Otolaryngology resident workflow: A time-motion and efficiency study

Otolaryngology - Head and Neck Surgery

Volumn 144, Issue 5, 2011, Pages 708-713

  Victores, Andrew ^a   Roberts, Jess ^a   Sturm O'Brien, Angela ^a   Victores, Nina ^a   Uecker, Wil ^b   Alford, Bobby ^a   Takashima, Mas ^a  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b RICE UNIVERSITY   (United States)

Author keywords

ACGME; Duty hours; Education; Otolaryngology resident; Time motion

Indexed keywords

ARTICLE; CLINICAL PRACTICE; EVALUATION; HEAD AND NECK SURGERY; HOSPITAL; HUMAN; MEDICAL EDUCATION; OTORHINOLARYNGOLOGY; PATIENT CARE; POSTGRADUATE EDUCATION; PRODUCTIVITY; RESIDENCY EDUCATION; RESIDENT; SURGICAL WARD; TIME; URBAN AREA; WORKFLOW; EDUCATION; TASK PERFORMANCE;

INTERNSHIP AND RESIDENCY; OTOLARYNGOLOGY; TIME AND MOTION STUDIES; WORKFLOW;

EID: 80051722804     PISSN: 01945998     EISSN: 10976817     Source Type: Journal    
DOI: 10.1177/0194599810396789     Document Type: Article

References (26)

1. Reines HD, Robinson L, Nitzchke S, et al. Defining service and education: the first step to developing the correct balance. Surgery. 2007;142:303-310. (Pubitemid 47198674)
2. Institute of Medicine. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: National Academy Press; 2008.
3. Nasca T, Day S, Amis ES. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3.
4. Kupferman TA, Lian TS. Implementation of duty hour standards in otolaryngology-head and neck surgery residency training. Otolaryngol Head Neck Surg. 2005;132:819-822. (Pubitemid 40798400)
5. Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope. 2005;15:773-779. (Pubitemid 40604678)
6. Finkler SA, Knickman JR, Hendrickson G, et al. A comparison of work-sampling and time-and-motion techniques for studies in health services research. Health Serv Res. 1993;28:577-597. (Pubitemid 24011918)
7. Strunk CL, Bailey BJ, Scott BA, et al. Resident work hours and working environment in otolaryngology: analysis of daily activity and resident perception. JAMA. 1991;266:1371-1374.
8. Overhage JM, Perkins S, Tierney WM, et al. Controlled trial of direct physician order entry: effects on physicians' time utilization in ambulatory primary care internal medicine practices. J Am Med Inform Assoc. 2001;8:361-371. (Pubitemid 32641639)
9. Dresselhaus TR, Luck J, Wright BC, et al. Analyzing the time and value of housestaff inpatient work. J Gen Intern Med. 1998;13:534-540. (Pubitemid 28402109)
10. Boex JR, Leahy PJ. Understanding residents' work: moving beyond counting hours to assessing educational value. Acad Med. 2003;78:939-944. (Pubitemid 37129265)
11. McCarney R, Warner J, Iliffe S, van Haselen R, Griffin M, Fisher P. The Hawthorne effect: a randomised, controlled trial. BMC Med Res Methodol. 2007;7:30.
12. Dassinger MS, Eubanks JW, Langham MR. Full work analysis of resident work hours. J Surg Res. 2008;147:178-181.
13. Knickman JR, Lipkin M, Finkler SA, et al. The potential for using non-physicians to compensate for the reduced availability of residents. Acad Med. 1992;67:429-438.
14. Brennan MD, Duncan AK, Armbruster RR, et al. The application of design principles to innovate clinical care delivery. J Healthc Qual. 2009;31:5-9.
15. Sandberg WS, Daily B, Egan M, et al. Deliberate perioperative systems design improves operating room throughput. Anesthesiology. 2005;103:406-418. (Pubitemid 41076739)
16. Chung RS, Ahmed N. How surgical residents spend their training time: the effect of a goal-oriented work style on efficiency and work satisfaction. Arch Surg. 2007;142:249-252. (Pubitemid 46457051)
17. Aziz SR, Ziccardi VB. Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning. J Oral Maxillofac Surg. 2009;67:2505-2509.
18. Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53:462-468.
19. Pizziferri L, Kittler AF, Volk LA, et al. Primary care physician time utilization before and after implementation of an electronic health record: a time-motion study. J Biomed Inform. 2005;38:176-188. (Pubitemid 40724468)
20. Loomis GA, Ries JS, Saywell RM, et al. If electronic medical records are so great, why aren't family physicians using them? J Fam Pract. 2002;51:636-641. (Pubitemid 34753553)
21. Massaro TA. Introducing physician order entry at a major academic medical center: I. Impact on organizational culture and behavior. Acad Med. 1993;68:20-25. (Pubitemid 23064437)
22. Massaro TA. Introducing physician order entry at a major academic medical center: II. Impact on medical education. Acad Med. 1993;68:25-30. (Pubitemid 23064438)
23. Singer MC. The future of otolaryngology training threatened: the negative impact of residency training reforms. Otolaryngol Head Neck Surg. 2010;142:303-305.
24. West CP, Cook RJ, Popkave C, Kolars JC. Perceived impact of duty hours regulations: a survey of residents and program directors. Am J Med. 2007;120:644-648. (Pubitemid 46977328)
25. Cohen-Gadol AA, Piepgras DG, Krishnamurthy S, et al. Resident duty hours reform: results of a national survey of the program directors and residents in neurosurgery training programs. Neurosurgery. 2005;56:398-403.
26. Shonka DC, Ghanem TA, Hubbard MA, et al. Four years of accreditation council of graduate medical education duty hour regulations: have they made a difference? Laryngoscope. 2009; 119:635-639.