Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty

Background: The effects of changes to resident physician duty hours need to be measureable. This time-motion study was done to record internal medicine residents’ workflow while on duty and to determine the feasibility of capturing detailed data using a mobile electronic tool. Methods: Junior and se...

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Autores principales:	Cameron Leafloor, Erin (Yiran) Liu, Cathy Code, Heather Lochnan, Erin Keely, Deanna Rothwell, Alan Forster, Allen Huang
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2017
Materias:	time-motion duty hours workflow measurement Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3ab8482eae2e4f75bab530e4a7847f9b
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spelling	oai:doaj.org-article:3ab8482eae2e4f75bab530e4a7847f9b2021-12-03T17:53:42ZTime is of the essence: an observational time-motion study of internal medicine residents while they are on duty10.36834/cmej.369481923-1202https://doaj.org/article/3ab8482eae2e4f75bab530e4a7847f9b2017-07-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/36948https://doaj.org/toc/1923-1202Background: The effects of changes to resident physician duty hours need to be measureable. This time-motion study was done to record internal medicine residents’ workflow while on duty and to determine the feasibility of capturing detailed data using a mobile electronic tool. Methods: Junior and senior residents were shadowed by a single observer during six-hour blocks of time, covering all seven days. Activities were recorded in real-time. Eighty-nine activities grouped into nine categories were determined a priori. Results: A total of 17,714 events were recorded, encompassing 516 hours of observation. Time was apportioned in the following categories: Direct Patient Care (22%), Communication (19%), Personal tasks (15%), Documentation (14%), Education (13%), Indirect care (11%), Transit (6%), Administration (0.6%), and Non-physician tasks (0.4%). Nineteen percent of the education time was spent in self-directed learning activities. Only 9% of the total on duty time was spent in the presence of patients. Sixty-five percent of communication time was devoted to information transfer. A total of 968 interruptions were recorded which took on average 93.5 seconds each to service. Conclusion: Detailed recording of residents’ workflow is feasible and can now lead to the measurement of the effects of future changes to residency training. Education activities accounted for 13% of on-duty time. Cameron LeafloorErin (Yiran) LiuCathy CodeHeather LochnanErin KeelyDeanna RothwellAlan ForsterAllen HuangCanadian Medical Education Journalarticletime-motionduty hoursworkflowmeasurementEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 8, Iss 3 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	time-motion duty hours workflow measurement Education (General) L7-991 Medicine (General) R5-920
spellingShingle	time-motion duty hours workflow measurement Education (General) L7-991 Medicine (General) R5-920 Cameron Leafloor Erin (Yiran) Liu Cathy Code Heather Lochnan Erin Keely Deanna Rothwell Alan Forster Allen Huang Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
description	Background: The effects of changes to resident physician duty hours need to be measureable. This time-motion study was done to record internal medicine residents’ workflow while on duty and to determine the feasibility of capturing detailed data using a mobile electronic tool. Methods: Junior and senior residents were shadowed by a single observer during six-hour blocks of time, covering all seven days. Activities were recorded in real-time. Eighty-nine activities grouped into nine categories were determined a priori. Results: A total of 17,714 events were recorded, encompassing 516 hours of observation. Time was apportioned in the following categories: Direct Patient Care (22%), Communication (19%), Personal tasks (15%), Documentation (14%), Education (13%), Indirect care (11%), Transit (6%), Administration (0.6%), and Non-physician tasks (0.4%). Nineteen percent of the education time was spent in self-directed learning activities. Only 9% of the total on duty time was spent in the presence of patients. Sixty-five percent of communication time was devoted to information transfer. A total of 968 interruptions were recorded which took on average 93.5 seconds each to service. Conclusion: Detailed recording of residents’ workflow is feasible and can now lead to the measurement of the effects of future changes to residency training. Education activities accounted for 13% of on-duty time.
format	article
author	Cameron Leafloor Erin (Yiran) Liu Cathy Code Heather Lochnan Erin Keely Deanna Rothwell Alan Forster Allen Huang
author_facet	Cameron Leafloor Erin (Yiran) Liu Cathy Code Heather Lochnan Erin Keely Deanna Rothwell Alan Forster Allen Huang
author_sort	Cameron Leafloor
title	Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
title_short	Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
title_full	Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
title_fullStr	Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
title_full_unstemmed	Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
title_sort	time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
publisher	Canadian Medical Education Journal
publishDate	2017
url	https://doaj.org/article/3ab8482eae2e4f75bab530e4a7847f9b
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Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty

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