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The Experience of House Officers

The Experience of House Officers Abstract To the Editor. — The et al1 assessed the on-call activities of 11 of their interns to identify problems with workload scheduling, supervision, or learning. During a 34-hour on-call period, interns averaged 5.6 hours at the bedside, with 57 minutes of that time under direct supervision of a resident or attending physician. The interns averaged 21 beeps per 30 hours and slept an average of 2.5 hours with two interruptions. They read about their patients an average of 4 minutes during the 34-hour period. Attending physicians averaged only 12 minutes of bedside interaction with the intern.Not mentioned at all by Nerenz et al is an assessment of nonphysician tasks performed by medical house staff. We found that, on average, medical residents spend 38% of their time performing nonphysician tasks.2 In June 1988, the New York State Hospital Review and Planning Council approved major revisions in the state References 1. Nerenz D, Rosman H, Newcomb C, et al. The on-call experience of interns in internal medicine . Arch Intern Med . 1990;150:2294-2297.Crossref 2. Dolan KL, Rosner F, Spiegel K. Survey of nonphysician tasks performed by medicine residents at a municipal hospital . J Natl Med Assoc . 1990;82:629-633. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

The Experience of House Officers

Archives of Internal Medicine , Volume 151 (8) – Aug 1, 1991

The Experience of House Officers

Abstract

Abstract To the Editor. — The et al1 assessed the on-call activities of 11 of their interns to identify problems with workload scheduling, supervision, or learning. During a 34-hour on-call period, interns averaged 5.6 hours at the bedside, with 57 minutes of that time under direct supervision of a resident or attending physician. The interns averaged 21 beeps per 30 hours and slept an average of 2.5 hours with two interruptions. They read about their patients an average of 4 minutes...
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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400080154040
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. — The et al1 assessed the on-call activities of 11 of their interns to identify problems with workload scheduling, supervision, or learning. During a 34-hour on-call period, interns averaged 5.6 hours at the bedside, with 57 minutes of that time under direct supervision of a resident or attending physician. The interns averaged 21 beeps per 30 hours and slept an average of 2.5 hours with two interruptions. They read about their patients an average of 4 minutes during the 34-hour period. Attending physicians averaged only 12 minutes of bedside interaction with the intern.Not mentioned at all by Nerenz et al is an assessment of nonphysician tasks performed by medical house staff. We found that, on average, medical residents spend 38% of their time performing nonphysician tasks.2 In June 1988, the New York State Hospital Review and Planning Council approved major revisions in the state References 1. Nerenz D, Rosman H, Newcomb C, et al. The on-call experience of interns in internal medicine . Arch Intern Med . 1990;150:2294-2297.Crossref 2. Dolan KL, Rosner F, Spiegel K. Survey of nonphysician tasks performed by medicine residents at a municipal hospital . J Natl Med Assoc . 1990;82:629-633.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1991

References