McDonald Joshua M, Berbaum Kevin, Bennett D Lee, Mullan Brian
Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
J Am Coll Radiol. 2005 Nov;2(11):932-8. doi: 10.1016/j.jacr.2005.06.007.
This paper focuses on specific resident perceptions of call, including the compliance of training programs with the Accreditation Council for Graduate Medical Education's (ACGME) resident work rules and the level of comfort residents have in contacting out-of-house staff radiologists for help during on-call hours.
The authors designed a Web-based survey to examine radiology residents' perceptions about call conditions with input from the 2003-2004 ACR Resident and Fellow Section Executive Council. The survey instrument was distributed to chief residents in the United States and Canada with the help of the ACR.
Eighty-five percent of respondents felt that the amounts of work and responsibility required for call were appropriate to their levels of training. Ninety-eight percent of US respondents felt that their programs were in complete compliance with the ACGME's resident work guidelines. Eighty-nine percent were comfortable contacting the staff physicians on call when those staff physicians were out of the hospital. Respondents who felt uncomfortable calling their staff physicians were more likely to feel that the work and responsibility of call were excessive to their levels of training (chi(2) = 11.301, P = .0033).
The majority of residents indicated that they were adequately trained for call. Most residents were on call without in-house staff coverage but felt comfortable contacting on-call staff physicians if needed. Residents who felt uncomfortable contacting on-call staff physicians were more likely to feel that their training had not prepared them for call. A high percentage of radiology resident programs are in compliance with the ACGME's resident work guidelines.
本文聚焦于住院医师对值班的具体看法，包括培训项目对毕业后医学教育认证委员会（ACGME）住院医师工作规定的遵守情况，以及住院医师在值班时间联系院外放射科工作人员寻求帮助时的舒适程度。
作者设计了一项基于网络的调查，在2003 - 2004年美国放射学会住院医师和研究员分会执行委员会的参与下，研究放射科住院医师对值班条件的看法。在ACR的帮助下，该调查问卷被分发给美国和加拿大的住院总医师。
85%的受访者认为值班所需的工作量和责任与他们的培训水平相匹配。98%的美国受访者认为他们的项目完全符合ACGME的住院医师工作指南。89%的受访者在院外放射科工作人员值班时，与其联系感到自在。那些觉得联系工作人员不自在的受访者更有可能认为值班的工作和责任超出了他们的培训水平（卡方检验，χ(2)=11.301，P = 0.0033）。
大多数住院医师表示他们在值班方面得到了充分的培训。大多数住院医师值班时没有院内工作人员在场，但如果有需要，他们联系值班工作人员时会感到自在。那些觉得联系值班工作人员不自在的住院医师更有可能觉得他们的培训没有让他们为值班做好准备。很高比例的放射科住院医师培训项目符合ACGME的住院医师工作指南。
