Jones Arden M, Jones Kevin B
Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Iowa Orthop J. 2007;27:128-33.
The restriction of the resident physician work week to 80 hours has had dramatic affects on resident education and life-style. While effects on mood, psychological distress, and burn-out have been studied, the resultant changes in tangible quality of life have received little attention. Birth rate was considered a measurable, relevant outcome. The resident marital and parental status by duty month was collected from a single orthopaedic surgical residency program for the four academic years preceding and following the implementation of the 80-hour work week. The number of births to residents during these periods were also tallied. The relative prevalence of positive marital status changed very little between residents in the two time durations from 66 to 71 percent, but parental status increased from 27 to 43 percent. The number of births per married resident duty year also increased from 0.23 pre-restrictions to 0.32 post-restrictions. While the individual decisions involved in generating these observed changes are complex and difficult to entirely decipher, it is thought that an increased perception of life-control within the work-hour restrictions may have prompted the dramatic changes in birth rate among resident families.
将住院医师每周工作时长限制为80小时对住院医师的教育和生活方式产生了巨大影响。虽然已经研究了对情绪、心理困扰和职业倦怠的影响，但实际生活质量的相应变化却很少受到关注。出生率被视为一个可衡量的相关结果。通过单一的骨科手术住院医师培训项目，收集了实施80小时工作周之前和之后四个学年按值班月份划分的住院医师婚姻和父母状况。还统计了这些时期住院医师的生育数量。两个时间段住院医师中婚姻状况良好的相对比例变化很小，从66%升至71%，但为人父母的比例从27%增至43%。每位已婚住院医师每年的生育数量也从限制前的0.23增至限制后的0.32。虽然导致这些观察到的变化的个人决策很复杂，难以完全解读，但据认为，在工作时长限制内对生活掌控感的增强可能促使住院医师家庭的出生率发生了显著变化。
