Workplace factors leading to planned reduction of clinical work among emergency physicians

Emergency Medicine Australasia : EMA
Heather D CrookPeter A Cameron

Abstract

There is anecdotal evidence that ACEM Fellows are reducing or planning to reduce their clinical workload. We investigated the extent of, and reasons for, these reductions. An anonymous, cross-sectional postal survey utilizing a study-specific questionnaire. Three hundred and twenty-three Fellows (63.5%) responded. Most were recently graduated males. In the last 5 years, the mean number of clinical hours worked per week has reduced significantly (P < 0.001) for both junior (40.6-28.9 h) and senior Fellows (30.4-23.1 h). Further significant (P < 0.001) reductions are planned. The most frequently reported reasons for reducing clinical workload were excessive workload, family life and emotional health effects, shift work and work stress. The most stressful aspects of work reported were access block, dealing with management, insufficient staffing, workload pressures and staff supervision. Clinical work reportedly impacts most upon family life, social life and emotional health. Fellows are significantly reducing their clinical workload largely in response to excessive workload and lack of resources. These findings have important implications for professional longevity and work force planning. Re-evaluation of workplace practice, espe...Continue Reading

References

Mar 1, 1992·Annals of Emergency Medicine·K N HallJ Khoury
Jan 1, 1992·Annals of Emergency Medicine·M E GalleryD A Revicki
May 1, 1989·The Journal of Emergency Medicine·K L Keller, W J Koenig
Nov 1, 1989·Annals of Emergency Medicine·T W WhitleyD A Revicki
May 1, 1994·Annals of Emergency Medicine·T W WhitleyD A Revicki
May 1, 1994·Annals of Emergency Medicine·H ThomasD C Whitehead
Apr 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·D M Chapman
Dec 29, 1998·Annals of Emergency Medicine·M A ReinhartD A Rund
Jul 25, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M T SteeleH A Thomas
Jul 9, 2004·Emergency Medicine Australasia : EMA·David McD TaylorPeter A Cameron

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Citations

Jul 16, 2008·Journal of Medical Systems·Blossom Yen-Ju LinGerald-Mark Breen
Apr 27, 2013·Emergency Medicine Journal : EMJ·Yi-Kung LeeYung-Cheng Su
Mar 13, 2014·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Anthony L ZhangCharlie C L Xue
May 4, 2006·Emergency Medicine Australasia : EMA·John F KennedyKevin Anderson
Feb 3, 2011·Emergency Medicine Australasia : EMA·Mark J Rugless, David McD Taylor
Sep 23, 2006·Journal of Critical Care·George Alvarez, Enrico Coiera
Jul 9, 2004·Emergency Medicine Australasia : EMA·David McD TaylorPeter A Cameron
Jul 9, 2004·Emergency Medicine Australasia : EMA·John Heyworth
Mar 27, 2009·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Rein LepnurmDavid Keegan
Sep 1, 2010·Irish Journal of Psychological Medicine·Tomás BreslinMary Codd
Dec 29, 2015·Emergency Medicine Australasia : EMA·Colleen CheekMarielle Ruigrok
Aug 23, 2016·World Journal of Emergency Medicine·Shervin FarahmandAmirhossein Jahanshir
Apr 1, 2011·The Medical Journal of Australia·Catherine M JoyceGuyonne Kalb

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