The point is that the physicians are exhausted 8-10 hours into the shift, with still another 14-16 hours of work. Because there are more visits overnight (not many, but more, sleep is disrupted 3-5 times per night, meaning there is virtually no sleep, then most of the doctors are expected to run an office the next day, followed by the usual 9-10 hour office days for the remainder of the week. Often they are also working two weekends per month. With a 24 hour call on a Saturday into Sunday, connecting two weeks of work, he or she will have worked 12 days without a day off. Most people who work 12 hour shifts work three days and have 4 days off. While physicians do not expect this model, the present situation has become physically detrimental to physical and mental health.
Dr. Butler led recruitment efforts by: With CEEH Foundation assistance, travelled to Newfoundland to recruit physicians and approached all residents at Memorial University. Making a presentation to the Family Medicine Interest Group, which resulted in success for coverage of 2 shifts per month Was active at the Society of Rural Physicians of Canada national conference in April 2010, approaching resident physicians in attendance Personally follows up with physicians showing interest in working in the CEEH ED. Gave separate presentations to interest groups in London (successful recruitment of Dr. Sharma) Physicians have contacted all possible ED and Family Physicians in Sarnia/Lambton for assistance – no success
Upward trending of CTAS 3 in last years = those cases which are a judgment call whether they move down to CTAS2 or up to CTAS4.
CEEH ED Presentation to Lambton County Council – Tuesday, July 13, 2010 Presented by: Sue Denomy, President/CEO, Bluewater Health and Dr. John Butler, CEEH Physician