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Shiftwork and emergency medical practice.

Jason R Frank1, Howard Ovens

  • 1Division of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.

CJEM
|July 20, 2007
PubMed
Summary
This summary is machine-generated.

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Shiftwork negatively impacts emergency medicine physicians. This review identifies health risks and proposes mitigation strategies for Canadian emergency physicians working shifts.

Area of Science:

  • Medical research
  • Occupational health
  • Emergency medicine

Background:

  • Shiftwork is integral to 24/7 emergency medicine practice.
  • However, it poses significant risks to physician health and well-being.
  • Understanding these effects is crucial for maintaining a sustainable workforce.

Purpose of the Study:

  • To systematically review the literature on shiftwork's impact on physician health, well-being, and practice.
  • To identify and describe evidence-based strategies for mitigating these negative effects.
  • To specifically address the context of Canadian emergency physicians.

Main Methods:

  • Systematic literature review methodology.
  • Comprehensive search of relevant databases for studies on shiftwork in emergency medicine.

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  • Synthesis of findings regarding health outcomes and mitigation strategies.

    • Main Results:

    • Shiftwork is associated with adverse health outcomes, including fatigue, burnout, and sleep disturbances.
    • Impacts extend to medical practice, potentially affecting patient safety and physician performance.
    • Various strategies, such as scheduling adjustments and wellness programs, show promise for mitigation.

    Conclusions:

    • Shiftwork presents considerable challenges to the health and well-being of emergency physicians.
    • Proactive implementation of evidence-based mitigation strategies is essential.
    • Addressing these issues is vital for the sustainability of emergency medicine in Canada.