Evidence map›Paper›PMID 41216974›Full record

Observational studyInternal medicine journal2026

An exploration of after-hours workloads of trainee medical officers in a South Australian tertiary hospital.

Lareesa M Ryan, Samuel Gluck, Josephine Thomas, Miriam Cohen, Kate Wislang, John Maddison, Anna Chur-Hansen, Caroline O Laurence

Abstract readObservational Study
In one paragraph

Observational study in Internal medicine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lareesa M RyanSchool of Public Health, The University of Adelaide, Adelaide, South Australia, Australia.
Samuel GluckNorthern Adelaide Local Health Network, Adelaide, South Australia, Australia.ORCID 0000-0001-7883-517X
Josephine ThomasNorthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
Miriam CohenNorthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
Kate WislangNorthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
John MaddisonNorthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
Anna Chur-HansenSchool of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.
Caroline O LaurenceSchool of Public Health, The University of Adelaide, Adelaide, South Australia, Australia.

Funding

Northen Adelaide Local Health Network
6 · The paper itself

Abstract

backgroundIn Australia, after-hours medical care is primarily delivered by a small number of Trainee Medical Officers (TMOs), but little is known about their workloads. With increasing care demands on hospitals, this needs to be understood to improve health service delivery, resource allocation and patient and TMO safety.

aimThe aim of the study was to describe and quantify after-hours workloads of TMOs in a South Australian tertiary hospital.

methodsAn observational time-and-motion study was undertaken to capture work activities, multitasking and interruptions. The proportion of the total observation time TMOs spent on tasks, multitasking and interruptions was analyzed using descriptive statistics.

resultsDuring the observation period of 120.65 h, 3454 tasks were recorded. TMOs spent most of their time (72%) on indirect care, direct care and professional communication, mainly reviewing patient notes, performing a procedure or having discussions with other staff members. Time spent by TMOs on education or supervision activities was very low (less than 27 min of total observation time) and multitasking time was small (9 h out of 120 h observed). Interruption rates were also low (one per hour).

conclusionThis study shows that TMOs are mostly spending their time on night shifts in three task areas - time on indirect care, direct care and professional communication. During night shifts, TMOs spent limited supervision/education and social activity tasks, were less interrupted and undertook less multitasking than TMOs undertaking day shifts. This study can inform decisions about workloads to ensure the safety of patients and TMOs and improve health service delivery.

Indexed as

After-Hours CareInternship and ResidencyMedical Staff, HospitalTertiary Care CentersWorkloadFemaleHumansMaleSouth AustraliaTime and Motion Studiesdelivery of health carehospitalmedical staffnight‐shiftstime and motion studiesworkload

Identifiers

PMID41216974
PMCPMC12812297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.