Orthopedic, Clinical, and Paraclinical Resident Working Pattern in A Government Tertiary Care Hospital in Western India
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Background: In 2003, the Accreditation Council for Graduate Medical Education in the United States (US) had laid guidelines for resident doctor working hours, with Institute of Medicine setting further changes in 2010, with the sole aim of enhancing patient care. In India, no such guideline exists. They are a few dedicated studies of resident working pattern studying their stress levels, mental health, and other aspects. With overburdened understaffed government teaching hospitals and lack of facilities, resident doctors who form the backbone of patient care are overworked. With this background, we undertook this study at a tertiary care government hospital in Western India with the aim of understanding the working pattern of residents. Materials and Methods: The study enrolled 38 residents. All these residents enrolled had Monday as emergency day. The residents included were from clinical and paraclinical specialties, and from the first, second, and third postgraduate years. These residents were followed for a week starting Monday to Sunday and a questionnaire was filled regarding their working hours, sleep duration, and eating pattern. Appropriate statistical test was applied. Results: The results showed that the 1st year resident (junior resident) worked 114 h per week, slept for only 35 h per week, attended to 261 patients, and the continuous work at a stretch was 24 h (minimum - 19 to maximum - 30). The 2nd year (senior resident) and 3rd year (chief resident) residents had slightly more sleep hours and less working hours, however compared to the US and United Kingdom standards, the residents were overworked and underslept. Conclusion: The study is a pilot study at a tertiary care hospital which shows that residents have inadequate sleep hours/week, excess working hours/week (>80 per week), along with other parameters as mentioned in results which directly affect patient care, thus suggesting setting guidelines for residents in India on lines of the United States, Europe.
Authors and Affiliations
Ambarish A Mathesul, Ajay Chandanwale, Rahul Puranik, Praveen Londhe
Keywords
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