IntroductIonFor many postgraduates, residency can be a major source of stress and fatigue which may have a significant impact on residents' ability to care for themselves and their patients. [1][2][3] Physicians spend on an average between 3 and 7 years of their life in residency. [1][2][3] The age between 28 and 33 is the time many individuals would complete their education and proceed to start their own families. [1][2][3] For many residents, residency training forms a barrier to satisfactory transition through this period. [1][2][3] Moreover, residency training is linked to decline in residents' well-being indicators, including sleep, exercise, family interactions, and religious activity and an increase in missing significant events. [1][2][3] Residents, especially in the early years of training, are particularly vulnerable to burnout, with a prevalence rate ranging from 27% to 75%. [1][2][3] The adverse influences of burnout on patient care include medical errors, patient safety risks, and deterioration in the quality of care. [1][2][3] These observations highlighted the importance of early identification of the stressful precipitators of burnout and encouraged the American Medical Association and Accreditation Council for Graduate Medical Education (ACGME) to stress the importance of monitoring and boosting well-being among clinicians-in-training. [4] The hope was to decrease residents' fatigue and comply with the ACGME released requirements that limit resident working hours to no more than an average of 80 h/week. [2] Two studies from the United Arab Emirates (UAE) confirmed high rates of impaired well-being and increased rates of burnout among the residency program. [5,6] However, there Background: Residency is a stressful period in physicians' life. During this period, residents are subjected to fatigue, depression, anxiety, and burnout. In 2016, we did our first study in Abu Dhabi hospitals to investigate residents' well-being; we found that 86.4% of residents were stressed, 50.8% of them were depressed, and 65.7% of the residents felt emotionally exhausted. Following this study, we introduced interventions to improve residents' well-being in Sheikh Khalifa Medical City (SKMC) residency programs. Objectives: To assess the difference between the well-being of residents in the year 2018 compared to 2016 after the implementation of interventions to SKMC residents. Methods: Following the initial cross-sectional surveys, interventions were made to improve residents' well-being. Repeated cross-sectional surveys were done to compare between the two periods and quantify the change. Results: The percentage of nonsmokers increased in phase 2 from 90% to 94%. The percentage of residents who exercise 1-2 times a week increased from 37.6% to 40.7%. The prevalence of perceived depression was 80% in phase 1 and become 82.4% in phase 2. In phase 1, 89% felt emotionally exhausted compared to 85.5% in phase 2. 28.3% and 22.4% of the residents felt always stressed in phase 1 and 2, respectively. The percentage of residents...
Today, well durations are relatively longer due to several factors. Some of these include but not limited to intermediate section down hole losses. Therefore, there is an opportunity to explore possible ways to reduce well duration and cost while meeting all business objectives with 100% HSE. Dammam, U.E.R, and Simsima are karsts-prone carbonate aquifers widely developed across UAE. As formation pressures are depleted, severe to total losses is increasingly occurred during drilling through these shallow aquifers. Conventional loss curing agents are often failed, especially in Simsima, because of their inability to set in such complex and large fractures and caverns. ZND gel is a water-soluble high molecular polymer, which will automatically set and seal the space after being pumped into loss channels. As hardly be diluted by any formation fluid, a gel slug is formed to isolate drilling fluids and consolidate agent from being washed away into loss zones. In this study, we present a composite solution of ZND gel and Cement applied in onshore Abu Dhabi, which effectively mitigated the total losses encountered in Simsima.
The process of drilling an oil or gas well is inherently challenging due to the unpredictable nature of many of the variables at play. However, the overall process can be broken down into many smaller phases, each of which has a signature of repeatability. By automating the repeatable processes, and by optimizing the inputs that are a function of variable conditions, we can industrialize the drilling process at a higher level and drive toward consistent, high performance. Improving operational inefficiency requires long-term training or special tools to help address downhole issues. This can be costly and requires many man hours. In the pilot reviewed in this paper, a Surface Automation Solution was implemented to improve well construction performance. The Surface Automation Solution was comprised of a Drilling Automation Platform (DAP), a real-time Intelligent Drilling Optimizer (IDO), an automated stick slip mitigation system, and Automation Lifecycle Management (ALM) supporting services. The Surface Automation Solution showed extraordinary performance, delivering efficient drilling connections, optimum drilling performance and mitigating drilling dysfunction. New records were achieved in every hole section where the system was operated, resulting in 51% overall ROP improvement compared to offsets, and 44% reduction in stick slip severity, translating to 3.2 rig days savings. In this paper, we will examine how the Surface Automation Solution saves well delivery time by automating drilling activities, mitigating drilling dysfunctions and optimizing parameters to increase ROP on each section. The outcome is measured by the performance, which in this case is time saved. The data shown is the overall macro key performance indicator (KPI) along with the performance at each individual hole section.
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