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Although the overnight call shift system was effective in reducing working hours, its effectiveness in managing mental health issues among pediatric residents remains unclear.
Replacing work time with physical activity or sleep was associated with positive changes in mental health.
Open accessJournal ArticleDOI
Anne-Marie Nicol, Jackie S Botterill 
109 Citations
The reviewed research suggests that on-call work scheduling can pose a risk to health, although there are critical gaps in the literature.
Assessment of job strain may be a good tool to measure physicians’ mental health, and a sufficient number of days off may be needed to prevent burnout.
ERI and low reward at work were prospectively associated with medically certified absence for mental health problems.
Depressive state was positively associated with being on-call more than 5 days per month for men, and more than 8 days per month for women, and was negatively associated with being off-duty more than 8 days per month for men. Some physicians need some support to maintain their mental health.
This could lead to increased implementation of the Work-Ordered Day program and its elements as precursors to employment for adults with severe mental illness.
Strategies aimed at keeping people at work for longer should emphasize the importance of mental well-being and the prevention of poor mental health.
For Latino young adults, work provides a way to cope with their mental illness.