American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Session Code: PS002
Title: Resident and Associate Society - American College of Surgeons Symposium: Shift Work Surgery: Loss of Continuity or Sensible Balance of Responsibility?
Date and Time of Session: Sunday, October 27: 1:00 pm - 3:00 pm
Location: Moscone Convention Center - Room: MN 25
Description: Surgical residency training programs have undergone changes to the scheduling and curriculum to accommodate duty hour regulations imposed by the national accrediting agency. Practice patterns and call schedules for attending surgeons have also undergone changes. The historical model for the surgical profession has included home call for nights and weekends for one’s own patients, without scheduled time off. Current trends to prevent burnout and improve work-life balance, however, have encouraged changes in call and daily schedules, and a shiftwork arrangement has been implemented by some surgical specialties, such as Acute Care Surgery. Other surgical specialties have initiated call schedules among their surgical teams, with dedicated coverage to prevent 24/7 call responsibilities for an individual surgeon. This transformation has led to debate within the surgical field surrounding the optimal way to implement surgical “shifts,” or whether the field should avoid movement towards shiftwork entirely. Some argue that taking continuous call for one’s own patients promotes continuity of care, responsibility for patients, and decreases communication errors. Others propose that superior care is supported by shiftwork due to reduced sleep deprivation, medical errors, and surgeon burnout. The 2019 RAS-ACS Symposium will debate whether shiftwork surgery should be encouraged as it creates a sensible balance of responsibility and promotes surgeon wellness, or discouraged as it reduces the surgeon’s continuous involvement in their patient’s care. This panel session will enlighten attendees about the benefits and drawbacks of surgeons working scheduling shifts, and assist attendees in discerning the most effective way to provide superb patient care in team-based work environments.
CME Credit Hours: 3
Webcast Package Available: No
Audio Package Available: No
Track:
Residents / Medical Students (RES-MED), General Surgery (GEN), Education / Outcomes & Safety (EDU), Ethics (ETH), Health Policy: Practice Management / Reimbursement / Liability Issues (HP)
Sponsored By:
Resident and Associate Society
Program Participants:
Moderator
Barbara L. Bass, MD, FACS, FRCS (Hon), FRCSI (Hon), FCOSECSA (Hon)
Facilitator
Christopher F. McNicoll, MD
Introducer Introduction
Barbara L. Bass, MD, FACS, FRCS (Hon), FRCSI (Hon), FCOSECSA (Hon)
Presenter Background Information on the Current State of Disclosure
Barbara L. Bass, MD, FACS, FRCS (Hon), FRCSI (Hon), FCOSECSA (Hon)
Presenter Resident Presentation - Pro
Lili Sadri, MD
Presenter Resident Presentation - Con
Jessica Nicole Rea, MD
Presenter Expert Presentation - Pro
Sharmila Dissanaike, MD, FACS, FCCM
Presenter Expert Presentation - Con
Kenneth L. Mattox, MD, FACS
Questions and Answers