1887
Volume 2022, Issue 4
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Introduction: Medical education and training are crucial in maintaining patients’ safety and improving patient care quality. Multiple studies have evaluated the effects of restrictive policies on the resident's quality of life and education. Due to the compiling data and the fact that these trials evaluated programs with a substantial number of residents, it remains uncertain whether these conclusions can be extended to urology programs with a small number of residents. Multiple on-call systems have been adopted in residency programs across the world. This study evaluated the residents’ quality of life, clinical experience, and education upon transitioning from 24-hour to 12-hour in-house on-call systems.

Methods and materials: In this observational and questionnaire-based study, the effect of the transition from 24-hour to 12-hour in-house on-call systems was compared in terms of the resident's quality of life and education, surgical case volume, and working hours’ rules compliance.

: We adopted a validated survey based on a 5-point Likert scale to assess the residents’ perception of the transition to a 12-hour on-call system on their quality of life and education.

: We extracted the number of cases the residents operated on from the operating theater database at our institution.

: The weekly working hours, compliance, and violations per ACGME-I rules were collected from the MedHub platform.

Results: Residents rated the 12-hour on-call system superior in terms of quality of life, education, and surgical case volume.

: There was a 45% increment in the surgical case volume ( = 0.04) with the 12-hour on-call system.

There was no significant difference in the mean weekly working hours ( = 0.1). However, the total number of duty hours violations decreased in the 12-hour on-call system.

Conclusion: The 12-hour system is a better alternative to the 24-hour system in terms of the resident's quality of life, education, surgical case volume, and compliance with duty hour rules.

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2022-11-09
2022-12-03
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