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Hours based scheduling in neonatology: a practical approach.

Annemarie Stroustrup1, Patrick J McNamara2, Trent E Tipple3

  • 1Northwell Health; Division of Neonatology, Cohen Children's Medical Center, Department of Pediatrics, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA. astroustrup@northwell.edu.

Journal of Perinatology : Official Journal of the California Perinatal Association
|June 19, 2025
PubMed
Summary

Neonatologist staffing models lack standardization in the US. A flexible scheduling approach is presented to clarify diverse clinical and non-clinical responsibilities for neonatologists.

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Area of Science:

  • Neonatology
  • Medical Staffing Models
  • Healthcare Administration

Background:

  • Practicing neonatologists in the United States lack a standard work assignment.
  • Current attending neonatologist staffing models vary significantly based on numerous factors including job task, shift length, and clinical vs. non-clinical commitments.
  • The diversity of responsibilities makes designing transparent and equitable staffing models challenging.

Purpose of the Study:

  • To present a flexible and effective approach to neonatologist scheduling.
  • To provide clarity on the full range of professional responsibilities for practicing neonatologists.
  • To aid clinical and administrative leadership in understanding and executing staffing models.

Main Methods:

  • Implementation of a flexible scheduling model at two academic medical centers.
  • Delineation of time dedicated to various clinical and non-clinical activities.
  • Adaptation of the model across multiple sites and types of neonatology clinical practice.

Main Results:

  • Successful implementation of the flexible scheduling model at two academic medical centers.
  • Clearer delineation of clinical and non-clinical time for neonatologists.
  • Improved clarity for leadership regarding neonatologist professional responsibilities.

Conclusions:

  • A flexible scheduling approach can effectively address the complexities of neonatologist staffing.
  • This model enhances transparency and equity in work assignments.
  • It provides a framework for optimizing neonatologist time and resources.