Clinical trial NCT03446482: Anesthesiology's Practice Time Evaluation
Official title: Allocation of Physician Time in Anesthesiology Practice
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Anesthesiologist's Tasks
Lead sponsor: University Hospital, Rouen
Sponsor class: OTHER
First posted: 2018-02-26
Enrollment: 20
Sex: ALL
Minimum age (years): 28
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: anesthesiologist

Brief summary: The evolution of the health care system in Western countries has increased the scope of the tasks assigned to doctors in their daily lives. The burden of administrative tasks and the use of IT tools reduce the time spent with the patient. Indeed, in a very recent work published in the Annals of Internal Medicine, Sinsky et al. showed that in 4 different specialties (general medicine, internal medicine, cardiology and orthopaedics) for every hour spent in front of a patient, each physician spent two hours on tasks in the absence of the patient1. This distribution of time was found in the Wenger et al. study in 36 internal medicine interns, since a ratio of 1:3 between the working time spent in the presence of the patient (1.7 hours) and that spent in front of a computer (5.2 hours) was noted2.

The reduction in the clinical time devoted directly to the patient is a major source of dissatisfaction for physicians, which can even extend to burnout3. Moreover, it has been shown that the importance of computer tasks in everyday life is correlated with the occurrence of burnout4. Finally, beyond these clinical times directly or indirectly linked to patient care, the time spent on other tasks (administrative, travel time between different sites,...) appears to be significant (20% in Sinsky et al.)1.

The anesthesiologist faces the same constraints as other specialties, but no work has been specifically concerned with the distribution of time spent on the different tasks. Compared to other specialties, anesthesiologist is also regularly confronted with specific organisational tasks within the operating room that could reduce the time spent directly with patients.

The objective of this work is to determine the division of the different tasks in a anesthesiologist's work day by analysing the time spent directly with the patient but also that allocated to his or her care outside of his or her presence, as well as that devoted to organizational or administrative tasks.


Eligibility criteria: Inclusion Criteria:

* Anesthesiologist performing his day's work in an anaesthesia context
* Day including only clinical activity

Exclusion Criteria:

* Anesthesiologist isn't performing a day's work in an anaesthesia context
* Day not only includes clinical activity

Primary outcomes:
measure: time (minutes) of anesthesiologist's presence with the patient during anesthesia in operating room
timeFrame: 24 hours
Secondary outcomes:
measure: Satisfaction of the anesthesiologist on his workday Number/h of task's interruption
timeFrame: 3 days
Other outcomes:
Locations:
city: Rouen
country: France
facility: Rouen University Hospital
Study officials:
References: