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Northwestern University Feinberg School of Medicine Uses Operations Research Tools to Improve Surgeon Training

Author

Listed:
  • Jonathan P. Turner

    (University Health Care System, Augusta, Georgia 30909)

  • Heron E. Rodriguez

    (Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611)

  • Debra A. DaRosa

    (Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611)

  • Mark S. Daskin

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

  • Amanda Hayman

    (Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611)

  • Sanjay Mehrotra

    (Department of Industrial Engineering and Management Sciences, Northwestern University, Evanston, Illinois 60208)

Abstract

Since the advent of work-hour limitations for surgical trainees, medical faculties have been concerned by inadequacies in two areas of resident training programs: operating room experience, which residents need to develop competence and confidence during surgery, and continuity of patient care, which engenders in residents a sense of responsibility and accountability. Previous operations research literature on resident scheduling models has discussed the development of mathematical programming models that assign residents to rotations or shifts; however, this literature has neglected the educational component. In this work, we frame the problem from an educational perspective, and we also describe the mathematical details behind several ideas and analyses in the medical literature. In addition, we present the patient assignment system, which we piloted at a large academic medical center, and discuss the relationship between the logistical and cultural challenges faced in medical training.

Suggested Citation

  • Jonathan P. Turner & Heron E. Rodriguez & Debra A. DaRosa & Mark S. Daskin & Amanda Hayman & Sanjay Mehrotra, 2013. "Northwestern University Feinberg School of Medicine Uses Operations Research Tools to Improve Surgeon Training," Interfaces, INFORMS, vol. 43(4), pages 341-351, August.
    • Handle: RePEc:inm:orinte:v:43:y:2013:i:4:p:341-351
    DOI: 10.1287/inte.2013.0682
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    References listed on IDEAS

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    1. 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.
    2. Jonathan Turner & Kibaek Kim & Sanjay Mehrotra & Debra DaRosa & Mark Daskin & Heron Rodriguez, 2013. "Using optimization models to demonstrate the need for structural changes in training programs for surgical medical residents," Health Care Management Science, Springer, vol. 16(3), pages 217-227, September.
    3. Topaloglu, Seyda, 2009. "A shift scheduling model for employees with different seniority levels and an application in healthcare," European Journal of Operational Research, Elsevier, vol. 198(3), pages 943-957, November.
    4. 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.
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    Cited by:

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    2. Asli Ozen & Yariv Marmor & Thomas Rohleder & Hari Balasubramanian & Jeanne Huddleston & Paul Huddleston, 2016. "Optimization and Simulation of Orthopedic Spine Surgery Cases at Mayo Clinic," Manufacturing & Service Operations Management, INFORMS, vol. 18(1), pages 157-175, February.

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