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Nigerian resident doctors' work schedule: A national study.

S A Balogun1, A E Ubom2, A O Adesunkanmi1

  • 1Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.

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Nigerian Resident Doctors (RDs) work an average of 106.5 hours weekly, exceeding safe limits. This study highlights the urgent need for regulating RDs' duty hours to ensure physician well-being and patient safety in Nigeria.

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Area of Science:

  • Medical Education
  • Occupational Health
  • Patient Safety

Background:

  • Long duty hours for Resident Doctors (RDs) are linked to adverse effects on physician well-being and patient safety.
  • Unlike many developed nations, Nigeria lacks official regulations on RDs' work hours.
  • This study addresses the critical gap in understanding the work schedule of Nigerian RDs.

Purpose of the Study:

  • To evaluate the current work schedule of Resident Doctors in Nigeria.
  • To assess the impact of these work hours on physician well-being.
  • To determine the implications for patient safety.

Main Methods:

  • A national survey was conducted involving 1105 Nigerian RDs across 59 training institutions.
  • Data on work activities were collected using an electronic questionnaire distributed via Google Forms.
  • Statistical analysis, including Chi-squared tests, was performed using IBM SPSS version 24.

Main Results:

  • The mean weekly duty hours for Nigerian RDs were 106.5 ± 50.4 hours.
  • Surgical residents reported significantly longer hours (122.7 ± 34.2 h) compared to non-surgical residents (100.0 ± 43.9 h).
  • The majority of RDs worked continuously for extended periods (24-72 hours), with limited sleep, and desired official regulation of duty hours.

Conclusions:

  • Nigerian RDs face excessively long and unregulated duty hours.
  • There is an immediate necessity to implement regulations for RDs' work hours.
  • Regulation is crucial for safeguarding both physician well-being and patient safety.