift choice and trauma center level (level 1 and level II), age, and gender. Data from 301 surgeons in 42 states included high-level trauma centers. Assuming the number of trauma surgeons in the United States is 4129, a sample of 301 gives the survey a 5% margin of error. The median age was 43 years (M = 46, SD = 9.44) and 33% were female. Currently, only 23.3% of acute care surgeons work a 12-hour shift, although 72% prefer the shorter shift. The preference for shorter shifts was statistically significant. There was no sig...Continue Reading

References

Nov 26, 2002·BMJ : British Medical Journal·Ingrid Philibert, Paul Barach
Jan 14, 2005·The New England Journal of Medicine·Laura K BargerUNKNOWN Harvard Work Hours, Health, and Safety Group
Jul 20, 2011·Journal of Emergencies, Trauma, and Shock·Kenneth A EgolKenneth J Koval
Jan 15, 2013·Journal of the American College of Surgeons·John P SharpeMartin A Croce
Aug 27, 2015·The New England Journal of Medicine·Anand GovindarajanNancy N Baxter
Feb 3, 2016·The New England Journal of Medicine·Karl Y BilimoriaFrank R Lewis
Aug 27, 2019·The Surgical Clinics of North America·Timothy R Siegel, Andrea K Nagengast
Feb 2, 2021·The American Surgeon·Adel ElkbuliMark McKenney

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