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Pediatr Int. 2017 Oct;59(10):1119-1122. doi: 10.1111/ped.13370.

Pediatric resident perceptions of shift work in ward rotations.

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Department of General Pediatrics and Interdisciplinary Medicine, National Center for Child Health and Development, Tokyo, Japan.
Department of Integrated Medical Education, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Postgraduate Education and Training, National Center for Child Health and Development, Tokyo, Japan.


Although the long working hours of physicians are considered to be a social issue, no effective policies such as duty hour regulations have so far been proposed in Japan. We implemented an overnight call shift (OCS) system for ward rotations to improve the working environment for residents in a pediatric residency program. We later conducted a cross-sectional questionnaire asking the residents to compare this system with the traditional overnight call system. Forty-one pediatric residents participated in this survey. The residents felt that the quality of patient care improved (80.4% agreed). Most felt that there was less emphasis on education (26.8%) and more emphasis on service (31.7%). Overall, the residents reported that the OCS was beneficial (90.2%). In conclusion, the pediatric residents considered the OCS system during ward rotations as beneficial. Alternative solutions are vital to balance improvements in resident work conditions with the requirement for a high quality of education.


pediatric resident; perception; shift work; wellness; workload

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