Su I-Min, Ding Dah-Ching
Department of Anesthesia, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Tzu Chi Med J. 2020 Aug 6;33(1):87-90. doi: 10.4103/tcmj.tcmj_41_20. eCollection 2021 Jan-Mar.
The workload of obstetric and gynecologic (OB-GYN) physicians has been an unprecedented increase because of the decrease in the number of such physicians. This study aimed to demonstrate that the hospitalist mode was the best mode for the work-life balance of OB-GYN physicians.
This was a retrospective study in a tertiary academic hospital. Patients were admitted to the labor ward for delivery. The number of deliveries performed by each OB-GYN physician in different working modes was measured. We reviewed the medical charts of women admitted for delivery as well as the shift schedule of OB-GYN physicians from January 1, 2018, to June 30, 2018. We classified deliveries into three modes: the traditional mode (patient designation), on-call mode, and the hospitalist mode. Traditional mode was the work mode currently. On-call mode and the hospitalist mode were simulated conditions. The number of deliveries and the total OB-GYN physician worked time for their shift were recorded. The differences between the three modes and between OB-GYN physicians were assessed using analysis of variance.
In total, 237 deliveries were recorded over 6 months (3 deliveries were excluded from our data); these deliveries were performed by four OB-GYN physicians named A to D. Significant differences in workload were noted between OB-GYN physicians working in the traditional mode and those in the on-call mode, but no significant differences were noted among those working in the hospitalist mode. All OB-GYN physicians worked an average of seven shifts, and no significant differences among them were noted.
The hospitalist mode might be the optimal mode for OB-GYN physicians to achieve a favorable work-life balance if their original main jobs are obstetric practice.
由于妇产科医生数量减少，妇产科（OB-GYN）医生的工作量出现了前所未有的增长。本研究旨在证明住院医师模式是实现妇产科医生工作与生活平衡的最佳模式。
这是一项在三级学术医院进行的回顾性研究。患者被收入产房进行分娩。测量了每位妇产科医生在不同工作模式下的分娩数量。我们回顾了2018年1月1日至2018年6月30日期间入院分娩女性的病历以及妇产科医生的排班表。我们将分娩分为三种模式：传统模式（患者指定）、随叫随到模式和住院医师模式。传统模式是目前的工作模式。随叫随到模式和住院医师模式是模拟情况。记录分娩数量以及妇产科医生轮班的总工作时间。使用方差分析评估三种模式之间以及妇产科医生之间的差异。
在6个月内共记录了237例分娩（我们的数据中排除了3例分娩）；这些分娩由四名分别名为A至D的妇产科医生进行。在传统模式下工作的妇产科医生与随叫随到模式下工作的医生之间的工作量存在显著差异，但在住院医师模式下工作的医生之间未发现显著差异。所有妇产科医生平均工作七个班次，且未发现他们之间有显著差异。
如果妇产科医生原本的主要工作是产科实践，那么住院医师模式可能是他们实现良好工作与生活平衡的最佳模式。
