Diversity and Similarity of Anesthesia Procedures in the United States During and Among Regular Work Hours, Evenings, and Weekends

Abstract

The numbers of procedures commonly performed at most facilities are fewer in number than those that are commonly performed nationally. Thus, decisions on anesthesia specialization should be based on quantitative analysis of local data rather than national recommendations using pooled data. By facility, the number of different procedures that take place during regular hours and off hours (diversity) is essentially the same, but there is only moderate similarity in the procedures performed. Thus, at many facilities, anesthesiologists who work principally within a single specialty during regular work hours will likely not have substantial contemporary experience with many procedures performed during off hours.

Pain Medicine Board Certification Status Among Physicians Performing Interventional Pain Procedures in the State of Florida Between 2010 and 2016

“…The similarity index (Θ), reviewed in a recent statistical grand rounds (18), is a quantitative assessment of the extent to which 2 groups share the same characteristics. The similarity index between 2 groups performing a set of procedures (e.g., physicians with ABMS board certification versus anesthesiologists without board certification in pain medicine) is a pairwise assessment by procedure, like a correlation coefficient (18)(19)(20)(21)(22)(23). To understand this index, first envision that an interventional pain procedure was selected at random from among all the procedures performed by practitioners in group A (e.g., ABMS pain medicine boardcertified physicians).…”

Hospital physicians can’t get no long-term satisfaction – an indicator for fairness in preference fulfillment on duty schedules

“…While our model is based on experience levels for overnight/weekend staffing, it could also be adapted to handle situations which require physicians of different specialties to be present. This could be applied to hospitals which schedule physicians during nights and weekends according to their subspecialties, as proposed by [8]. In this case, a separate duty should be created for each subspecialty (instead of for each experience level, as proposed by us) and physicians would be qualified for the respective subspecialty duty.…”

Measurement of faculty anesthesiologists’ quality of clinical supervision has greater reliability when controlling for the leniency of the rating anesthesia resident: a retrospective cohort study

“…This environment includes a range of large and unexpected problems, where anesthesiologists' roles include foreseeing and preventing problems and where social, team, and environmental factors influence anesthesiologists' effectiveness. 1,2 Thus, as part of an overall assessment of clinical competency, our department uses in situ assessments of individual anesthesiologists working in operating rooms and other procedural locations (henceforth referred to as ''ORs'') to determine how well they provide clinical supervision of anesthesia residents (Table 1). [3][4][5][6][7][8][9][10][11][12][13][14] Higher scores for clinical supervision are associated with fewer resident reports of errors with adverse effects on patients (Table 2.15) [11][12][13] and greater preference for the anesthesiologist to care for the rating resident's family (Table 2.7).…”