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Scheduling Medical Residents to Rotations: Solving the Large-Scale Multiperiod Staff Assignment Problem

Author

Listed:
  • Lori S. Franz

    (University of Missouri, Columbia, Missouri)

  • Janis L. Miller

    (Clemson University, Clemson, South Carolina)

Abstract

The resident scheduling problem is a specific case of the multiperiod staff assignment problem where individuals are assigned to a variety of tasks over multiple time periods. As in many staffing and training situations, numerous limitations and requirements may be placed on those assignments. This paper presents a procedure for addressing two major problems inherent in the determination of a solution to this type of problem: infeasibilities that naturally occur in the scheduling environment but are obscured by complexity; and the intractable nature of large-scale models with this structure. The procedure developed describes a systematic approach that allows decision makers to resolve system-inherent infeasibilities, and a heuristic based on rounding to develop good feasible solutions to the model. The procedure is illustrated via a case example of resident assignments for teaching and training modules in a university affiliated teaching hospital.

Suggested Citation

  • 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.
  • Handle: RePEc:inm:oropre:v:41:y:1993:i:2:p:269-279
    DOI: 10.1287/opre.41.2.269
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    Citations

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    Cited by:

    1. Jens Brunner & Günther Edenharter, 2011. "Long term staff scheduling of physicians with different experience levels in hospitals using column generation," Health Care Management Science, Springer, vol. 14(2), pages 189-202, June.
    2. Sebastian Kraul, 2020. "Annual scheduling for anesthesiology medicine residents in task-related programs with a focus on continuity of care," Flexible Services and Manufacturing Journal, Springer, vol. 32(1), pages 181-212, March.
    3. 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.
    4. Brendan K. Eagen & Timothy C. Y. Chan & Michael W. Carter, 2018. "Women’s College Hospital Uses Operations Research to Create an Ambulatory Clinic Schedule," Service Science, INFORMS, vol. 10(3), pages 230-240, September.
    5. Yann Ferrand & Michael Magazine & Uday S. Rao & Todd F. Glass, 2011. "Building Cyclic Schedules for Emergency Department Physicians," Interfaces, INFORMS, vol. 41(6), pages 521-533, December.
    6. Brech, Claus-Henning & Ernst, Andreas & Kolisch, Rainer, 2019. "Scheduling medical residents’ training at university hospitals," European Journal of Operational Research, Elsevier, vol. 274(1), pages 253-266.
    7. Kraul, Sebastian & Fügener, Andreas & Brunner, Jens O. & Blobner, Manfred, 2019. "A robust framework for task-related resident scheduling," European Journal of Operational Research, Elsevier, vol. 276(2), pages 656-675.
    8. L Wan & J F Bard, 2007. "Weekly staff scheduling with workstation group restrictions," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(8), pages 1030-1046, August.
    9. Erhard, Melanie & Schoenfelder, Jan & Fügener, Andreas & Brunner, Jens O., 2018. "State of the art in physician scheduling," European Journal of Operational Research, Elsevier, vol. 265(1), pages 1-18.
    10. 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.
    11. Frederick M Howard & Catherine A Gao & Christopher Sankey, 2020. "Implementation of an automated scheduling tool improves schedule quality and resident satisfaction," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-9, August.
    12. 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.
    13. Akbarzadeh, Babak & Maenhout, Broos, 2021. "A decomposition-based heuristic procedure for the Medical Student Scheduling problem," European Journal of Operational Research, Elsevier, vol. 288(1), pages 63-79.
    14. Junhong Guo & William Pozehl & Amy Cohn, 2023. "A two-stage partial fixing approach for solving the residency block scheduling problem," Health Care Management Science, Springer, vol. 26(2), pages 363-393, June.
    15. Jonathan F. Bard & Lin Wan, 2008. "Workforce Design with Movement Restrictions Between Workstation Groups," Manufacturing & Service Operations Management, INFORMS, vol. 10(1), pages 24-42, November.
    16. 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.
    17. Castaño, Fabián & Velasco, Nubia, 2020. "Exact and heuristic approaches for the automated design of medical trainees rotation schedules," Omega, Elsevier, vol. 97(C).
    18. Ruben A. Proano & Akshit Agarwal, 2018. "Scheduling internal medicine resident rotations to ensure fairness and facilitate continuity of care," Health Care Management Science, Springer, vol. 21(4), pages 461-474, December.
    19. Pentico, David W., 2007. "Assignment problems: A golden anniversary survey," European Journal of Operational Research, Elsevier, vol. 176(2), pages 774-793, January.
    20. Babak Akbarzadeh & Johan Wouters & Carl Sys & Broos Maenhout, 2022. "The Scheduling of Medical Students at Ghent University," Interfaces, INFORMS, vol. 52(4), pages 303-323, July.
    21. Kraul, Sebastian & Brunner, Jens O., 2023. "Stable annual scheduling of medical residents using prioritized multiple training schedules to combat operational uncertainty," European Journal of Operational Research, Elsevier, vol. 309(3), pages 1263-1278.
    22. Mansini, Renata & Savelsbergh, Martin W.P. & Tocchella, Barbara, 2012. "The supplier selection problem with quantity discounts and truckload shipping," Omega, Elsevier, vol. 40(4), pages 445-455.
    23. 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.

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