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Pediatric Resident Workload Intensity and Variability.

Adam Was¹, Rebecca Blankenburg², K T Park³

¹Department of Pediatrics, and awas@stanford.edu.

|July 1, 2016

Summary

This summary is machine-generated.

Pediatric resident workloads vary significantly in intensity, not just hours. Understanding this workload intensity can improve resident education, physician wellness, and patient care quality.

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Area of Science:

Medical Education Research
Pediatric Residency Programs
Healthcare Quality Improvement

Background:

Previous research on resident workloads focused on hours worked, neglecting workload content and variability.
This study hypothesizes significant variations in resident workload intensity, which could enhance resident education.

Purpose of the Study:

To investigate the variability in workload intensity among pediatric residents.
To analyze the correlation between different aspects of workload intensity.
To determine if self-perceived workload intensity aligns with objective measures.

Main Methods:

Utilized electronic health records data for pediatric residents' notes and orders from June 2012 to March 2014.
Employed surveys for self-perceived workload intensity and statistical analyses (chi-squared, Monte Carlo simulation, linear regression) for objective measures.
Focused on 26 pediatric interns across 6 core rotations for accurate comparison.

Main Results:

Significant variability (P < .001) was found in both order-entry and note-writing workload intensity among residents.
"High workload" residents wrote 91% more orders and 19% more notes than "low workload" residents.
A significant correlation (R(2) = 0.22, P = .02) existed between note-writing and order-entry workload intensity, but not with self-perceived intensity.

Conclusions:

Substantial variations in workload intensity exist among pediatric residents.
This heterogeneity may impact educational experiences, physician well-being, and patient care.
Objective measures of workload intensity are crucial, as self-perception may not accurately reflect the reality.