血管外科住院医师对美国毕业后医学教育认证委员会（ACGME）新规定、疲劳、住院医师培训及患者安全的看法。

The perspective of the vascular surgery trainee on new ACGME regulations, fatigue, resident training, and patient safety.

作者信息

De Martino Randall R, Brewster L P, Kokkosis A A, Glass C, Boros M, Kreishman P, Kauvar D A, Farber A

机构信息

Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USA.

出版信息

Vasc Endovascular Surg. 2011 Nov;45(8):697-702. doi: 10.1177/1538574411418130.

DOI:10.1177/1538574411418130

PMID:22262113

Abstract

OBJECTIVE

To assess the opinions of vascular surgery trainees on the new Accreditation Council for Graduate Medical Education (ACGME) guidelines.

METHODS

A questionnaire was developed and electronically distributed to trainee members of the Society for Vascular Surgery.

RESULTS

Of 238 eligible vascular trainees, 38 (16%) participated. Respondents were predominantly 30 to 35 years of age (47%), male (69%), in 2-year fellowship (73%), and at large academic centers (61%). Trainees report occasionally working while fatigued (63%). Fellows were more likely to report for duty while fatigued (P = .012) than integrated vascular residents. Respondents thought further work-hour restrictions would not improve patient care or training (P < .05) and may not lead to more sleep or improved quality of life. Respondents reported that duty hours should vary by specialty (81%) and allow flexibility in the last years of training (P < .05).

CONCLUSIONS

Vascular surgery trainees are concerned about further duty-hour restrictions on patient care, education, and training and fatigue mitigation has to be balanced against the need to adequately train vascular surgeons.

摘要

目的

评估血管外科住院医师对新的毕业后医学教育认证委员会（ACGME）指南的看法。

方法

设计了一份问卷，并通过电子方式分发给血管外科学会的住院医师成员。

结果

在238名符合条件的血管外科住院医师中，38人（16%）参与了调查。受访者主要为30至35岁（47%），男性（69%），处于2年制 fellowship 阶段（73%），且在大型学术中心工作（61%）。住院医师报告偶尔会在疲劳状态下工作（63%）。与综合血管外科住院医师相比，fellow 更有可能在疲劳状态下报到上班（P = 0.012）。受访者认为进一步限制工作时间不会改善患者护理或培训（P < 0.05），也可能不会带来更多睡眠或提高生活质量。受访者报告称，工作时间应因专业而异（81%），并在培训的最后几年允许灵活性（P < 0.05）。