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Title: Workplace factors leading to planned reduction of clinical work among emergency physicians.
Authors: Crook, Heather D.
Taylor, David McD
Pallant, Julie F.
Cameron, Peter A.
Issue Date: 2004
Publisher: Wiley
Place of publication: London
Publication Title: Emergency Medicine Australasia
Volume: 16
Issue: 1
Start Page: 28
End Page: 34
Abstract: OBJECTIVE: There is anecdotal evidence that ACEM Fellows are reducing or planning to reduce their clinical workload. We investigated the extent of, and reasons for, these reductions. METHODS: An anonymous, cross-sectional postal survey utilizing a study-specific questionnaire. RESULTS: Three hundred and twenty-three Fellows (63.5%) responded. Most were recently graduated males. In the last 5 years, the mean number of clinical hours worked per week has reduced significantly (P < 0.001) for both junior (40.6-28.9 h) and senior Fellows (30.4-23.1 h). Further significant (P < 0.001) reductions are planned. The most frequently reported reasons for reducing clinical workload were excessive workload, family life and emotional health effects, shift work and work stress. The most stressful aspects of work reported were access block, dealing with management, insufficient staffing, workload pressures and staff supervision. Clinical work reportedly impacts most upon family life, social life and emotional health. CONCLUSIONS: Fellows are significantly reducing their clinical workload largely in response to excessive workload and lack of resources. These findings have important implications for professional longevity and work force planning. Re-evaluation of workplace practice, especially identified stressors, is indicated.
ISSN: 1742-6731
Internal ID Number: 00110
Health Subject: ATTRITION
Type: Journal Article
Appears in Collections:Research Output

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