H Sevenoaks1, S Ajwani1, I Hujazi1, J Sergeant2, M Woodruff1, J Barrie1, J Mehta1. 1. School of Surgery, North West Deanery , Manchester , UK. 2. Centre for Biostatistics and Arthritis Research, UK Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, University of Manchester , Manchester , UK.
Abstract
INTRODUCTION: In recent years there has been a rise in the number of trauma and orthopaedics trainees working on full shift patterns. Historically, most trauma and orthopaedics trainees worked 24 hours non-resident on-call shifts. The effect of this change in shift patterns has not previously been measured. As two trusts (one trauma unit, one major trauma centre) in our region underwent a change to full shift working, we assessed the impact on the trainees' operating experience. METHODS: Fifty-five logbooks were analysed across the two trusts over a two-year period, with comparisons made between pre- and post-shift working. RESULTS: Overall operating fell by 13% for trainees working full shift patterns, which was statistically significant. There was a loss of elective operating of 15% at the trauma unit and 32% at the major trauma centre for trainees doing shift work. The effect on trauma operating opportunities was mixed. Index operating was largely preserved. CONCLUSIONS: Shift working significantly impacts on surgical training opportunities. We explore approaches to minimising this effect.
INTRODUCTION: In recent years there has been a rise in the number of trauma and orthopaedics trainees working on full shift patterns. Historically, most trauma and orthopaedics trainees worked 24 hours non-resident on-call shifts. The effect of this change in shift patterns has not previously been measured. As two trusts (one trauma unit, one major trauma centre) in our region underwent a change to full shift working, we assessed the impact on the trainees' operating experience. METHODS: Fifty-five logbooks were analysed across the two trusts over a two-year period, with comparisons made between pre- and post-shift working. RESULTS: Overall operating fell by 13% for trainees working full shift patterns, which was statistically significant. There was a loss of elective operating of 15% at the trauma unit and 32% at the major trauma centre for trainees doing shift work. The effect on trauma operating opportunities was mixed. Index operating was largely preserved. CONCLUSIONS: Shift working significantly impacts on surgical training opportunities. We explore approaches to minimising this effect.
Authors: Robert L Barrack; Linda S Miller; Wayne M Sotile; Mary O Sotile; Harry E Rubash Journal: Clin Orthop Relat Res Date: 2006-08 Impact factor: 4.176
Authors: Michael A Baskies; David E Ruchelsman; Craig M Capeci; Joseph D Zuckerman; Kenneth A Egol Journal: J Bone Joint Surg Am Date: 2008-04 Impact factor: 5.284
Authors: Ali Zahrai; Jaskarndip Chahal; Dan Stojimirovic; Emil H Schemitsch; Albert Yee; William Kraemer Journal: Can J Surg Date: 2011-02 Impact factor: 2.089