Impact of long duty hours on education and well-being of diagnostic radiology residents: A national survey in Saudi Arabia

Objectives: The primary purpose of this study was to assess and report the perceived negative impact of long duty hours on education and personal well-being among medical trainees in the diagnostic radiology residency training program in Saudi Arabia. Methods: This cross-sectional study used a questionnaire (sent by email) with eight indicators related to the education and well-being of radiology residents in Saudi Arabia during the academic year 2019–2020. Participants were given a five-point Likert response format for each indicator. The relative importance index (RII) was calculated to rank the different indicators. Results: Our of 337 residents, 116 diagnostic radiology trainees completed the survey, with a response rate of 34.4%. A total of 102 (87.9%) indicated their preference for 16-hour shifts instead of the currently implemented 24-hour duty system. Using the RII, three items related to the post-duty day ranked at the top of the list. The negative impact on sleep rhythm during the post-call day ranked first (mean 4.23 ± 1.02, RII 0.84), followed by the impact on social life, family activities, and exercise during the post-call day (mean 4.09 ± 1.06, RII 0.81). The third highest ranking factor was missing academic activities on the post-call day (mean 3.91 ± 1.15, RII 0.78). There was no relationship between negative perception and gender (P > 0.05). Conclusion: The 24-hour duty system had a negative impact on radiology residents’ education and personal well-being, especially for items related to the post-call day. Reforming duty hours should be considered to promote residents’ well-being. doi: https://doi.org/10.12669/pjms.38.3.4440 How to cite this:Alhasan AS, Alahmadi SM, Altayeb YA, Daqqaq TS. Impact of long duty hours on education and well-being of diagnostic radiology residents: A national survey in Saudi Arabia. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4440 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Coordinating and Standardizing Outdoor Recreation Supply and Demand Databases to Facilitate Management and Promote Conservation, Health, and Accessibility

Recreation opportunities exist as a system at multiple scales and are offered by a variety of recreation providers sometimes with different goals and objectives. Incremental and disparate planning across providers can lead to mismatched supply and demand and inefficient use of resources. Furthermore, traditional recreation supply and demand studies have not systematically considered compatible benefits from conserving recreation lands including demand for and provision of biodiversity and wildlife conservation, ecosystem services, human health, and environmental justice issues.Historically, the supply of outdoor recreation and conservation lands was assembled by different state and federal agencies, counties and municipalities, Native American tribes, non-governmental organizations, or private organizations for the lands they directly managed with little systematic coordination. A national level Protected Area Databased (PAD-US) developed by the United States Geological Survey (USGS) Gap Analysis Project is changing this. It is the official, publicly available, and comprehensive spatial inventory of every park and protected area in the US. The PAD-US program has developed a standardized data set with consistent protocols and methodologies for data collection for continuous updates.Demand assessments are currently conducted by various federal and state agencies, industry associations, and academics. These studies are independently conducted at various levels form recreation site, across land ownership, by activity, or state and national studies. Initiated in 1960, what became the National Survey of Recreation and the Environment (NSRE) collected recreation demand data for analysis at state and national levels. Many recreation planners used this data until it was discontinued in 2014. While there has been coordination and systemization and standardization of recreation supply data collection, no similar actions have occurred for demand.Following the PAD-US, we identify opportunities to coordinate, standardize, and systematize the collection of demand data across agencies, ownerships, and scales. We propose a parallel publicly available National Recreation Demand Database (NRDD) with consistent protocols and methodologies to be the comprehensive and authoritative inventory of recreation demand. We suggest that a new National Survey on People and the Environment (NSPE) be developed to replace the NSRE to collect improved data on outdoor recreation, other resource uses, and compatible benefit demand information.