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Decreasing inter-resident conflict by using computer-generated on-call schedules.

Chandlee C Dickey1, Tetanya Tarnavsky, Ilea Khan

  • 1VA Boston Healthcare System, Harvard Medical School, Boston, MA, USA, Chandlee.Dickey@va.gov.

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
|February 13, 2014
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Summary
This summary is machine-generated.

Computer-generated on-call schedules significantly improve fairness and reduce conflict among residents. This automated approach balances duty hours more equitably than manual scheduling, leading to higher resident satisfaction.

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Area of Science:

  • Medical Education
  • Healthcare Administration
  • Workforce Management

Background:

  • Traditional manual creation of resident on-call schedules by Chief Residents lacks objectivity and transparency.
  • Manual scheduling can lead to perceived inequities and inter-resident conflict regarding duty hour assignments.

Purpose of the Study:

  • To evaluate the effectiveness of a computer-generated on-call schedule as an alternative to manual scheduling.
  • To enhance objectivity, transparency, and fairness in resident duty hour assignments.
  • To reduce inter-resident conflict associated with on-call scheduling.

Main Methods:

  • A MATLAB script was developed to generate on-call schedules for the 2012-2013 academic year.
  • Retrospective analysis compared manual (2011-2012) and computer-generated (2012-2013) schedules.
  • Key metrics included balance of total hours, number of call switches, and resident perception surveys.

Main Results:

  • Computer-generated schedules reduced the maximum difference in total assigned hours from 25.8% to 6.1%.
  • Call switches decreased by 63% with the automated system.
  • 77% of residents found the computer-generated schedule fairer, and 90.9% preferred a summary table of hours.

Conclusions:

  • Transparent and equitable duty hour scheduling methods can improve fairness perceptions.
  • Computer-generated scheduling reduces reliance on Chief Residents and minimizes inter-resident conflict.
  • Automated scheduling systems offer a more objective and satisfactory approach to resident duty hour management.