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Self-reported subjective workload of on-call interns.
Journal of Graduate Medical Education
|January 10, 2014
Summary
Intern subjective workload is not linked to traditional metrics. Factors like patient sign-out and cross-coverage correlate with higher intern workload, impacting patient safety.
Area of Science:
- Medical Education
- Internal Medicine
- Occupational Health
Background:
- Traditional workload measures (e.g., patient census) may not accurately reflect the complexity of physician workload.
- Accurate workload assessment is crucial for understanding intern well-being and patient safety.
Purpose of the Study:
- To measure the self-reported subjective workload of internal medicine interns.
- To explore the relationship between subjective workload and potential contributing factors.
Main Methods:
- Trained research assistants observed interns on a general medicine service.
- Subjective workload was measured hourly using Borg's Self-Perceived Exertion Scale.
- Intern tasks, demographics, and census data were recorded.
Main Results:
- Mean self-reported subjective workload was 12.0 (SD, 2.4).
- Subjective workload correlated significantly with intern age (r=0.49, P<.05) but not with traditional workload surrogates.
- Workload was significantly higher after sign-out (P<.001).
Conclusions:
- Self-reported subjective workload in interns is not associated with traditional workload measures.
- Receiving sign-out and managing cross-coverage patients may increase intern subjective workload.
- Developing tools to evaluate workload and its contributors is vital for medical education and patient safety.
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