Choi Dongseok, Dickey Jamie, Wessel Kristen, Girard Donald E
Department of Public Health and Preventive Medicine, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
BMC Med Educ. 2006 Oct 17;6:53. doi: 10.1186/1472-6920-6-53.
To assess the impact of work hours' limitations required by the Accreditation Council for Graduate Medical Education (ACGME) on residents' career satisfaction, emotions and attitudes.
A validated survey instrument was used to assess residents' levels of career satisfaction, emotions and attitudes before and after the ACGME duty hour requirements were implemented. The "pre" implementation survey was distributed in December 2002 and the "post" implementation one in December 2004. Only the latter included work-hour related questions.
The response rates were 56% for the 2002 and 72% for the 2004 surveys respectively. Although career satisfaction remained unchanged, numerous changes occurred in both emotions and attitudes. Compared to those residents who did not violate work-hour requirements, those who did were significantly more negative in attitudes and emotions.
With the implementation of the ACGME work hour limitations, the training experience became more negative for those residents who violated the work hour limits and had a small positive impact on those who did not violate them. Graduate medical education leaders must innovate to make the experiences for selected residents improved and still maintain compliance with the work hour requirements.
评估研究生医学教育认证委员会（ACGME）规定的工作时间限制对住院医师职业满意度、情绪和态度的影响。
使用经过验证的调查工具，在ACGME工作时间要求实施前后评估住院医师的职业满意度、情绪和态度水平。“实施前”调查于2002年12月发放，“实施后”调查于2004年12月发放。只有后者包含与工作时间相关的问题。
2002年调查的回复率为56%，2004年调查的回复率为72%。虽然职业满意度保持不变，但情绪和态度都发生了许多变化。与未违反工作时间要求的住院医师相比，违反要求的住院医师在态度和情绪上明显更消极。
随着ACGME工作时间限制的实施，对于违反工作时间限制的住院医师来说，培训体验变得更加消极，而对未违反限制的住院医师有微小的积极影响。研究生医学教育领导者必须进行创新，以使部分住院医师的体验得到改善，同时仍保持符合工作时间要求。
