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The impact of various learner arrangements on emergency department staff productivity
Purpose This study aimed to examine how different learner arrangements affect the number of patients seen per hour by staff emergency physicians in ambulatory and non-ambulatory zones of two tertiary teaching hospitals in Ottawa, Canada. Methods This was a retrospective cohort study analyzing all em...
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| Published in: | Canadian journal of emergency medicine 2024-12, Vol.26 (12), p.883-889 |
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| container_end_page | 889 |
| container_issue | 12 |
| container_start_page | 883 |
| container_title | Canadian journal of emergency medicine |
| container_volume | 26 |
| creator | Maher, Jessica Landreville, Jeff Turk, Julien Nemnom, Marie-Joe Odorizzi, Scott |
| description | Purpose
This study aimed to examine how different learner arrangements affect the number of patients seen per hour by staff emergency physicians in ambulatory and non-ambulatory zones of two tertiary teaching hospitals in Ottawa, Canada.
Methods
This was a retrospective cohort study analyzing all emergency department (ED) shifts at the Civic and General Campus EDs of The Ottawa Hospital from April 2022 to March 2023. Data collected included shift type (ambulatory or non-ambulatory), learner arrangement, and number of patients seen per hour. Descriptive statistics and two-sample, two-tailed
t
tests to analyze the relationship between patients seen per hour and learner arrangements.
Results
We analyzed 8161 shifts over the study period, including 5233 in ambulatory care and 2928 in non-ambulatory care areas. Among ambulatory care shifts, the average number of patients seen per hour was 2.1 (95% CI 2.1–2.1) when working alone, 1.9 (1.9–2.0,
p
|
| doi_str_mv | 10.1007/s43678-024-00775-4 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3109422054</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3142600535</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-ae99512da00e77c65deb7be02437483f34d7a63e61f0cdf29386f4062e909dea3</originalsourceid><addsrcrecordid>eNp9kE1PwzAMhiMEYmPwBzigSFy4FJyvpj2iiS9pEpftHGWtMzqt7UjaSfv3ZGwMiQMn2_Lj1_ZLyDWDewagH4IUqc4S4DKJpVaJPCFDJjOWZCDF6TEXakAuQlgCMK5Ydk4GIhdMZzobktn0A2lVr23R0dbRjfVV2we6Qusb9NR6b5sF1th0gbYNjZlfYFNsaYlr67tdg4bOOkfXvi37oqs2Vbe9JGfOrgJeHeKIzJ6fpuPXZPL-8jZ-nCQFV2mXWMxzxXhpAVDrIlUlzvUc40NCy0w4IUttU4Epc1CUjuciS52ElGMOeYlWjMjdXjcu_-wxdKauQoGrlW0wvmEEg1xyDkpG9PYPumx738TrIiV5CqCEihTfU4VvQ_DozNpXtfVbw8DsTDd700280XybbnbSNwfpfl5jeRz5cTkCYg-E2Ip2-t_d_8h-AaPdjSI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3142600535</pqid></control><display><type>article</type><title>The impact of various learner arrangements on emergency department staff productivity</title><source>Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List</source><creator>Maher, Jessica ; Landreville, Jeff ; Turk, Julien ; Nemnom, Marie-Joe ; Odorizzi, Scott</creator><creatorcontrib>Maher, Jessica ; Landreville, Jeff ; Turk, Julien ; Nemnom, Marie-Joe ; Odorizzi, Scott</creatorcontrib><description><![CDATA[Purpose
This study aimed to examine how different learner arrangements affect the number of patients seen per hour by staff emergency physicians in ambulatory and non-ambulatory zones of two tertiary teaching hospitals in Ottawa, Canada.
Methods
This was a retrospective cohort study analyzing all emergency department (ED) shifts at the Civic and General Campus EDs of The Ottawa Hospital from April 2022 to March 2023. Data collected included shift type (ambulatory or non-ambulatory), learner arrangement, and number of patients seen per hour. Descriptive statistics and two-sample, two-tailed
t
tests to analyze the relationship between patients seen per hour and learner arrangements.
Results
We analyzed 8161 shifts over the study period, including 5233 in ambulatory care and 2928 in non-ambulatory care areas. Among ambulatory care shifts, the average number of patients seen per hour was 2.1 (95% CI 2.1–2.1) when working alone, 1.9 (1.9–2.0,
p
< 0.001) with a medical student, 2.1 (2.1–2.2,
p
= 0.20) with a junior resident, 2.6 (2.5–2.6,
p
< 0.001) with a senior resident, 2.1 (2.1–2.2,
p
= 0.33) with a junior resident and a medical student, and 2.6 (2.5–2.7,
p
< 0.001) with a senior resident and a medical student. In non-ambulatory care shifts, the average number of patients seen per hour was 1.4 (95% CI 1.3–1.5) when working alone (122 shifts, 4%), 1.4 (1.4–1.5,
p
= 0.63) with a medical student (85 shifts, 3%), 1.5 (1.5–1.5,
p
= 0.02) with a junior resident (1,013 shifts, 35%), 1.8 (1.7–1.8,
p
< 0.001) with a senior resident (682 shifts, 23%), 1.6 (1.5–1.6,
p
< 0.001) with a junior resident and a medical student (683 shifts, 23%), and 1.8 (1.7–1.8,
p
< 0.001) with a senior resident and a medical student (343 shifts, 12%).
Conclusion
This study highlights the significant impact that learner arrangements have on staff physician productivity in the ED. These findings underscore the importance of strategic scheduling to optimize patient throughput.]]></description><identifier>ISSN: 1481-8035</identifier><identifier>ISSN: 1481-8043</identifier><identifier>EISSN: 1481-8043</identifier><identifier>DOI: 10.1007/s43678-024-00775-4</identifier><identifier>PMID: 39317878</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Ambulatory care ; Canada ; Emergency medical care ; Emergency Medicine ; Emergency Service, Hospital - statistics & numerical data ; Female ; Humans ; Internship and Residency ; Male ; Medical education ; Medical students ; Medicine ; Medicine & Public Health ; Ontario ; Original Research ; Physicians ; Productivity ; Public Health ; Retrospective Studies ; Workload - statistics & numerical data</subject><ispartof>Canadian journal of emergency medicine, 2024-12, Vol.26 (12), p.883-889</ispartof><rights>The Author(s), under exclusive licence to the Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU) 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to the Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU).</rights><rights>Copyright Springer Nature B.V. 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-ae99512da00e77c65deb7be02437483f34d7a63e61f0cdf29386f4062e909dea3</cites><orcidid>0000-0002-5374-6389</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39317878$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maher, Jessica</creatorcontrib><creatorcontrib>Landreville, Jeff</creatorcontrib><creatorcontrib>Turk, Julien</creatorcontrib><creatorcontrib>Nemnom, Marie-Joe</creatorcontrib><creatorcontrib>Odorizzi, Scott</creatorcontrib><title>The impact of various learner arrangements on emergency department staff productivity</title><title>Canadian journal of emergency medicine</title><addtitle>Can J Emerg Med</addtitle><addtitle>CJEM</addtitle><description><![CDATA[Purpose
This study aimed to examine how different learner arrangements affect the number of patients seen per hour by staff emergency physicians in ambulatory and non-ambulatory zones of two tertiary teaching hospitals in Ottawa, Canada.
Methods
This was a retrospective cohort study analyzing all emergency department (ED) shifts at the Civic and General Campus EDs of The Ottawa Hospital from April 2022 to March 2023. Data collected included shift type (ambulatory or non-ambulatory), learner arrangement, and number of patients seen per hour. Descriptive statistics and two-sample, two-tailed
t
tests to analyze the relationship between patients seen per hour and learner arrangements.
Results
We analyzed 8161 shifts over the study period, including 5233 in ambulatory care and 2928 in non-ambulatory care areas. Among ambulatory care shifts, the average number of patients seen per hour was 2.1 (95% CI 2.1–2.1) when working alone, 1.9 (1.9–2.0,
p
< 0.001) with a medical student, 2.1 (2.1–2.2,
p
= 0.20) with a junior resident, 2.6 (2.5–2.6,
p
< 0.001) with a senior resident, 2.1 (2.1–2.2,
p
= 0.33) with a junior resident and a medical student, and 2.6 (2.5–2.7,
p
< 0.001) with a senior resident and a medical student. In non-ambulatory care shifts, the average number of patients seen per hour was 1.4 (95% CI 1.3–1.5) when working alone (122 shifts, 4%), 1.4 (1.4–1.5,
p
= 0.63) with a medical student (85 shifts, 3%), 1.5 (1.5–1.5,
p
= 0.02) with a junior resident (1,013 shifts, 35%), 1.8 (1.7–1.8,
p
< 0.001) with a senior resident (682 shifts, 23%), 1.6 (1.5–1.6,
p
< 0.001) with a junior resident and a medical student (683 shifts, 23%), and 1.8 (1.7–1.8,
p
< 0.001) with a senior resident and a medical student (343 shifts, 12%).
Conclusion
This study highlights the significant impact that learner arrangements have on staff physician productivity in the ED. These findings underscore the importance of strategic scheduling to optimize patient throughput.]]></description><subject>Ambulatory care</subject><subject>Canada</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Medical education</subject><subject>Medical students</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ontario</subject><subject>Original Research</subject><subject>Physicians</subject><subject>Productivity</subject><subject>Public Health</subject><subject>Retrospective Studies</subject><subject>Workload - statistics & numerical data</subject><issn>1481-8035</issn><issn>1481-8043</issn><issn>1481-8043</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kE1PwzAMhiMEYmPwBzigSFy4FJyvpj2iiS9pEpftHGWtMzqt7UjaSfv3ZGwMiQMn2_Lj1_ZLyDWDewagH4IUqc4S4DKJpVaJPCFDJjOWZCDF6TEXakAuQlgCMK5Ydk4GIhdMZzobktn0A2lVr23R0dbRjfVV2we6Qusb9NR6b5sF1th0gbYNjZlfYFNsaYlr67tdg4bOOkfXvi37oqs2Vbe9JGfOrgJeHeKIzJ6fpuPXZPL-8jZ-nCQFV2mXWMxzxXhpAVDrIlUlzvUc40NCy0w4IUttU4Epc1CUjuciS52ElGMOeYlWjMjdXjcu_-wxdKauQoGrlW0wvmEEg1xyDkpG9PYPumx738TrIiV5CqCEihTfU4VvQ_DozNpXtfVbw8DsTDd700280XybbnbSNwfpfl5jeRz5cTkCYg-E2Ip2-t_d_8h-AaPdjSI</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Maher, Jessica</creator><creator>Landreville, Jeff</creator><creator>Turk, Julien</creator><creator>Nemnom, Marie-Joe</creator><creator>Odorizzi, Scott</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>4U-</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5374-6389</orcidid></search><sort><creationdate>20241201</creationdate><title>The impact of various learner arrangements on emergency department staff productivity</title><author>Maher, Jessica ; Landreville, Jeff ; Turk, Julien ; Nemnom, Marie-Joe ; Odorizzi, Scott</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-ae99512da00e77c65deb7be02437483f34d7a63e61f0cdf29386f4062e909dea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Ambulatory care</topic><topic>Canada</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Medical education</topic><topic>Medical students</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ontario</topic><topic>Original Research</topic><topic>Physicians</topic><topic>Productivity</topic><topic>Public Health</topic><topic>Retrospective Studies</topic><topic>Workload - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maher, Jessica</creatorcontrib><creatorcontrib>Landreville, Jeff</creatorcontrib><creatorcontrib>Turk, Julien</creatorcontrib><creatorcontrib>Nemnom, Marie-Joe</creatorcontrib><creatorcontrib>Odorizzi, Scott</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maher, Jessica</au><au>Landreville, Jeff</au><au>Turk, Julien</au><au>Nemnom, Marie-Joe</au><au>Odorizzi, Scott</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of various learner arrangements on emergency department staff productivity</atitle><jtitle>Canadian journal of emergency medicine</jtitle><stitle>Can J Emerg Med</stitle><addtitle>CJEM</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>26</volume><issue>12</issue><spage>883</spage><epage>889</epage><pages>883-889</pages><issn>1481-8035</issn><issn>1481-8043</issn><eissn>1481-8043</eissn><abstract><![CDATA[Purpose
This study aimed to examine how different learner arrangements affect the number of patients seen per hour by staff emergency physicians in ambulatory and non-ambulatory zones of two tertiary teaching hospitals in Ottawa, Canada.
Methods
This was a retrospective cohort study analyzing all emergency department (ED) shifts at the Civic and General Campus EDs of The Ottawa Hospital from April 2022 to March 2023. Data collected included shift type (ambulatory or non-ambulatory), learner arrangement, and number of patients seen per hour. Descriptive statistics and two-sample, two-tailed
t
tests to analyze the relationship between patients seen per hour and learner arrangements.
Results
We analyzed 8161 shifts over the study period, including 5233 in ambulatory care and 2928 in non-ambulatory care areas. Among ambulatory care shifts, the average number of patients seen per hour was 2.1 (95% CI 2.1–2.1) when working alone, 1.9 (1.9–2.0,
p
< 0.001) with a medical student, 2.1 (2.1–2.2,
p
= 0.20) with a junior resident, 2.6 (2.5–2.6,
p
< 0.001) with a senior resident, 2.1 (2.1–2.2,
p
= 0.33) with a junior resident and a medical student, and 2.6 (2.5–2.7,
p
< 0.001) with a senior resident and a medical student. In non-ambulatory care shifts, the average number of patients seen per hour was 1.4 (95% CI 1.3–1.5) when working alone (122 shifts, 4%), 1.4 (1.4–1.5,
p
= 0.63) with a medical student (85 shifts, 3%), 1.5 (1.5–1.5,
p
= 0.02) with a junior resident (1,013 shifts, 35%), 1.8 (1.7–1.8,
p
< 0.001) with a senior resident (682 shifts, 23%), 1.6 (1.5–1.6,
p
< 0.001) with a junior resident and a medical student (683 shifts, 23%), and 1.8 (1.7–1.8,
p
< 0.001) with a senior resident and a medical student (343 shifts, 12%).
Conclusion
This study highlights the significant impact that learner arrangements have on staff physician productivity in the ED. These findings underscore the importance of strategic scheduling to optimize patient throughput.]]></abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>39317878</pmid><doi>10.1007/s43678-024-00775-4</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5374-6389</orcidid></addata></record> |
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| identifier | ISSN: 1481-8035 |
| ispartof | Canadian journal of emergency medicine, 2024-12, Vol.26 (12), p.883-889 |
| issn | 1481-8035 1481-8043 1481-8043 |
| language | eng |
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| source | Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List |
| subjects | Ambulatory care Canada Emergency medical care Emergency Medicine Emergency Service, Hospital - statistics & numerical data Female Humans Internship and Residency Male Medical education Medical students Medicine Medicine & Public Health Ontario Original Research Physicians Productivity Public Health Retrospective Studies Workload - statistics & numerical data |
| title | The impact of various learner arrangements on emergency department staff productivity |
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