Introduction
The distribution of intensivists productive time is a classical controversial subject. However it is true that such a professional can practice their profession both within and outside (outreach) the ICU. It is also true also that intensivists serve patients, teaching and research, as well as consider the clinical management (CM) and the risk management (RM).
Objectives
To propose a CISPG to distribute the productive time of intensivists both in the ICU and outreach.
Methods
Setting - CCMD A) level III, 14 beds; and CCMD B) level IIb, 10 beds.
Definition of ‘productivity’: 1. Assistance (1.1. ICU assistance and 1.2. SDU assistance. 2. Teaching. 3. Research. 4. Risk management (RM). 5. Clinical management (CM).
CCMDs features:
CCMD A: 8 ICU beds and 6 SDU beds. ICU assistance, outreach assistance, teaching, experimental and epidemiological research, RM, and CM.
CCMD B: 6 ICU beds and 4 SDU beds. ICU assistance, outreach assistance, teaching, epidemiological research, RM, and CM.
CISPG:
Abscissas (productivity between 08:00 and 17:00): ICU assistance, outreach, teaching, research, RM, and CM.
Ordinates (setting): ICU, SDU, hospital ward (pre and postcritically iIl), emergency room (precritically ill and CIP)
3 medical professional job categories: senior, chief clinical (CC) and head of CCMD (HD).
Physician on call are not considered.
Annual working time per physician: 1750 hours
Times adjusted to each specific productivity (sum total % = 100).
It is established 1 HD, 1 CC for attending CCMDs a and B, and respectively, 4 and 3 seniors.
Results
Conclusions
The MAPEC facilitates the distribution of specific work time for intensivists attending both the setting and structured productivity.
Table 1.
CISPG.
| Setting | Hours | Assistance % | Teaching % | Research % | CM % | RM % |
|---|---|---|---|---|---|---|
| ICU Assistance Teaching Research CM RM | ICU - 8050 Assist - 3675 Teach - 875 Resear- 875 CM - 1225 RM - 1400 | Senior 1 60 Senior 2 60 Senior 3 60 Cl. chief 20 Head Dp 20 | Senior 1 10 Senior 2 10 Senior 3 10 Cl. chief 10 Head Dp 10 | Senior 1 10 Senior 2 10 Senior 3 10 Cl. chief 10 Head Dp 10 | Senior 1 5 Senior 2 5 Senior 3 5 Cl. chief 15 Head Dp 40 | Senior 1 15 Senior 2 15 Senior 3 15 Cl. chief 20 Head Dp 15 |
| SDU Assistance Teaching Research CM RM | SDU -1487 Assist -787 Teach - 175 Resear- 175 CM - 87 RM - 262 | Senior 4 30 Cl. chief 10 Head Dp 10 | Senior 4 10 | Senior 4 10 | Senior 4 5 | Senior 4 15 |
| Hosp. ward | Hosp. ward 525 | Senior 4 15 Cl. chief 10 Head Dp 5 | ||||
| Emergency | Emergency 437 | Senior 4 15 Cl. chief 10 Head Dp 5 | ||||
| Global hours | 10500 | 5425 | 1050 | 1050 | 1312 | 1662 |
References
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