Review of Why Surgeons Struggle with Work-Hour Reforms

Social Forces ◽  
2021 ◽  
Author(s):  
Laura E Hirshfield ◽  
Sarah M Russel
Keyword(s):  
Work Hour

Cardiology Fellowship Education in the Era of High-density Training, Data Tracking, and Quality Measures

2011 ◽  
Vol 9 (2) ◽  
pp. 99
Author(s):  
Alex J Auseon ◽  
Albert J Kolibash ◽  
◽  
Keyword(s):  
Ohio State University ◽  
Training Data ◽  
State University ◽  
Training Requirements ◽  
Healthcare Environment ◽  
Medical Centers ◽  
Work Hour ◽  
The Ohio State University ◽  
Data Tracking

Background:Educating trainees during cardiology fellowship is a process in constant evolution, with program directors regularly adapting to increasing demands and regulations as they strive to prepare graduates for practice in today’s healthcare environment.Methods and Results:In a 10-year follow-up to a previous manuscript regarding fellowship education, we reviewed the literature regarding the most topical issues facing training programs in 2010, describing our approach at The Ohio State University.Conclusion:In the midst of challenges posed by the increasing complexity of training requirements and documentation, work hour restrictions, and the new definitions of quality and safety, we propose methods of curricula revision and collaboration that may serve as an example to other medical centers.

scholarly journals Eco-Efficiency and Human Capital Efficiency: Example of Small- and Medium-Sized Family Farms in Selected European Countries

2021 ◽  
Vol 13 (12) ◽  
pp. 6846
Author(s):  
Jan Polcyn
Keyword(s):  
Human Capital ◽  
Agricultural Production ◽  
Efficiency Index ◽  
European Countries ◽  
Family Farms ◽  
Work Hour ◽  
Capital Efficiency ◽  
Environmental Measures ◽  
The Relationship ◽  
Economic Measure

Small- and medium-sized family farms are places to live and sources of income for about half of the population. The aim of this analysis was to determine the relationship between eco-efficiency and human capital efficiency on small- and medium-sized family farms. The analysis was carried out using an economic measure (value of agricultural production per work hour calculated per hectare) and two synthetic measures (human capital and environmental measures). The synthetic measures were determined using the TOPSIS-CRITIC method by defining weights for variables used in the measures. The analysis covered five countries: Lithuania (960 farms), Moldavia (532 farms), Poland (696 farms), Romania (872 farms) and Serbia (524 farms). All of these countries are characterised by a high fragmentation of agricultural holdings. The analysis allowed us to formulate the following conclusions: eco-efficiency and human capital efficiency indices increased with area for small- and medium-sized family farms. An increase in the eco-efficiency index with an increase in farm area suggests that the smaller the farm area, the more extensive the agricultural production that was carried out. In addition, an increase in human capital efficiency with an increase in farm area indicates that there was inefficiency in the utilisation of human capital resources on the agricultural farms studied.

scholarly journals Development of a Surgical Video Atlas for Resident Education: 3-Year Experience

OTO Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 2473974X2093906
Author(s):  
C. Scott Brown ◽  
Calhoun D. Cunningham ◽  
Walter T. Lee ◽  
Liana Puscas
Keyword(s):  
Operating Room ◽  
Teaching And Learning ◽  
Resident Education ◽  
Surgical Simulation ◽  
Clinical Care ◽  
Effective Means ◽  
The United States ◽  
Surgical Video ◽  
Key Indicator ◽  
Work Hour

Objective To create a high-quality annotated online surgical video atlas of key indicator otolaryngology cases and assess its use and overall journal trends over time. Methods Videos are recorded from multiple viewpoints within the operating room and compiled into a single stream. Postediting includes chaptering videos and overlaying relevant text annotations. Videos are published online and viewership trends analyzed. Results Over 3 years, 29 otolaryngology videos were published out of 161 journal publications (18%). Eight of the 14 key indicator procedures are included (57%). From the beginning of 2017 to the end of 2019, viewership of otolaryngology pages increased from 548 to 11,139 views per month, totaling >150,000 views. These now represent 10% of the total journal monthly views and 10% of the overall views. Users originate from the United States and from >10 other countries. Discussion Residents and faculty face challenges of providing the highest standard of clinical care, teaching, and learning in and out of the operating room. Inherent difficulties of surgical training, high-fidelity surgical simulation, and imposed work hour restrictions necessitate additional, more efficient and effective means of teaching and learning. Surgical videos demonstrating key anatomy, procedural steps, and surgical dexterity with hand positioning are increasing in their popularity among learners. Implications for Practice Surgical video atlases provide a unique adjunct for resident education. They are enduring and easily accessible. In a climate of work hour restrictions or elective case reduction, they may supplement how residents learn to operate outside the operating theater.

scholarly journals Too Little Time to Teach? Medical Student Education and the Resident Work-Hour Restriction

2007 ◽  
Vol 172 (10) ◽  
pp. 1053-1057 ◽  
Author(s):  
Christopher M. Zahn ◽  
Susan G. Dunlow ◽  
Ruben Alvero ◽  
Jason D. Parker ◽  
M. Catherine Nace ◽  
...  
Keyword(s):  
Medical Student ◽  
Medical Student Education ◽  
Student Education ◽  
Resident Work ◽  
Work Hour

scholarly journals Getting the Hours You Want in the Preretirement Years: Work Hour Preferences and Mismatch Among Older Canadian Workers

2018 ◽  
Vol 5 (2) ◽  
pp. 175-188 ◽  
Author(s):  
Michelle Pannor Silver ◽  
Jason Settels ◽  
Markus H Schafer ◽  
Scott Schieman
Keyword(s):  
The Hours ◽  
Work Hour

scholarly journals Characteristics of Highly Rated Internal Medicine Attendings Before and After the 2004 Work-Hour Restrictions

2016 ◽  
Vol 181 (1) ◽  
pp. 76-81
Author(s):  
Renee Mallory ◽  
Jeffrey L. Jackson ◽  
Donald Mondragon ◽  
Christos Hatzigeorgiou ◽  
Kent J. DeZee ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Before And After ◽  
Work Hour

scholarly journals Worker Power and Class Polarization in Intra-Year Work Hour Volatility

2019 ◽  
Author(s):  
Joe LaBriola ◽  
Daniel Schneider
Keyword(s):  
Bargaining Power ◽  
State Level ◽  
The United States ◽  
Job Quality ◽  
One Dimension ◽  
Unemployment Rates ◽  
Precarious Work ◽  
Union Coverage ◽  
Work Hour ◽  
Nationally Representative

Precarious work, which has become more prevalent in the United States in recent decades, is disproportionately experienced by workers of lower socio-economic classes, and research suggests that the erosion of worker power has contributed to this class polarization in precarity. One dimension of precarious work of growing interest to scholars and policymakers is instability faced by workers in the amount and regularity of their work hours. However, we know little about the magnitude of month-to-month or week-to-week (intra-year) volatility in hours worked, the extent of class-based polarization in this measure of job quality, and whether worker power moderates this polarization. In this paper, we make novel use of the panel nature of the nationally-representative Current Population Survey (CPS) to estimate intra-year volatility in the actual hours respondents report working in the previous week across four consecutive survey months. Using this new measure, we then show that, net of demographic characteristics and controls for occupation and industry, low-wage workers experience disproportionately greater work hour volatility. Finally, we find evidence that reductions in marketplace bargaining power--as measured by higher state-level unemployment rates--increase wage- and education-based polarization in work hour volatility, while increases in associational power--as measured by union coverage--reduce wage-based polarization in work hour volatility.

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