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. 2022 May 19;17(5):e0268569.
doi: 10.1371/journal.pone.0268569. eCollection 2022.

Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system

Steven J Katz  1
Affiliations

Staff and resident perceptions on the introduction of a team based multi-specialty resident night shift system

Steven J Katz. PLoS One. .

Abstract

Objectives: To determine the perceptions of staff and resident physicians on the impact of implementation of a new team based multi-specialty resident night shift system.

Methods: An electronic survey was distributed anonymously to all resident physicians in the Core Internal Medicine residency program at the University of Alberta. A similar survey was distributed to staff physicians in the 4 specialties impacted by this new system: hematology, respirology, nephrology and gastroenterology.

Results: 74 physicians completed the survey. A majority of respondents (67%) indicated the new system was a positive change. Most shared it was better than traditional 1 in 4 call (65%), with resident physicians appreciating the team based nature of the system (65%), and just more than half of residents (55%) indicating this system improved their overall wellness. Most respondents (78%) did not feel the additional handover required had a negative impact. Respondents indicated daytime teaching and feedback improved as a result of this system (52%) with most others indicating it had no impact, although overnight feedback remained a challenge.

Conclusion: The implementation of this new team based system was well accepted by both staff and resident physicians across a number of domains. Future study is required to determine its impact on access and quality of care.

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Conflict of interest statement

The author has declared that no competing interests exist.

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