TABLE 2

Workload and the On-call Activities

Category2005, n (IQR)P (Overall)Early 2009, n (IQR)Late 2009, n (IQR)P (Early vs Late 2009)
Patient volume and calls
    Patients assigned day6 (4–13).5375 (4–13)7 (5–11).376
    Patients assigned overnight23.5 (8–29).001227 (23.5–31.5)22 (19–25).0002
    Discharges1 (0–2).0612 (1–2)1 (0–2).034
    Admissions total4 (2–6)<.00013 (2–6)2 (0–3)<.0001
    Pages total27.5 (18.5–35.5)<.000124 (17–34)15.5 (10–22).0002
Time spent talking with patients and families100 (60–140).002140 (110–180)120 (65–160).092
Time spent examining patients75 (45–150).0004120 (90–180)90 (60–120).001
Time spent writing notes91 (60–140).002135 (100–180)145 (90–227).856
Time spent entering orders70 (45–100).002105 (70–140)65 (52.5–115).009
Time spent chasing resultsNA<.000160 (40–90)30 (20–45)<.0001
  • The nature and duration of clinical activities performed during 180 on-call duty periods by 51 pediatric residents. Three time periods are reported: May to August 2005; May to June 2009; and July to September 2009. Time spent chasing results reflects the duration of activities intended to obtain the results of medical tests performed on patients. Overnight was defined as beginning at the 5 pm evening handover and ending the next morning at the end of the 8 am morning handover. Comparisons were made using the Kruskal-Wallis test. P values for comparisons between all 3 time periods are reported as overall comparison, and the P values from comparisons between early and late 2009 eras are reported in the extreme right-hand column. NA indicates not applicable.