Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/123099
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dc.contributor.authorKinnear, N.-
dc.contributor.authorTran, M.-
dc.contributor.authorHan, J.-
dc.contributor.authorJolly, S.-
dc.contributor.authorHerath, M.-
dc.contributor.authorHennessey, D.-
dc.contributor.authorDobbins, C.-
dc.contributor.authorSammour, T.-
dc.contributor.authorMoore, J.-
dc.date.issued2020-
dc.identifier.citationANZ Journal of Surgery, 2020; 90(3):262-267-
dc.identifier.issn1445-2197-
dc.identifier.issn1445-2197-
dc.identifier.urihttp://hdl.handle.net/2440/123099-
dc.descriptionFirst published online 19 December 2019-
dc.description.abstractBACKGROUND: Few studies have assessed the relationship between different emergency general surgery models and staff satisfaction, operative experience or working hours. The Royal Australasian College of Surgeons recommends maximum on-call frequency of one-in-four for surgeons and registrars. METHODS: A cross-sectional study was conducted of all medium- to major-sized Australian public hospitals offering elective general surgery. At each site, an on-call general surgery registrar and senior surgeon were invited to participate. Primary outcomes were staff satisfaction and registrar-perceived operative exposure. Secondary outcomes were working hours. RESULTS: Among eligible hospitals, 119/120 (99%) were enrolled. Compared with traditional emergency general surgery models, hybrid or acute surgical unit models were associated with greater surgeon and registrar satisfaction on quantitative (P = 0.012) and qualitative measures. Registrar-perceived operating exposure was unaffected by emergency general surgery model. Longest duration on-duty was higher among traditional structures for both registrars (mean 22 versus 15 h; P = 0.0003) and surgeons (mean 59 versus 41 h; P = 0.020). On-call frequency greater than one-in-four was more common in traditional structures for registrars (51% versus 28%; P = 0.012) but not surgeons (6% versus 0%; P = 0.089). Data on average hours per day off-duty were obtained for registrars only, and were lower in traditional structures (13 versus 15 h; P = 0.00002). CONCLUSION: Hybrid or acute surgical unit models may improve staff satisfaction without sacrificing perceived operative exposure. While average maximum duration on-duty exceeded hazardous thresholds for surgeons regardless of model, unsafe working hours for registrars were more common in traditional structures. General surgical departments should review on-call rostering to optimize staff and patient safety.-
dc.description.statementofresponsibilityNed Kinnear, Minh Tran, Jennie Han, Samantha Jolly, Matheesha Herath, Derek Hennessey, Christopher Dobbins, Tarik Sammour and James Moore-
dc.language.isoen-
dc.publisherWiley-
dc.rights© 2019 Royal Australasian College of Surgeons-
dc.source.urihttp://dx.doi.org/10.1111/ans.15628-
dc.subjectCross-Sectional Studies *Emergency Service, Hospital *Emergency Treatment General Surgery/*education Humans *Job Satisfaction *Models, Theoretical Time Factors Workload/*statistics & numerical data *acute care surgery *acute general surgery *acute surgical unit *emergency general surgery-
dc.titleDoes emergency general surgery model affect staff satisfaction, training and working hours?-
dc.typeJournal article-
dc.identifier.doi10.1111/ans.15628-
dc.relation.grantNHMRC-
pubs.publication-statusPublished-
dc.identifier.orcidKinnear, N. [0000-0002-7833-2537]-
dc.identifier.orcidJolly, S. [0000-0002-7674-508X]-
dc.identifier.orcidHerath, M. [0000-0003-2756-5864]-
dc.identifier.orcidSammour, T. [0000-0002-4918-8871]-
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