scholarly journals The number and composition of work hours for attending physicians in Taiwan

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Ray-E. Chang ◽  
Tsung-Hsien Yu ◽  
Chung-Liang Shih
Keyword(s):  
Nationwide Survey ◽  
Medical Specialty ◽  
Work Hours ◽  
Total Work ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Attending Physician ◽  
Attending Physicians ◽  
Physician Workload ◽  
Physician Work

Abstract Long work hours among physicians is a worldwide issue in the healthcare arena. Previous studies have largely focused on the work hours of resident physicians rather than those of attending physicians. The purpose of this study was to investigate total work hours and the composition of those work hours for attending physicians across different hospital settings and across different medical specialties through a nationwide survey. This included examining differences in physician workload and its composition with respect to different hospital characteristics, and grouping medical specialties according to the work similarities. A cross-sectional self-reported nationwide survey was conducted from June to September of 2018, and the two questionnaires were distributed to all accredited hospitals in Taiwan. The number of physician work hours in different types of duty shifts were answered by medical specialty in each surveyed hospital. Each medical specialty in a hospital filled only one response for its attending physicians. The findings reveal that the average total work hours per week of an attending physician is around 69.1 h, but the total work hours and their composition of different duty shifts varied among hospital accreditation levels, geographic locations, emergency care responsibilities, and medical specialties. Because of the variance in the number and composition of attending physicians’ work hours, adjusting physician work hours to a reasonable level will be a major challenge for health authority and hospital managers.

scholarly journals Examining the association of career stage and medical specialty with personality preferences – a cross-sectional survey of junior doctors and attending physicians from various specialties

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yu-Che Chang ◽  
Hsu-Min Tseng ◽  
Xaviera Xiao ◽  
Roy Y. L. Ngerng ◽  
Chiao-Lin Wu ◽  
...  
Keyword(s):  
Academic Career ◽  
Evaluation Process ◽  
Medical Specialty ◽  
Junior Doctors ◽  
Career Stage ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Personality Preferences ◽  
Medical Specialties ◽  
Attending Physicians

Abstract Background Personality preference research on medical students and physicians demonstrates that personality preferences may affect one’s choice of specialty and transform over the course of one’s academic career as well as during one’s time spent in the clinical setting. The literature offers valuable methods for evaluating medical curricula, understanding medical specialties, and rethinking communication techniques between educators and learners. In line with this encompassing body of work, this study examines the personality preferences of junior doctors and attending physicians from various specialties to investigate how career stage and medical specialty are associated with personality preferences. Method The Myers–Briggs Type Indicator (MBTI) was applied to assess the personality preferences of junior doctors (postgraduates year 1–3) and attending physicians from six major medical specialties. Participants completed a self-administered 93-item questionnaire, while a certified MBTI practitioner explained the personality dichotomies as well as facilitated the self-evaluation process and the questionnaire’s interpretation. Contrasted dichotomous scores and radar plots were employed to illustrate the distinction between junior doctors and attending physicians’ personality preferences. All analyses were performed using the SAS statistical software, while a Wilcoxon rank-sum test was used to quantify the polarisation of personality preferences between junior doctors and attending physicians. Results In total, 98 participants were recruited, of whom 59 were attending physicians and 39 were junior doctors. The most common personality types among the junior doctors were ESTJ (15.4%), INTP (12.8%), and ESFJ (10.3%), while among the attending physicians, the most common types were ISTJ (23.7%) and ESTJ (18.6%). Both junior doctors and attending physicians expressed personality preferences for sensing, thinking, and judging. However, compared to the junior doctors, more polarised personality preferences were noted among the attending physicians for sensing (p = 0.038), thinking (p = 0.032), and judging (p = 0.024). Moreover, junior doctors exhibited less distinct personality preferences in this study. Conclusion Attending physicians and junior doctors exhibited greater personality inclinations for sensing, thinking, and judging, although the former expressed these personality preferences more strongly than the latter. These findings highlight that, amongst physicians, career stage is strongly associated with the expression of personality preferences.

scholarly journals Changes in prevalence of workplace violence against doctors in all medical specialties in Norway between 1993 and 2014: a repeated cross-sectional survey

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017757 ◽  
Author(s):  
Ingrid Hjulstad Johansen ◽  
Valborg Baste ◽  
Judith Rosta ◽  
Olaf G Aasland ◽  
Tone Morken
Keyword(s):  
Relative Risk ◽  
Workplace Violence ◽  
Medical Specialty ◽  
Cross Sectional Survey ◽  
Work Time ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Work Settings ◽  
Representative Samples ◽  
Violence Against Doctors

ObjectivesThe aim of this study was to investigate whether reported prevalence of experienced threats, real acts of violence and debilitating fear of violence among Norwegian doctors have increased over the last two decades.DesignRepeated cross-sectional survey.SettingAll healthcare levels and medical specialties in Norway.ParticipantsRepresentative samples of Norwegian doctors in 1993 (n=2628) and 2014 (n=1158).Main outcome measuresRelative risk (RR) of self-reported prevalence of work-time experiences of threats and real acts of violence, and of being physically or psychologically unfit during the last 12 months due to fear of violence, in 2014 compared with 1993, adjusted by age, gender and medical specialty.ResultsThere were no differences in self-reported threats (adjusted RR=1.01, 95% CI 0.95 to 1.08) or real acts (adjusted RR=0.90, 95% CI 0.80 to 1.03) of violence when comparing 2014 with 1993. The proportion of doctors who had felt unfit due to fear of violence decreased from 1993 to 2014 (adjusted RR=0.53, 95% CI 0.39 to 0.73). Although still above average, the proportion of doctors in psychiatry who reported real acts of violence decreased substantially from 1993 to 2014 (adjusted RR=0.75, 95% CI 0.60 to 0.95).ConclusionsA substantial proportion of doctors experience threats and real acts of violence during their work-time career, but there was no evidence that workplace violence has increased over the last two decades. Still, the issue needs to be addressed as part of the doctors’ education and within work settings.

scholarly journals Remote Interviews for Medical Residency Selection During the Initial COVID-19 Crisis: a National Survey

2021 ◽  
Author(s):  
Mohamad-Hani Temsah ◽  
Fadiah Alkhattabi ◽  
Khalid Alhasan ◽  
Adi Alherbish ◽  
Mona Philby ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Training ◽  
Cost Savings ◽  
Nationwide Survey ◽  
Medical Residency ◽  
Application Process ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Residency Selection ◽  
Residency Application

Abstract Background: During the coronavirus disease 2019 (COVID-19) pandemic, structured medical training is challenging because the necessary travel for on-site interviews could increase the spread of the disease.Aim: This study was conducted to describe an urgently implemented, web-based interview process for selecting medical residents for the National Residency Matching in Saudi Arabia.Method: A cross-sectional, nationwide survey (appendix 1) was sent to 4,153 residency-nominated applicants in Saudi Arabia to the matching interview for 2020.Results: Among the 510 candidates who responded, 62.2% applied for medical specialties, 20.2% applied for surgical specialties, and 17.6% applied for critical care and emergency specialties. Most respondents (61.2%) never had video conferences. Besides, most respondents (80.2%) had used Zoom to conduct E-interviews, whereas only 15.9% used FaceTime. Among the respondents, 75.7% agreed that their questions regarding the residency programs were adequately answered during the virtual interviews. The top perceived factors that enhanced the experience were the free application, the clarification emails they received from the organizers, and the organizers’ effective communication. Conversely, what negatively impacted the interviews were the slow and interrupted Internet, the absence of clear instructions, and the lack of previous experience with teleconferencing.Conclusion: Videoconferencing was successfully implemented on an urgent basis during the COVID-19 pandemic in the medical residency application process in Saudi Arabia. The residency applicants preferred video interviews, along with the cost savings and easier logistics to conduct the interviews from various locations. Future studies to enhance this experience are warranted.

Prescribers’ experience and opinions on antimicrobial stewardship programmes in hospitals: a French nationwide survey

2019 ◽  
Vol 74 (8) ◽  
pp. 2451-2458 ◽  
Author(s):  
A Perozziello ◽  
F X Lescure ◽  
A Truel ◽  
C Routelous ◽  
L Vaillant ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Improve Patient Care ◽  
Nationwide Survey ◽  
Educational Interventions ◽  
Antibiotic Consumption ◽  
Full Time ◽  
Core Element ◽  
Cross Sectional ◽  
Attending Physicians ◽  
Improve Patient

Abstract Objectives To assess prescribers’ experiences and opinions regarding antimicrobial stewardship programme (ASP) activities. Methods A cross-sectional paper-based survey was conducted among prescribers in 27 out of 35 randomly selected large hospitals in France. Results All 27 investigated hospitals (20 non-university public, 4 university-affiliated and 3 private hospitals) had an ASP and an appointed antibiotic advisor (AA), with a median of 0.9 full-time equivalents per 1000 acute-care beds (IQR 0–1.4). Of the 1963 distributed questionnaires, 920 were completed (46.9%). Respondents were mainly attending physicians (658/918, 71.7%) and medical specialists (532/868, 61.3%). Prescribers identified two main ASP objectives: to limit the spread of resistance (710/913, 77.8%) and to improve patient care and prognosis (695/913, 76.1%). The presence of an AA constituted a core element of ASP (96.2% agreement between answers of ASP leader and respondents). Respondents acknowledged an AA’s usefulness especially on therapeutic issues, i.e. choosing appropriate antibiotic (agreement 84.7%) or adapting treatment (89.6%), but less so on diagnostic issues (31.4%). Very few respondents reported unsolicited counselling and post-prescription controls. Three-quarters of prescribers identified local guidelines (692/918, 75.4%). Prescribers did not approve of measures counteracting their autonomy, i.e. automatic stop orders (agreement 23.4%) or pre-approval by AAs (28.8%). They agreed more with educational interventions (73.0%) and clinical staff meetings (70.0%). Conclusions Prescribers perceived ASP mainly through its ‘on-demand’ counselling activities. They preferred measures that did not challenge their clinical autonomy. High levels of antibiotic consumption in French hospitals bring into question the effectiveness of such an approach. However, limited ASP staffing and resources may preclude extended activities.

scholarly journals Medical Careers and Motherhood: A Cross-Sectional Study of Hispanic Female Physicians

2019 ◽  
Vol 11 (4s) ◽  
pp. 181-185 ◽  
Author(s):  
Sandra Lopez-Leon ◽  
Cipatli Ayuzo Del Valle ◽  
Alejandra Huante Salceda ◽  
Luz Odette Villegas-Pichardo ◽  
Emil Scosyrev
Keyword(s):  
Medical Specialty ◽  
Cross Sectional Study ◽  
Specialty Choice ◽  
Female Physicians ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Staff Members ◽  
Medical Careers ◽  
Medical Institutions ◽  
Female Surgeons

ABSTRACT Background One factor many women consider when choosing a medical specialty is the plan to have children and the compatibility of their chosen specialty with motherhood. Objective We surveyed Hispanic female physicians who are mothers to collect demographic information, specialty choice, childbearing, and professional and personal life characteristics, along with respondents' suggestions for female physicians who want to start a family, and how hospitals and medical institutions could enhance their support of female medical staff members with children. Methods The questionnaire was fielded on an online forum for Hispanic female physicians who are mothers. We summarized data by frequency and percentages, and means and standard deviations. Results Common medical specialties of respondents included pediatrics, family medicine, and obstetrics and gynecology, and 19% did not report a medical specialty. Most respondents were married (72%), had 1 or 2 children (89%), and worked at a public hospital 5 days a week (51%). Forty-four percent reported they slept 6 or more hours a night. Differences among specialties included dermatologists, radiologists, and gynecologists reporting working more than other specialties (6 to 7 days a week), psychiatrists reporting greater use of psychiatric medications, and anesthesiologists reporting lower rates of marriage. Female surgeons and emergency medicine physicians reported the highest consumption of alcohol. Conclusions The results offer initial insights into how medical specialty choice may affect female physicians' work-life balance and can be used to provide guidance to female learners who plan to have a family.

scholarly journals At the Razor's Edge: Surgeons have Lower Stress Levels than the General Population

2016 ◽  
Vol 5 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Adonis Nasr ◽  
Iwan Augusto Collaço ◽  
Phillipe Abreu-Reis ◽  
Marília França Madeira Manfrinato ◽  
Flavio Saavedra Tomasich ◽  
...  
Keyword(s):  
General Population ◽  
Stress Level ◽  
Working Hours ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Lower Stress ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Professional Stress ◽  
Stress Levels

ABSTRACT Objective To evaluate the stress level in physicians of different levels of formation and to compare it between different medical specialties and the general population. Methods This was a cross-sectional study, using a questionnaire validated in Brazil in 2010, the Perceived Stress Scale (PSS-10). Results The stress level was higher among surgical doctors in comparison with clinical doctors, regardless of the stage of formation. There was a difference between the sex of the professionals, men showing lower results. None of these was statistically significant. Comparing to the American population or South Brazilian teachers, the medical preceptors presented a significant lower level of stress. Conclusion The medical specialty as well as gender and level of medical formation influence in the professional stress level, being elevated in fields of higher working hours and constant pressure. Descriptors Stress, surgery, residents, medical students. How to cite this article Abreu-Reis P, Nasr A, Tomasich FS, Collaco IA, Bassani T, Clivatti GM, Fontanella AP, Ito JM, Manfrinato MFM, Hammerschmidt I. At the Razor's Edge: Surgeons have Lower Stress Levels than the General Population. Panam J Trauma Crit Care Emerg Surg 2016;5(1):26-30.

scholarly journals Correlation between classification in risk categories and clinical aspects and outcomes

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Gabriella Novelli Oliveira ◽  
Cássia Regina Vancini-Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Dulce Aparecida Barbosa ◽  
Meiry Fernanda Pinto Okuno ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Clinical Aspects ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Clinical Profiles ◽  
Medical Forms ◽  
Risk Categories

ABSTRACT Objective: to correlate classification in risk categories with the clinical profiles, outcomes and origins of patients. Method: analytical cross-sectional study conducted with 697 medical forms of adult patients. The variables included: age, sex, origin, signs and symptoms, exams, personal antecedents, classification in risk categories, medical specialties, and outcome. The Chi-square and likelihood ratio tests were used to associate classifications in risk categories with origin, signs and symptoms, exams, personal antecedents, medical specialty, and outcome. Results: most patients were women with an average age of 44.5 years. Pain and dyspnea were the symptoms most frequently reported while hypertension and diabetes mellitus were the most common comorbidities. Classifications in the green and yellow categories were the most frequent and hospital discharge the most common outcome. Patients classified in the red category presented the highest percentage of ambulance origin due to surgical reasons. Those classified in the orange and red categories also presented the highest percentage of hospitalization and death. Conclusion: correlation between clinical aspects and outcomes indicate there is a relationship between the complexity of components in the categories with greater severity, evidenced by the highest percentage of hospitalization and death.

scholarly journals Remote interviews for medical residency selection during the initial COVID-19 crisis: a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohamad-Hani Temsah ◽  
Fadiah Alkhattabi ◽  
Fadi Aljamaan ◽  
Khalid Alhasan ◽  
Adi Alherbish ◽  
...  
Keyword(s):  
Residency Program ◽  
Medical Training ◽  
Cost Savings ◽  
Nationwide Survey ◽  
Medical Residency ◽  
Application Process ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Promising Tool ◽  
Residency Application

Abstract Background Medical training programs candidate’s interview is an integral part of the residency matching process. During the coronavirus disease 2019 (COVID-19) pandemic, conducting these interviews was challenging due to infection prevention restrains (social distancing, namely) and travel restrictions. E-interviews were implemented by the Saudi Commission for Healthcare Specialties (SCFHS) since the matching cycle of March 2020 to hold the interviews in a safer virtual environment while maintaining the same matching quality and standards. Aim This study was conducted to assess the medical training residency program applicants’ satisfaction, stress, and other perspectives for the (SCFHS) March 2020 Matching-cycle conducted through an urgently implemented E-interviews process. Method A cross-sectional, nationwide survey (Additional file 1) was sent to 4153 residency-nominated applicants to the (SCFHS) March 2020 cycle. Results Among the 510 candidates who responded, 62.2% applied for medical specialties, 20.2% applied for surgical specialties, and 17.6% applied for critical care and emergency specialties. Most respondents (61.2%) never had previous experience with web-based video conferences. Most respondents (80.2%) used the Zoom application to conduct the current E-interviews, whereas only 15.9% used the FaceTime application. 63.3% of the respondents preferred E-interviews over in-person interviews, and 60.6% rated their experience as very good or excellent. 75.7% of the respondents agreed that all their residency program queries were adequately addressed during the E-interviews. At the same time, 52.2% of them agreed that E-interviews allowed them to represent themselves accurately. 28.2% felt no stress at all with their E-interviews experience, while 41.2% felt little stressed and only 8.2% felt highly stressed. The factors that were independently and inversely associated with applicants’ level of stress with E-interviews experience were their ability to represent themselves during the interviews (p = 0.001), cost-savings (p < 0.001), their overall rating of the E-interviews quality (p = 0.007) and the speed of the internet connection (p < 0.006). Conclusion Videoconferencing was implemented on an urgent basis during the COVID-19 pandemic in the medical residency application process in Saudi Arabia. It was perceived as an adequate and promising tool to replace in-person interviews in the future. Applicants’ satisfaction was mainly driven by good organization, cost-saving, and their ability to present themselves. Future studies to enhance this experience are warranted.

Internal medicine residents' perception of cancer prognosis.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18214-e18214
Author(s):  
Jared David Acoba ◽  
Loni Belyea
Keyword(s):  
Internal Medicine ◽  
Median Survival ◽  
Cancer Prognosis ◽  
Accurate Information ◽  
Cross Sectional ◽  
Internal Medicine Residents ◽  
Significant Difference ◽  
Oncologic Patients ◽  
Attending Physician ◽  
Attending Physicians

e18214 Background: Cancer is the second leading cause of death in the US. Many internal medicine physicians feel uncomfortable having to prognosticate, however oncology patients often ask this of them. The inability to provide an accurate prognosis could lead a patient to make a treatment decision incongruent with their true wishes. We conducted this study to assess resident and attending physicians’ knowledge of cancer prognosis. Methods: We conducted a prospective cross-sectional study to assess internal medicine resident and attending physician knowledge of median survival for seven different oncologic case scenarios. We asked participants to choose a median survival of: (a) ≤6 mo, (b) 10-12 mo, (c) 24-36 mo, or (d) 48-60 mo for each scenario. Residents were asked to identify the source(s) of information that most significantly influenced their choices. All internal medicine residents and attending physicians affiliated with the University of Hawaii Internal Medicine Residency Program were invited to participate. Results: A total of 67 of 85 surveys were completed, representing 41 residents and 26 attending physicians. Overall, the respondents correctly estimated median survival 42.6% of the time. The respondents underestimated more often than overestimated median survival (46.3% vs 14.9%, p = 0.0001). Survival in colon and pancreatic cancer were most often underestimated (61% and 53%, respectively). We found no statistically significant difference between resident and attending physician responses. Of the residents who underestimated survival, 73% sited inpatient experience as influencing their oncologic knowledge. Conclusions: Internal medicine residents and attending physicians correctly estimate median survival of cancer patients less than 50% of the time and often underestimate survival. Inpatient rotations, where residents care for the oncologic patients experiencing significant complications of their cancer and treatment, may be giving them an unbalanced perspective on cancer prognosis. Improving oncologic education to provide a more balanced perspective may be critical in improving perception of prognosis so that patients can be provided with accurate information when trying to make critical treatment decisions.

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