Like almost everyone in the room, the Presnalls spent the last week monitoring rumors that the unit might be called back for an extended duty, as had been the case with two other units whose troops thought they had finished their tours.
Cost reduction efforts potentially have adverse consequences for hospitals, such as extended duty hours.
Extended duty hours for residents are associated with negative consequences.
This innovative program was intended to eliminate extended duty hours for internal medicine senior residents and to address some of the identified consequences of duty hour restrictions on residents' wellness, health care delivery and medical education experience.
Extended duty hours for resident physicians have been associated with negative consequences such as decreased working memory, worsening cognitive performance and increased technical error [ 1- 8], poor performance on learning measures, patient safety concerns, increased workplace injury, burnout, and personal harm [ 1- 4, 6, 7, 9- 19].
For the vast majority of the 49th's troops, the Bosnian mission has been their first extended duty abroad.
Maeda continued the starting rotation's streak of forcing the bullpen into extended duty.
Little is known, however, about the specific factors that contribute to the violation of the extended duty periods.
This procedure is within the clinical remit of the Extended Duty Dental Nurses employed to deliver the Childsmile Fluoride Varnish programme, and includes the following steps: check the skin of the face and around the mouth for abnormalities (spots, inflammation, swelling etc).
Further research could usefully seek deeper understanding of the factors influencing EDDNs' ability to fully embrace an extended duty skill-mix role.
