Journal article
Implications of anesthesiology resident availability on first-case staffing
Perioperative Care and Operating Room Management, Vol.21, p.100098
12/2020
DOI: 10.1016/j.pcorm.2020.100098
Abstract
Anesthesia departments start an agreed-upon number of locations each workday. For academic departments, variability in the number of anesthesiology residents available to start the first cases each day affects hiring and staff scheduling. These decisions depend on the median number of available residents and variability among days. We analyzed the number of residents starting first-cases of the day over a 13.5-year interval to provide quantitative data to guide long-term decision-making related to hiring other anesthesia providers (e.g., nurse anesthetists, anesthesia assistants). We obtained electronic data from an academic hospital's anesthesia information management system to determine the number of cases started by anesthesiology residents and other anesthesia providers. We assessed variability among days using quartile regression with clustering by 6-month period. From 2006 through 2018, the annual number of anesthetics increased progressively from 31,559 to 44,981. The percentage of all cases started by residents decreased from 38.4% to 21.4%, as did the number of cases started during regular workdays (-9.7 [SE 2.9] cases per year, P = 0.008). The number of resident days starting a first-case was unchanged. On half the days (0.5 quartile), the percentage of full-time equivalent residents who started a first-case was 36.5% during July to December periods and 32.8% during January to June periods (difference = 3.7%, SE 0.7%, P < 0.0001). The average coefficient of quartile deviation among days within these 6-month periods was 9.5% (SE 0.5%) full-time equivalent residents. The fraction of anesthesiology residents starting first-cases on regular workdays remained stable over 13.5 years, but there was considerable day to day variability. For long-term staffing purposes, we suggest relying on the first quartile of residents starting first-cases (rounded down) as a strategy to calculate the number of anesthesia providers required each day to staff the first cases of the day.
Details
- Title: Subtitle
- Implications of anesthesiology resident availability on first-case staffing
- Creators
- Richard H Epstein - University of Miami, Department of Anesthesiology, Perioperative Medicine and Pain Management, 1400 NW 12th Ave, Suite 3075, Miami, FL 33136 United States of AmericaFranklin Dexter - University of Iowa, Division of Management Consulting, Department of Anesthesia, 200 Hawkins Drive, 6 JCP, Iowa City, Iowa, 52242 United States of AmericaJames W Heitz - Sidney Kimmel Medical College at Thomas Jefferson University, Department of Anesthesiology, 111 South 11th Street, Gibbon Building, Suite 8270, Philadelphia, PA 19107, United States of AmericaStephen E McNulty - Sidney Kimmel Medical College at Thomas Jefferson University, Department of Anesthesiology, 111 South 11th Street, Gibbon Building, Suite 8490, Philadelphia, PA 19107, United States of America
- Resource Type
- Journal article
- Publication Details
- Perioperative Care and Operating Room Management, Vol.21, p.100098
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.pcorm.2020.100098
- ISSN
- 2405-6030
- eISSN
- 2405-6030
- Language
- English
- Date published
- 12/2020
- Academic Unit
- Anesthesia; Health Management and Policy
- Record Identifier
- 9983806271402771
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