Department of Neurosurgery, University of Florida College of Medicine, Gainesville, Florida, USA.
Neurosurgery. 2011 Dec;69(6):1162-70. doi: 10.1227/NEU.0b013e3182245989.
The Accreditation Council for Graduate Medical Education (ACGME) duty hour standards that began July 2011 will further limit resident duty hours.
To survey neurosurgery residents in the United States on duty hour violations under the current system and the predicted effects on education and patient safety of the new regulations.
Surveys were mailed to every neurosurgery training program in the United States and Puerto Rico. Program directors and coordinators were asked to distribute surveys to their residents.
Three hundred seventy-seven neurosurgery residents mailed surveys back to the study center (34% response rate). More than one-third of respondents reported violating the 80-hour rule occasionally or frequently (36%). Thirty-one residents (8%) reported having been involved in a motor vehicle collision or life-threatening event and 20 (6%) reported having made a medical error resulting in patient harm after an extended shift. Eighty-three percent disagreed with the 16-hour proposed regulation for postgraduate year 1. The majority of respondents thought that the new standards will have a negative or strongly negative effect on their residency training (72%).
This national duty hour survey of neurosurgical residents reveals considerable concern over the new ACGME proposed standards. The majority of respondents believe that the new standards will have a negative effect on their residency training. Furthermore, this survey indicates an overwhelming negative attitude toward mandated duty hour regulations among neurosurgical residents. Duty hour violations reported in this survey may be a more honest depiction of true violations than previous surveys and are higher than expected.
自 2011 年 7 月开始，美国毕业后医学教育认证委员会（ACGME）的工时标准将进一步限制住院医师的工时。
调查美国神经外科住院医师在现行制度下的工时违规情况，以及新规定对教育和患者安全的预计影响。
向美国和波多黎各的每个神经外科培训项目邮寄了调查。项目主任和协调员被要求将调查分发给他们的住院医师。
共有 377 名神经外科住院医师将调查邮寄回研究中心（响应率为 34%）。超过三分之一的受访者报告偶尔或经常违反 80 小时规定（36%）。31 名住院医师（8%）报告曾发生过机动车碰撞或危及生命的事件，20 名（6%）报告在延长轮班后因医疗失误导致患者受伤。83%的人不同意第 1 年住院医师提出的 16 小时规定。大多数受访者认为新的标准将对他们的住院医师培训产生负面影响或强烈的负面影响（72%）。
这项针对神经外科住院医师的全国工时调查显示，他们对新的 ACGME 拟议标准表示极大关注。大多数受访者认为新的标准将对他们的住院医师培训产生负面影响。此外，这项调查表明，神经外科住院医师对强制性工时法规持压倒性的负面态度。本调查报告的工时违规情况可能比以前的调查更真实地反映了实际违规情况，而且比预期的要高。
