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The ACGME's 2011 changes to resident duty hours: are they an unfunded mandate on teaching hospitals?美国毕业后医学教育认证委员会（ACGME）2011年对住院医师值班时长的调整：这对教学医院来说是否是一项无资金支持的指令？
J Gen Intern Med. 2012 Feb;27(2):136-8. doi: 10.1007/s11606-011-1936-x.
2
Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.ACGME 2011 年对住院医师工作时间和培训环境的改变所涉及的成本问题。
J Gen Intern Med. 2012 Feb;27(2):241-9. doi: 10.1007/s11606-011-1775-9. Epub 2011 Jul 21.
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Medical education. Time's up.医学教育。时间到。
Hosp Health Netw. 2003 Jun;77(6):18.
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Hours of doctors-in-training: who's counting? ACGME's restrictions limiting residents' workhours denounced as inadequate.住院医生的工作时长：谁在统计？美国研究生医学教育认证委员会（ACGME）对住院医生工作时长的限制被指责为不够充分。
Mod Healthc. 2002 Aug 19;32(33):18-9.
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Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance.2011 年 ACGME 住院医师勤务时间改革与普通外科患者结局和住院医师考试表现的关联。
JAMA. 2014 Dec 10;312(22):2374-84. doi: 10.1001/jama.2014.15277.
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Preserving quality of education. Accreditation Council limits residents' work week.保持教育质量。认证委员会限制住院医师的工作周。
Mod Healthc. 2002 Jun 17;32(24):17, 20.
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Lightening their load. As teaching hospitals grapple with new rules limiting residents' hours on the job, cost and management issues remain among the challenges.减轻他们的负担。随着教学医院努力应对限制住院医师工作时长的新规定，成本和管理问题仍是挑战之一。
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Resident restrictions. Most teaching hospitals ready for work-hour rules.住院医师限制。多数教学医院已准备好实施工作时间规定。
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Early impact of the 2011 ACGME duty hour regulations on surgical outcomes.2011年美国毕业后医学教育认证委员会（ACGME）工作时长规定对手术结果的早期影响。
Surgery. 2015 Dec;158(6):1453-61. doi: 10.1016/j.surg.2015.05.002. Epub 2015 Jun 6.
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Population Health and Graduate Medical Education: Updates to the ACGME's Common Program Requirements.人群健康与毕业后医学教育：毕业后医学教育认证委员会共同项目要求的更新
J Grad Med Educ. 2019 Jun;11(3):357-361. doi: 10.4300/JGME-D-19-00267.1.

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The impact of shortening shifts of physicians during their residency on patients and physicians : A systematic review and meta-analysis.住院医师缩短轮班对患者和医师的影响：一项系统评价和荟萃分析。
Isr J Health Policy Res. 2025 Sep 3;14(1):53. doi: 10.1186/s13584-025-00715-2.
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Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016-2019.欧洲儿科内镜培训：ESPGHAN国家学会网络2016 - 2019年调查
Endosc Int Open. 2022 Oct 17;10(10):E1371-E1379. doi: 10.1055/a-1898-1364. eCollection 2022 Oct.
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The Impact of Orthopaedic Surgical Training on Body Composition.骨科手术训练对身体成分的影响。
Iowa Orthop J. 2022 Jun;42(1):31-34.
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Is There a Return on a Children's Hospital's Investment in a Pediatric Residency's Community Health Track? A Cost Analysis.儿童医院在儿科住院医师培训的社区卫生轨道上的投资是否有回报？一项成本分析。
J Community Health. 2018 Apr;43(2):372-377. doi: 10.1007/s10900-017-0433-5.
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The Relationship Between ACGME Duty Hour Requirements and Performance on the American Board of Emergency Medicine Qualifying Examination.美国毕业后医学教育认证委员会（ACGME）值班时长要求与美国急诊医学委员会资格考试成绩之间的关系。
J Grad Med Educ. 2016 Oct;8(4):558-562. doi: 10.4300/JGME-D-15-00591.1.
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Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients.2011年美国研究生医学教育认证委员会（ACGME）住院医师值班时长改革与医疗保险住院患者死亡率及再入院率的关联
JAMA. 2014 Dec 10;312(22):2364-73. doi: 10.1001/jama.2014.15273.
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A thematic review of resident commentary on duty hours and supervision regulations.住院医师对值班时长及监督规定评论的专题综述。
J Grad Med Educ. 2012 Dec;4(4):454-9. doi: 10.4300/JGME-D-11-00259.1.
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Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.2011 年工时改革对实习医生及其患者的影响：一项前瞻性纵向队列研究。
JAMA Intern Med. 2013 Apr 22;173(8):657-62; discussion 663. doi: 10.1001/jamainternmed.2013.351.
9
Training for efficiency: work, time, and systems-based practice in medical residency.培训以提高效率：住院医师规范化培训中的工作、时间和基于系统的实践。
J Health Soc Behav. 2012 Sep;53(3):344-58. doi: 10.1177/0022146512451130. Epub 2012 Aug 3.

本文引用的文献

1
Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.ACGME 2011 年对住院医师工作时间和培训环境的改变所涉及的成本问题。
J Gen Intern Med. 2012 Feb;27(2):241-9. doi: 10.1007/s11606-011-1775-9. Epub 2011 Jul 21.
2
Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.减少培训医生的工作时间对研究生医学教育和患者结局的影响：系统评价。
BMJ. 2011 Mar 22;342:d1580. doi: 10.1136/bmj.d1580.
3
Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.实施 2003 年 ACGME 工时规则后患者安全、住院医师教育和住院医师的健康状况。
J Gen Intern Med. 2011 Aug;26(8):907-19. doi: 10.1007/s11606-011-1657-1. Epub 2011 Mar 3.
4
Duty hour recommendations and implications for meeting the ACGME core competencies: views of residency directors.工作时间建议和满足 ACGME 核心能力的影响：住院医师主任的观点。
Mayo Clin Proc. 2011 Mar;86(3):185-91. doi: 10.4065/mcp.2010.0635. Epub 2011 Feb 9.
5
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.系统评价：轮班时长、保障睡眠时间和夜间小夜班与患者护理、住院医师健康和教育的关联。
Ann Intern Med. 2010 Dec 21;153(12):829-42. doi: 10.7326/0003-4819-153-12-201012210-00010.
6
Residency training at a crossroads: duty-hour standards 2010.住院医师培训处于十字路口：2010 年的工时标准。
Ann Intern Med. 2010 Dec 21;153(12):826-8. doi: 10.7326/0003-4819-153-12-201012210-00287. Epub 2010 Oct 18.
7
Cost implications of reduced work hours and workloads for resident physicians.住院医师工作时长和工作量减少的成本影响
N Engl J Med. 2009 May 21;360(21):2202-15. doi: 10.1056/NEJMsa0810251.
8
Impact of the 80-hour work week on mortality and morbidity in trauma patients: an analysis of the National Trauma Data Bank.每周80小时工作制对创伤患者死亡率和发病率的影响：一项基于国家创伤数据库的分析
J Surg Res. 2009 Jun 1;154(1):157-62. doi: 10.1016/j.jss.2008.06.004. Epub 2008 Jul 9.
9
Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.毕业后医学教育认证委员会（ACGME）住院医师值班时间改革后头两年退伍军人事务部（VA）医院患者的死亡率。
JAMA. 2007 Sep 5;298(9):984-92. doi: 10.1001/jama.298.9.984.
10
Changes in hospital mortality associated with residency work-hour regulations.与住院医师工作时间规定相关的医院死亡率变化。
Ann Intern Med. 2007 Jul 17;147(2):73-80. doi: 10.7326/0003-4819-147-2-200707170-00161. Epub 2007 Jun 4.

The ACGME's 2011 changes to resident duty hours: are they an unfunded mandate on teaching hospitals?

作者信息

Romano Patrick S, Volpp Kevin

出版信息

J Gen Intern Med. 2012 Feb;27(2):136-8. doi: 10.1007/s11606-011-1936-x.

DOI:10.1007/s11606-011-1936-x
PMID:22127799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3270241/
Abstract
摘要