Neurobehavioral effects of the on-call experience in housestaff physicians
Article Abstract:
The residency period of medical training frequently requires continuous on-call periods, with sleepless intervals lasting up to 36 hours or longer. Such intense work schedules frequently encourage the development of attitudes contrary to the intended one of dedication to serving man. The opposite effect, callous indifference or inadequate care, is more often encountered. The effect this extended period of on-call attendance, with its accompanying sleeplessness, has on the individual, his mental functional capacity, short term memory, coordination, judgment and his ability to perform the duties of a physician, was studied. The participants in the study were drawn from the house staff of Cook County Hospital, while on either the internal medicine or pediatric rotations. Sixty-three residents volunteered for the project, which was conducted from October through December of 1988. The Neurobehavioral Evaluation System 2 (NES2) was employed for central nervous system (CNS) testing. This instrument consists of 15 computerized behavioral and mood evaluation tests. The self-administered NES2 tests employed in this study were intended to measure vigilance, dexterity, speed and coding ability. Mental manipulation was evaluated using the Horizontal Addition Test. The examinations were conducted three times. Various personal habits and behavioral patterns were documented and the individual responses to the questionnaires closely monitored. The rigors of extended sleep depravation and challenges of the constant decision processes showed up in the statistically significant decreases in the performance quality in all areas of the test. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Journal of Occupational Medicine
Subject: Health care industry
ISSN: 0096-1736
Year: 1991
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The treatment perspectives of physicians, citizens and state legislators
Article Abstract:
Researchers surveyed three separate groups: physicians, legislators and citizen consumers, about who should make treatment decisions concerning seriously ill patients. There were significant differences of opinion between the citizens and physicians, but there was little difference between these two groups and legislators. Physicians were shown to be willing to make their decisions in a wide social context, and legislators were found to consider the individual patient. Citizens were able to balance individual needs with societal needs. Thus, the three groups were more in agreement than dissent.
Publication Name: Hospital & Health Services Administration
Subject: Health care industry
ISSN: 8750-3735
Year: 1993
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HMO penetration and the geographic mobility of practicing physicians
Article Abstract:
The effects of changes in health maintenance organization penetration on the geographic mobility of practicing physicians are considered.
Publication Name: Journal of Health Economics
Subject: Health care industry
ISSN: 0167-6296
Year: 2000
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