Sakorafas G H, Tsiotos G G
Department of Surgery, 251 Hellenic Air Force Hospital, Metropolitan Hospital, Athens, Greece.
J Postgrad Med. 2004 Oct-Dec;50(4):274-7.
Major changes in the residency-training systems are currently under way worldwide. New laws regulating the maximum number of work-hours per week are already enforced in the USA and are soon to be enforced in the European Union (EU); they apply to residents in training, as well as to practising specialists in the USA. These changes are expected to influence training imparted to resident doctors, quality of care given to hospitalised patients and functioning of hospitals, in general. The implications of the new regulations are likely to be magnified by the gradual decrease in the number of young people willing to take up Medicine as a career and even more so by the decrease in the number of medical graduates who choose to take up Surgery as their specialty. This communication describes the new situation that has developed (especially in general surgery) with the recent regulations and intends to suggest possible solution to the important problems that are likely to arise.
目前，全球范围内住院医师培训体系正在发生重大变革。美国已经实施了规定每周最长工作时长的新法律，欧盟也即将实施；这些法律适用于接受培训的住院医师以及美国的执业专科医生。总体而言，预计这些变革将影响住院医生的培训、住院患者的护理质量以及医院的运作。愿意将医学作为职业的年轻人数量逐渐减少，选择外科作为专业的医学毕业生数量减少，可能会使新规定的影响进一步放大。本交流描述了近期规定所带来的新情况（尤其是普通外科领域），并打算针对可能出现的重要问题提出可行的解决方案。
