Swide Christopher E, Kirsch Jeffrey R
Anesthesiology & Peri-Operative Medicine, Oregon Health & Science University, Portland, Oregon 97239, USA.
Curr Opin Anaesthesiol. 2007 Dec;20(6):580-4. doi: 10.1097/ACO.0b013e3282f0efd4.
Resident duty hour limits were implemented in 2003 by the Accreditation Council for Graduate Medical Education to improve resident wellness, increase patient safety and improve the educational environment of American residents. Now that academic anesthesiology departments and medical centers have had more than 3 years of experience under the duty hour rules, it is critical to review the available evidence on the effectiveness of these rules.
The available data clearly support that American residents across specialties perceive an improvement in their educational environment and an increase in their quality of life. It is not clear if the duty hour rules have affected patient safety or the quality of resident education. Faculty have been impacted by these rules, with many feeling their work loads have increased, and hospitals have had to fund additional providers to cover work previously done by residents.
Accreditation Council for Graduate Medical Education duty hour rules are generally being followed by American anesthesiology residency programs. Residents perceive an improvement in their overall wellness, but it remains unclear if there has been an improvement in patient safety or quality of resident education.
毕业后医学教育认证委员会于2003年实施住院医师值班时间限制，以改善住院医师健康状况、提高患者安全并改善美国住院医师的教育环境。鉴于学术麻醉学系和医疗中心在值班时间规定下已有超过3年的经验，审查这些规定有效性的现有证据至关重要。
现有数据明确支持，美国各专业的住院医师认为他们的教育环境有所改善，生活质量有所提高。尚不清楚值班时间规定是否影响了患者安全或住院医师教育质量。这些规定对教员产生了影响，许多人觉得工作量增加了，医院不得不资助额外的提供者来完成以前由住院医师完成的工作。
美国麻醉学住院医师培训项目普遍遵循毕业后医学教育认证委员会的值班时间规定。住院医师认为他们的整体健康状况有所改善，但患者安全或住院医师教育质量是否有所改善仍不清楚。
