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Time out for surgeons: when is the attending surgeon too tired?
Scott R Schoem1, Christine Finck
1Division of Otolaryngology, Head and Neck Surgery, Connecticut Children's Medical Center, 282 Washington Street, Hartford, CT 06106, USA.
Insights
Pediatric surgical subspecialty shortages are critical. Attending surgeon fatigue compromises patient safety and requires regulatory attention, similar to resident work hour limits.
Area of Science:
- Medicine
- Surgery
- Healthcare Management
Background:
- Persistent pediatric surgical subspecialty workforce shortages pose a significant challenge.
- Current healthcare systems face short-term solutions with no immediate resolution in sight.
Purpose of the Study:
- To highlight the critical need to prioritize patient safety over clinical productivity.
- To advocate for the reduction of attending surgeon work hours to prevent exhaustion and improve safety.
Main Methods:
- Qualitative analysis of current workforce trends and patient safety concerns.
- Review of existing regulations regarding resident physician work hours.
Main Results:
- Attending surgeon exhaustion due to excessive work hours directly impairs patient safety.
- Current practices prioritize financial outcomes over patient well-being.
Conclusions:
- Attending surgeon work hours must be regulated to ensure patient safety, mirroring resident physician hour restrictions.
- Hospital patient safety committees, professional societies, and regulatory bodies must address this issue proactively.
Abstract:
Pediatric surgical subspecialty workforce shortages are here to stay without any expected solution for the short-term. Individual surgeons, hospital administrators, risk management and patient-safety teams need to recognize that patient safety must take precedence over clinical productivity and financial "bottom lines." Pushing attending surgeon work hours beyond the limits of exhaustion impairs patient safety. Just as resident surgeon work hours have been appropriately curtailed in the name of patient safety, so must attending surgeon work hours. This issue needs to be addressed by hospital patient safety committees, professional societies, and by state and national regulating authorities.
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