Table 2

Change in internal medicine residents’ perceptions of the impact of the schedule on aspects of the seniors’ self/work Pre- and post-intervention (N = 50)
Aspects of senior resident self/work affected by 24 hour shifts Pre Post Difference
Senior resident wellness Mean (SE) Mean (SE) Mean (95% CI) P value*
Allows general wellness 2.2 (0.1) 2.6 (0.1) 0.39 (-0.04 – 0.8) 0.07
Allows exposure to personal harm 4.0 (0.1) 2.8 (0.2) −1.29 (-1.8 – -0.8) <0.001
Causes conflicting role demands 2.9 (0.1) 3.7 (0.1) 0.77 (0.3 – 1.2) 0.002
Allows healthy relationships 2.6 (0.1) 2.7 (0.2) 0.05 (-0.4 – 0.5) 0.81
Causes feelings of isolation 2.3 (0.1) 1.9 (0.1) −0.36 (-0.7 – 0.02) 0.06
Ability to deliver quality health care
Allows potential for error 3.2 (0.1) 2.5 (0.1) −0.68 (-1.1 – -0.3) 0.003
Allows clinical skills expertise 3.5 (0.1) 3.8 (0.1) 0.26 (-0.03 – 0.6) 0.07
Allows continuity of patient care 3.6 (0.1) 3.6 (0.1) 0.04 (-0.3 – 0.4) 0.80
Causes expenditure of emotional labour 2.2 (0.1) 2.2 (0.1) 0.07 (-0.2 – 0.3) 0.57
Allows work efficiency 3.4 (0.1) 3.6 (0.1) 0.21 (-0.1 – 0.5) 0.15
Medical education experience
Allows successful teaching 3.0 (0.1) 3.5 (0.1) 0.48 (0.1 – 0.8) 0.0097
Allows medical skills proficiency 3.3 (0.1) 3.5 (0.1) 0.24 (-0.1 – 0.6) 0.14
Allows successful learning 3.1 (0.1) 3.5 (0.1) 0.42 (-0.02 – 0.9) 0.06
Allows staff physician supervision 3.1 (0.1) 2.7 (0.1) −0.42 (-0.7 – -0.1) 0.0099
Causes rotation disruptions 4.1 (0.2) 3.3 (0.1) −0.83 (-1.4 – -0.3) 0.003

*P value of <0.01 indicates a statistically significant difference between pre- and post-scores.

Fabreau et al.

Fabreau et al. BMC Medical Education 2013 13:115   doi:10.1186/1472-6920-13-115

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