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Scheduling Medical Residents at Boston University School of Medicine

Author

Listed:
  • Amy Cohn

    (Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan 48109)

  • Sarah Root

    (Department of Industrial Engineering, University of Arkansas, Fayetteville, Arkansas 72703)

  • Carisa Kymissis

    (Department of Psychiatry, St. Luke's Hospital, New York, New York 10025)

  • Justin Esses

    (Boston University School of Medicine, Boston, Massachusetts 02118)

  • Niesha Westmoreland

    (Montefiore Medical Center, Bronx, New York 10467)

Abstract

The chief residents in the psychiatry program at Boston University School of Medicine (BUSM) must construct a schedule that simultaneously assigns residents to five types of call shifts, spanning three different hospitals, over a 365-day planning horizon. We show how user expertise and heuristic approaches alone fail to find acceptable solutions to this complex combinatorial problem; likewise, mathematical programming techniques alone are inadequate, largely because they lack a clearly definable objective function. However, by combining both approaches, we were able to find high-quality solutions in a very short time. The resulting schedule, which BUSM uses currently, has yielded substantial benefits; the solution quality has improved, and the effort required to develop the solution has been reduced.

Suggested Citation

  • Amy Cohn & Sarah Root & Carisa Kymissis & Justin Esses & Niesha Westmoreland, 2009. "Scheduling Medical Residents at Boston University School of Medicine," Interfaces, INFORMS, vol. 39(3), pages 186-195, June.
  • Handle: RePEc:inm:orinte:v:39:y:2009:i:3:p:186-195
    DOI: 10.1287/inte.1080.0369
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    References listed on IDEAS

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    1. Uwe Aickelin & Jingpeng Li, 2007. "An estimation of distribution algorithm for nurse scheduling," Annals of Operations Research, Springer, vol. 155(1), pages 289-309, November.
    2. Siferd, Sue Perrott & Benton, W. C., 1992. "Workforce staffing and scheduling: Hospital nursing specific models," European Journal of Operational Research, Elsevier, vol. 60(3), pages 233-246, August.
    3. Beddoe, Gareth R. & Petrovic, Sanja, 2006. "Selecting and weighting features using a genetic algorithm in a case-based reasoning approach to personnel rostering," European Journal of Operational Research, Elsevier, vol. 175(2), pages 649-671, December.
    4. Deborah L. Kellogg & Steven Walczak, 2007. "Nurse Scheduling: From Academia to Implementation or Not?," Interfaces, INFORMS, vol. 37(4), pages 355-369, August.
    5. Lori S. Franz & Janis L. Miller, 1993. "Scheduling Medical Residents to Rotations: Solving the Large-Scale Multiperiod Staff Assignment Problem," Operations Research, INFORMS, vol. 41(2), pages 269-279, April.
    6. Huguette Beaulieu & Jacques Ferland & Bernard Gendron & Philippe Michelon, 2000. "A mathematical programming approach for scheduling physicians in the emergency room," Health Care Management Science, Springer, vol. 3(3), pages 193-200, June.
    7. Burke, Edmund K. & Curtois, Timothy & Post, Gerhard & Qu, Rong & Veltman, Bart, 2008. "A hybrid heuristic ordering and variable neighbourhood search for the nurse rostering problem," European Journal of Operational Research, Elsevier, vol. 188(2), pages 330-341, July.
    8. Hadi W. Purnomo & Jonathan F. Bard, 2007. "Cyclic preference scheduling for nurses using branch and price," Naval Research Logistics (NRL), John Wiley & Sons, vol. 54(2), pages 200-220, March.
    9. Bard, Jonathan F. & Purnomo, Hadi W., 2005. "A column generation-based approach to solve the preference scheduling problem for nurses with downgrading," Socio-Economic Planning Sciences, Elsevier, vol. 39(3), pages 193-213, September.
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    15. Young-Chae Hong & Amy Cohn & Stephen Gorga & Edmond O’Brien & William Pozehl & Jennifer Zank, 2019. "Using Optimization Techniques and Multidisciplinary Collaboration to Solve a Challenging Real-World Residency Scheduling Problem," Interfaces, INFORMS, vol. 49(3), pages 201-212, May.
    16. Castaño, Fabián & Velasco, Nubia, 2020. "Exact and heuristic approaches for the automated design of medical trainees rotation schedules," Omega, Elsevier, vol. 97(C).
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