Table 2 Survey results comparing pre- and post-duty hour modification survey results. Mean values represent location on a traditional 5-point Likert scale. Statistically significant differences are identified in bold text
Aspects of senior resident self/work affected by 24 h call shifts | Pre-intervention | Post-intervention | Number perceiving improvement | |
|---|---|---|---|---|
Senior resident wellness | Mean (SD) | Mean (SD) | p-value | # (%) |
Allows general wellness | 2.70 (0.64) | 3.06 (0.71) | 0.04 | 13 (56.52) |
Allows exposure to personal harm | 3.72 (0.82) | 2.91 (1.06) | 0.0003 | 17 (73.91) |
Causes conflicting role demands | 3.27 (0.83) | 2.85 (0.68) | 0.08 | 13 (56.52) |
Allows healthy relationships | 2.70 (0.88) | 3.13 (0.81) | 0.09 | 10 (43.48) |
Causes feelings of isolation | 3.39 (1.03) | 2.96 (1.07) | 0.02 | 9 (39.13) |
Ability to deliver health care | ||||
Allows potential for error | 3.15 (0.76) | 2.47 (0.68) | 0.0001 | 17 (73.91) |
Allows clinical skill expertise | 3.39 (0.72) | 3.91 (0.52) | 0.0004 | 17 (73.91) |
Allows continuity of patient care | 4.13 (0.87) | 4.22 (0.6) | 0.6 | 6 (26.09) |
Causes expenditure of emotional labour | 1.84 (0.74) | 1.75 (0.56) | 0.58 | 8 (34.78) |
Allows work efficiency | 3.72 (0.75) | 4.14 (0.33) | 0.001 | 14 (60.87) |
Medical education experience | ||||
Allows successful teaching | 3.12 (0.82) | 3.81 (0.59) | 0.0009 | 17 (73.91) |
Allows medical skills proficiency | 3.58 (0.88) | 4.04 (0.73) | 0.001 | 16 (69.57) |
Allows successful learning | 3.52 (0.57) | 4.00 (0.56) | 0.003 | 15 (65.22) |
Allows staff physician supervision | 3.23 (0.75) | 3.38 (0.59) | 0.37 | 7 (30.43) |
Causes rotation disruptions | 3.29 (0.88) | 2.84 (0.85) | 0.04 | 14 (60.87) |