Urology residents on call: Investigating the workload and relevance of calls

Authors

  • Benoît Thériault Université Laval
  • Maryse Marceau-Grimard
  • Anne-Sophie Blais Université Laval
  • Vincent Fradet Université Laval
  • Katerine Moore Université Laval
  • Jonathan Cloutier Université Laval

DOI:

https://doi.org/10.5489/cuaj.4333

Abstract

Introduction: On-call medical services assumed by residents represent many hours of hard work and no studies have documented what it really entails. As part of an effort to improve our on-call system, we examined phone calls received by residents on call. Our objectives were to evaluate the characteristics of phone calls received by residents on call (who, when, why, need to go to the hospital) and to determine residents’ perception of these calls. We also looked into implementing strategies to reduce unnecessary calls.

Methods: We prospectively collected information about calls using a standardized reporting form with the participation of all residents (10) from a single urology program over two periods of four weeks from November 2014 to March 2015. Residents answered pre- and post-collecting period questionnaires.

Results: A total of 460 calls were recorded on 97 on-call days in two on-call lists. There was a mean of 3.5 (median 3, range 0‒12) calls per weeknight and 7.7 (median 6, range 0‒23) calls per weekend full day. Nintey-three calls (20%) led to the need for bedside evaluation and many of these were for new consultations (49%). The majority of calls originated from the clinical in-patient ward (49%) and emergency room (29%), and nurses (66%) and doctors (23%) most commonly initiated the calls. Calls between 11:00 pm and 8:00 am represented 13% of all calls. Most of the calls (77%) were perceived as relevant or very relevant. Most residents reported at least 80% of calls.

Conclusions: Although likely representing an underestimate of the reality, we provide a first effort in documenting the call burden of Canadian urology residents.

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Author Biographies

Benoît Thériault, Université Laval

MD

Maryse Marceau-Grimard

MD, CISSS de Chaudière-Appalache secteur Thetford

Anne-Sophie Blais, Université Laval

MD

Vincent Fradet, Université Laval

MD, PhD, FRCSC

Associate Professor, Université Laval - Faculty of Medicine - Department of surgery

Uro-Oncologist, CHU de Québec - Hôtel-Dieu de Québec

Katerine Moore, Université Laval

MD, FRCSC
Division urology, Department of surgery, CHU de Québec - Université Laval

Jonathan Cloutier, Université Laval

MD, FRCSC
Division urology, Department of surgery, CHU de Québec - Université Laval

Published

2017-12-01

How to Cite

Thériault, B., Marceau-Grimard, M., Blais, A.-S., Fradet, V., Moore, K., & Cloutier, J. (2017). Urology residents on call: Investigating the workload and relevance of calls. Canadian Urological Association Journal, 12(2), E71–5. https://doi.org/10.5489/cuaj.4333

Issue

Section

Original Research