Working time models in orthopedics and trauma surgery : What is the current situation and what is desired in the future?

Horst K; Düsing H; Beck P; Spering C; Stange R; Nichtständiger Beirat (NSB) DGU und DGOU

Abstract

BACKGROUND: Despite new working time regulations, the workload in orthopedics and trauma surgery remains high. Balancing work, family and leisure is difficult and can lead to frustration, health problems, and potential risks to patient safety, which can diminish the attractiveness of this surgical specialty. A current survey analyzes the present situation and identifies the needs of clinically active colleagues in the field of orthopedics and trauma surgery. MATERIAL AND METHODS: An electronic questionnaire (Microsoft Forms, Microsoft Inc., Redmond, WA, USA) was distributed to collect demographic data as well as information on current and desired working time and duty models. Additional questions addressed the work-life balance, opportunities for remote work (home office) and career goals. Data analysis and graphical presentation were carried out using Excel (Microsoft Inc) and statistical analyses were performed with SPSS Version 25.0 (IBM Corp., Armonk, NY, USA). RESULTS: A total of 549 individuals participated. Most participants were residents in training (n = 231) or senior physicians (n = 161). The established working time models were recognized but rated as below average in terms of satisfaction. Of the respondents 84% worked full-time with an average working time of 59.5 h per week. Both full-time and part-time employees expressed a significant desire to reduce their working hours, 54% reported the presence of an objective electronic or other time-tracking system and in 47% of cases a time-tracking account was in place. Of the respondents 84% indicated that remote work was not available, although 75% would like to make use of this option and 90% were interested in a continued employment in the hospital provided that their preferences could be implemented. CONCLUSION: The workload of clinically active physicians in orthopedics and trauma surgery is high. Concepts that include a reduction in working hours, an improvement in duty-related strain, greater flexibility in working time models and the possibility of partial remote work could have a sustainable impact and offer a significant competitive advantage in view of increasingly scarce human resources.