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[Public service strike. Effects on operating room management and training at a surgical university clinic]
J Schuld1, S Scheingraber, S Richter
1Klinik für Allgemeine Chirurgie, Viszeral-, Gefäss- und Kinderchirurgie, Universitätsklinik des Saarlandes, 66421 Homburg/ Saar, Deutschland.
Background:
In 2006 the longest strike so far in the German health service occurred. Contrary to most hospitals in public authorities, the medical doctors of the University Hospital of Homburg/Saar did not participate in the strike, leading to pronounced tensions between patients, strikers and medical staff.
Material And Methods:
The effect of the strike on operating room (OR) management, medical personnel resource planning, and surgical training were compared with the remaining period of the year 2006.
Results:
Elective surgical procedures were accomplished significantly more frequently by more qualified surgeons, leading to shorter OR time; surgical training was performed significantly less. The rate of emergency operations and the care of tumor patients increased significantly during the strike.
Conclusion:
Surgical training was neglected during the strike. Transferring non-job-related tasks to medical doctors and expanding their working time allowed optimal utilization of the limited resources.
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