I‑Min Sua, Dah‑Ching Dingb,c*
aDepartment of Anesthesia, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan, bDepartment of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan, cDepartment of Obstetrics and Gynecology, College of Medicine, Tzu Chi University, Hualien, Taiwan
Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation
Abstract
Objective: The workload of obstetric and gynecologic (OB‑GYN) physicians has been an unprecedented increase because of the decrease in the number of such physicians. This study aimed to demonstrate that the hospitalist mode was the best mode for the work‑life balance of OB‑GYN physicians. Materials and Methods: This was a retrospective study in a tertiary academic hospital. Patients were admitted to the labor ward for delivery. The number of deliveries performed by each OB‑GYN physician in different working modes was measured. We reviewed the medical charts of women admitted for delivery as well as the shift schedule of OB‑GYN physicians from January 1, 2018, to June 30, 2018. We classified deliveries into three modes: the traditional mode (patient designation), on‑call mode, and the hospitalist mode. Traditional mode was the work mode currently. On‑call mode and the hospitalist mode were simulated conditions. The number of deliveries and the total OB‑GYN physician worked time for their shift were recorded. The differences between the three modes and between OB‑GYN physicians were assessed using analysis of variance. Results: In total, 237 deliveries were recorded over 6 months (3 deliveries were excluded from our data); these deliveries were performed by four OB‑GYN physicians named A to D. Significant differences in workload were noted between OB‑GYN physicians working in the traditional mode and those in the on‑call mode, but no significant differences were noted among those working in the hospitalist mode. All OB‑GYN physicians worked an average of seven shifts, and no significant differences among them were noted. Conclusion: The hospitalist mode might be the optimal mode for OB‑GYN physicians to achieve a favorable work‑life balance if their original main jobs are obstetric practice.
Keywords: Gynecology, Hospitalist, Obstetrics, On‑call, Tradition
