Abstract
A time study was performed on surgeons because is an important tool in the delivery of any intervention. Little is known about how surgeons time is allocated. The research question is: is time management a social responsibility? The objective is the analysis of the distribution of time of surgeons from Urology Department, from CDCUM Hospital A self-reporting work was used for a period of one month. The research uses a descriptive method. Quantitative direct observational time study and self-reported diary were performed, for both office hours and after hours. We choose urology surgeons, because in Romania their number is limited and therefore there is a high volume of work. Using a time-motion study technique, the workdays were documented on activities developed, by using direct observation method. A total of 3136 h of work time were collected. Surgeons spent most of their work time in interventions, but also on direct patient care and teaching activities. A statistical analyze was performed to estimate the proportion of work time of surgeons. Blyth Still Casella confidence intervals and Agresti Min confidence intervals were estimated because we obtained differences between subgroups. Results provided a basis for future research on time management, to increase the efficiency and productivity, to ensure a work-life balance and to calculate the cost of health care interventions. Future research may take into consideration a comparison with other specializations. By improving time management we can increase physicians productivity and also personal and professional satisfaction, that could be a step in implementing social responsibility.
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References
Agresti, A., Min, Y.: On small-sample confidence intervals for parameters in discrete distributions. Biometrics 57, 963–971 (2001)
Alkureishi, M.A., Lee, W.W., Lyons, M., Press, V.G., Imam, S., NkansahAmankra, A., et al.: Impact of electronic medical record use on the patient-doctor relationship and communication: a systematic review. J. Gen. Intern. Med. 31, 548–560 (2016)
Ammenwerth, E., Spotl, H.P.: The time needed for clinical documentation versus direct patient care. A work-sampling analysis of physicians’ activities. Methods Inf. Med. 48, 84–91 (2009)
Arnet, P.J.V.B.: The impact of management programs on physicians’ work environment and health. J. Health Org. Manage. 18(1), 25–37 (2004)
Babbott, S., Manwell, L.B., Brown, R., Montague, E., Williams, E., Schwartz, M., et al.: Electronic medical records and physician stress in primary care: results from the MEMO study. J. Am. Med. Inform. Assoc. 21, e100–e106 (2014)
Blackall, G., Melnick, S., Shoop, G., George, J., Lerner, S., Wilson, P., Pees, R., Kreher, M.: Professionalism in medical education: the development and validation of a survey instrument to assess attitudes toward professionalism. Med. Teach. 29(2–3), e58–e62 (2007)
Block, L., Habicht, R., Wu, A.W., et al.: In the wake of the 2003 and 2011 duty hours regulations, how do internal medicine interns spend their time? J. Gen. Int. Med. 1042–1047 (2013)
Blyth, C.R.: Still HA binomial confidence intervals. J. Am. Stat. Assoc. 78, 108–116 (1983)
Brunicardi, F.C., Hobson, F.L.: Time management: a review for physicians. J. Natl. Med. Assoc. 88, 581–587 (1996)
Casella, G.: Refining binomial confidence intervals. J. Stat. Rev. Can Stat. 14, 113–129 (1986)
Chouchane, L., Mamtani, R., Al-Thani, M., Al-Thani, A., Ameduri, M., Sheikh, J.: Medical education and research environment in Qatar: a new epoch for translational research in the Middle East. J. Transl. Med. 9(1), 16 (2011)
Christie, S.: Effective time management skills for doctors. Developmedica, Nottingham (2009)
Covey, S.: The Seven Habits of Highly Effective People. Simon & Schuster, New York, NY (1989)
Covey, S.R.: The 7 Habits of Highly Effective People. Simon & Schuster Ltd, London (1990)
Covey, S.R., Merrill, A.R., Merrill, R.R.: First things first. Free Press (1996)
Crosby, J.W.: Ten time-management tips for family physicians. CMAJ 170, 949–950 (2004)
Dugdale, D.C., Epstein, R., Pantilat, S.Z.: Time and the patient-physician relationship. J. Gen. Int. Med. 14(Suppl 1), S34-40 (1999)
Du Preez, R.R., Pickworth, G.E., Van Rooyen, M.: Teaching professionalism: a South African perspective. Med. Teach. 29(9–10), e284–e291 (2007)
Du, X., Kassab, S.E., Al-Moslih, A.M., Abu-Hijleh, M.F., Hamdy, H., Cyprian, F.S.: Identifying essential competencies for medical students. J. Appl. Res. High. Educ. (2019)
Dyrbye, L.N., Shanafelt, T.D.: Physician burnout: a potential threat to successful health care reform. JAMA 305, 2009–2010 (2011)
Fletcher, K.E., Visotcky, A.M., Slagle, J.M., Tarima, S., Weinger, M.B., Schapira, M.M.: The composition of intern work while on call. J. Gen. Int. Med. 27(11), 1432–1437 (2012)
Friedberg, M., Chen, P.G., Van Busum, K.R., Aunon, F., Pham, C., Caloyeras, J., et al.: Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems and Health Policy. RAND, Santa Monica, CA (2013)
Gabow, P.A., Karkhanis, A., Knight, A., Dixon, P., Eisert, S., Albert, R.K.: Observations of residents’ work activities for 24 consecutive hours: implications for workflow redesign. Acad. Med. 81(8), 766–775 (2006)
Gillanders, W., Heiman, M.: Time study comparisons of 3 intern programs. J. Med. Educ. 46, 142–149 (1971)
Goldstein, A.M., Blair, A.B., Keswani, S.G., Gosain, A., Morowitz, M., Kuo, J.S., Levine, M., Ahuja, N., Hackam, D.J.: Basic science committee of the society of university surgeons. A roadmap for aspiring surgeon-scientists in today’s healthcare environment. Ann. Surg. 269(1), 66–72 (2019)
Gopal, R., Glasheen, J.J., Miyoshi, T.J., Prochazka, A.V.: Burnout and internal medicine resident work-hour restrictions. Arch. Int. Med. 165, 2595–2600 (2005)
Gottschalk, A., Flocke, S.A.: Time spent in face-to-face patient care and work outside the examination room. Ann. Fam. Med. 3(6), 488–493. https://doi.org/10.1370/afm.404. PMID: 16338911; PMCID: PMC1466945. (2005)
Guarisco, S., Oddone, E., Simel, D.: Time analysis of a general medicine service: results from a random work sampling study. J. Gen. Int. Med. 9(5), 272–277 (1994)
Ho, M.J., Al-Eraky, M.: Professionalism in context: insights from the United Arab Emirates and beyond. J. Grad. Med. Educ. 8(2), 268–270 (2016)
Hu, Y., Edwards, B.L., Brooks, K.D.: Recent trends in National Institutes of Health funding for surgery: 2003–2013. Am. J. Surg. 209, 1083–1089 (2015)
Jackson, V.P.: Time management: a realistic approach. J. Am. Coll. Radiol. 6, 434–436 (2009)
Keswani, S.G., Moles, C.M., Morowitz, M., et al.: The future of basic science in academic surgery: identifying barriers to success for surgeon-scientists. Ann. Surg. 265, 1053–1059 (2017)
Klemenc-Ketis, Z., Vrecko, H.: Development and validation of a professionalism assessment scale for medical students. Int. J. Med. Educ. 5, 205–211 (2014)
Lowenstein, S.R.: Tuesdays to write … a guide to time management in academic emergency medicine. Acad. Emerg. Med. 16, 165–167 (2009)
MacKenzie, C.R.: Professionalism and medicine. HSS J. 3(2), 222–227 (2007)
Mann, M., Tendulkar, A., Birger, N.: National Institutes of Health funding for surgical research. Ann. Surg. 247, 217–221 (2008)
McLauchlan, C.: Time management. J Accident Emerg. Med. 14, 345–346 (1997)
Philip, L.C.: The evolution of corporate social responsibility. Bus. Horiz. 50(6):449–454 (2007)
Poissant, L., Pereira, J., Tamblyn, R., Kawasumi, Y.: The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J. Am. Med. Inform. Assoc. 12, 505–516 (2005)
Rangel, S.J., Efron, B., Moss, R.L.: Recent trends in National Institutes of Health funding of surgical research. Ann. Surg. 236, 277–286 (2002)
Ratanawongsa, N., Barton, J.L., Lyles, C.R., Wu, M., Yelin, E.H., Martinez, D.: Association between clinician computer use and communication with patients in safety-net clinics. JAMA Int. Med. 176, 125–128 (2016)
Riba, M.B., Riba, A., Riba, E.: Life as a balance beam: practical ideas for balancing work and home. Acad. Psychiatry 31, 135–137 (2007)
Shanafelt, T.D., Boone, S., Tan, L., Dyrbye, L.N., Sotile, W., Satele, D.: Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch. Int. Med. 172, 1377–1385 (2012)
Shanafelt, T.D., Dyrbye, L.N., Sinsky, C., Hasan, O., Satele, D., Sloan, J.: Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clin. Proc. 91, 836–848 (2016)
Sinsky, C., Colligan, L., Li, L., Prgomet, M., Reynolds, S., Goeders, L.: Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties. Ann. Int. Med. 165, 753–760 (2016)
Taylor, R.: Medical Wisdom and Doctoring: The Art of 21st Century Practice. Springer, New York (2010)
Toledo-Pereyra, L.H.: Nobel Laureate surgeons. J. Invest. Surg. 19, 211–218 (2006)
Veloski, J., Fields, S., Boex, J., Blank, L.: Measuring professionalism: a review of studies with instruments reported in the literature between 1982 and 2002. Acad. Med. 80(4), 366–370 (2005)
von Vultée, P.J., Arnetz, B.: The impact of management programs on physicians’ work environment and health. J. Health Organ. Manage. 18(1), 25–37 (2004)
Wachter, R.M.: Annals for hospitalists inpatient notes—hospitalists and digital medicine—overcoming the productivity paradox. Ann. Int. Med. 165, HO2–HO3 (2016)
Westbrook, J.I., Ampt, A., Kearney, L., Rob, M.I.: All in a day’s work: an observational study to quantify how and with whom doctors on hospital wards spend their time. Med. J. Aust. 188, 506–509 (2008)
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Dumitrașcu, LM., Feleagă, L., Ionescu, BȘ. (2021). Time Management and Time Utilization for Urology Surgeons, a Step in Implementing Social Responsibility, a Theoretical and a Practical Approach. In: Dima, A.M., D'Ascenzo, F. (eds) Business Revolution in a Digital Era. Springer Proceedings in Business and Economics. Springer, Cham. https://doi.org/10.1007/978-3-030-59972-0_22
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