Resident physician duty hours, resting times and European Working Time Directive compliance in Spain: a cross-sectional study

Human Resources for Health

Research

D. A. Sanchez Martinez¹  E. García-Camacho²  R. Ruiz-Montero³  P. D. Estrella Porter⁴  J. P. Carrasco Picazo⁵  J. Navarro⁶  A. H. Aginagalde Llorente⁷  A. Cerame del Campo⁸ 

[1] Consejo General Colegios Oficiales de Médicos de España, Madrid, Spain;Department of Medical Oncology, IMIB-Arrixaca, Murcia, Región de Murcia, Spain;Department of Cardiology, Complejo Hospitalario Universitario Toledo, Toledo, Spain;Department of Medical and Surgical Sciences, University of Cordoba, Cordoba, Spain;Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Spain;Department of Preventive Medicine, Hospital Clínico Universitario de Valencia, Valencia, Spain;Department of Psychiatry, Hospital Clínico Universitario de Valencia, Valencia, Spain;Intensive Care Department, Hospital Universitario Virgen del Rocío, Seville, Spain;Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastian, Spain;Plan de Atención Integral al Profesional Sanitario Enfermo, Servicio Madrileño de Salud, Madrid, Spain;

关键词: Internship and residency;    Shift work schedule;    Legislation;    Spain;    European Working Time Directive;   

DOI  :  10.1186/s12960-023-00857-x

 received in 2023-03-13, accepted in 2023-08-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThere is a growing interest in understanding the impact of duty hours and resting times on training outcomes and the well-being of resident physicians. However, to this date no state-wide analysis exists in any European country.ObjectivesOur aim is to describe the shift work scheduling and to detail the degree of compliance with the Spanish legislation and the European Working Time Directive (EWTD) of Spanish resident physicians, focusing on territorial and specialty distribution.Material and methodsA descriptive cross-sectional analytical study was designed through an online survey adapted from the existing literature.ResultsOut of the 2035 surveyed resident physicians undergoing PGT in Spain, 80.49% exceeded the 48 h per week limit set by the EWTD and 13% of them did not rest after a 24-h on-call shift. The mean number of on-call shifts in the last 3 months was 15.03, with the highest mean reported in Asturias, La Rioja, and Extremadura. 51.6% of respondents had a day-off after a Saturday on-call shift. Significant differences are observed by region and type of specialty.ConclusionResident physicians in Spain greatly exceed the established 48 h/week EWTD limit. Likewise, non-compliance with labor regulations regarding mandatory rest after on-call duty and minimum weekly rest periods are observed.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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