Twenty-Four-Hour Attending Coverage and Its Effect on Trainee Educational Opportunities
Nocturnal ICU staffing gained favor after correlation was shown between intensivist presence and better patient outcomes. We conducted a cross-sectional survey of stakeholders at a tertiary care academic medical center to evaluate the impact of 24-h attending presence on overnight educational environment, learner autonomy, and attending quality of life. Our results showed an improved sense of educational quality along with diminished trainee autonomy. Attending job satisfaction was poor and this was not entirely explained by persistent daytime demands. This identifies areas for initiatives to encourage trainee autonomy and system evaluations of how best to staff attending nocturnal coverage.
KeywordsResident education Nursing Autonomy Educational environment Nocturnal intensivist Patient safety
Compliance with Ethical Standards
Conflict of Interest
The authors declare that there is no conflict of interest.
This work has not been presented in the form of an abstract or poster presentation.
This work has not been previously published online.
- 3.Gajic O, Afessa, Wylam ME, et al. Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Crit Care Med. 2008;36–44.Google Scholar