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1
Preregistration house officers in the four Thames regions: I. Survey of education and workload.泰晤士河地区四个区域的预注册住院医师：I. 教育与工作量调查
BMJ. 1990 Mar 17;300(6726):713-6. doi: 10.1136/bmj.300.6726.713.
2
Preregistration house officers in the four Thames regions: II. Comparison of education and workload in teaching and non-teaching hospitals.泰晤士河地区四个区域的预注册住院医师：II. 教学医院与非教学医院的教育与工作量比较。
BMJ. 1990 Mar 17;300(6726):716-8. doi: 10.1136/bmj.300.6726.716.
3
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4
Preregistration house officers in the Thames regions: changes in quality of training after four years.泰晤士地区的预注册住院医师：四年后培训质量的变化
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6
Association of use of a log book and experience as a preregistration house officer: interview survey.使用日志簿与担任预注册住院医师的经验之间的关联：访谈调查
BMJ. 1997 Jan 18;314(7075):213-5. doi: 10.1136/bmj.314.7075.213.
7
Training for minor surgery in general practice during preregistration surgical posts.在注册前外科岗位期间进行普通科小手术培训。
BMJ. 1991 Apr 6;302(6780):830-2. doi: 10.1136/bmj.302.6780.830.
8
Variations in clinical experience of pre-registration house officers: the effect of London.注册前住院医师临床经验的差异：伦敦的影响。
Health Trends. 1995;27(1):22-6.
9
[Do the interns receive the supervision they are supposed to get?].
Tidsskr Nor Laegeforen. 1995 Jun 30;115(17):2087-90.
10
Job satisfaction and psychological morbidity in medical house officers.住院医生的工作满意度与心理疾病
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1
Medical residents' first clearly remembered experiences of giving bad news.医学实习生首次清晰记得的传达坏消息的经历。
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The development and reliability of the Royal College of General Practitioners' questionnaire for measuring senior house officers' satisfaction with their hospital training.皇家全科医师学院用于衡量住院医师对医院培训满意度的问卷的编制与可靠性。
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4
The right to information for the terminally ill patient.绝症患者的知情权。
J Med Ethics. 1998 Apr;24(2):106-9. doi: 10.1136/jme.24.2.106.
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How common is medical training in palliative care? A postal survey of general practitioners.姑息治疗方面的医学培训有多普遍？对全科医生的邮寄问卷调查。
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7
Preregistration house officers in eight English regions: survey of quality of training.英格兰八个地区的预注册住院医师：培训质量调查
BMJ. 1993 Nov 6;307(6913):1180-4. doi: 10.1136/bmj.307.6913.1180.
8
Preregistration house officers in the Thames regions: changes in quality of training after four years.泰晤士地区的预注册住院医师：四年后培训质量的变化
BMJ. 1993 Nov 6;307(6913):1176-9. doi: 10.1136/bmj.307.6913.1176.
9
Making the new deal for junior doctors happen.促成初级医生的新协议。
BMJ. 1994 Jun 11;308(6943):1553-5. doi: 10.1136/bmj.308.6943.1553.
10
Preregistration house officers in general practice.普通科预注册住院医师。
BMJ. 1995 Feb 11;310(6976):369-72. doi: 10.1136/bmj.310.6976.369.

本文引用的文献

1
The pre-registration house appointment. a survey in Manchester.预注册房屋预约。曼彻斯特的一项调查。
Med Educ. 1980 May;14(3):210-3. doi: 10.1111/j.1365-2923.1980.tb02256.x.
2
Cardiopulmonary resuscitation by medical and surgical house-officers.内科和外科住院医师进行的心肺复苏。
Lancet. 1981 Sep 26;2(8248):679-81. doi: 10.1016/s0140-6736(81)91008-4.
3
The effect of time since training on house officers' retention of cardiopulmonary resuscitation skills.培训后时间对住院医师心肺复苏技能保持情况的影响。
Am J Emerg Med. 1985 Jan;3(1):31-2. doi: 10.1016/0735-6757(85)90008-7.
4
Cardiopulmonary resuscitation skills of preregistration house officers.预注册住院医师的心肺复苏技能。
Br Med J (Clin Res Ed). 1985 May 25;290(6481):1549-50. doi: 10.1136/bmj.290.6481.1549.
5
Emotional distress in junior house officers.住院医师的情绪困扰
Br Med J (Clin Res Ed). 1987 Aug 29;295(6597):533-6. doi: 10.1136/bmj.295.6597.533.
6
Doctors' attitudes, medical philosophy, and political views.医生的态度、医学理念和政治观点。
Br Med J (Clin Res Ed). 1986 Apr 12;292(6526):1025-7. doi: 10.1136/bmj.292.6526.1025.
7
Education for practice: the role of practical experience in undergraduate and general clinical training.实践教育：实践经验在本科及普通临床培训中的作用。
Med Educ. 1989 Mar;23(2):189-95. doi: 10.1111/j.1365-2923.1989.tb00885.x.
8
The preregistration year: Chaos by consensus.预注册年份：通过共识达成的混乱局面。
Lancet. 1977 Feb 19;1(8008):413-7. doi: 10.1016/s0140-6736(77)92616-2.

泰晤士河地区四个区域的预注册住院医师：I. 教育与工作量调查

Preregistration house officers in the four Thames regions: I. Survey of education and workload.

作者信息

Dent T H, Gillard J H, Aarons E J, Crimlisk H L, Smyth-Pigott P J

机构信息

Postgraduate Medical Department, United Medical School, Guy's Hospital.

出版信息

BMJ. 1990 Mar 17;300(6726):713-6. doi: 10.1136/bmj.300.6726.713.

DOI:10.1136/bmj.300.6726.713
PMID:2322720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1662472/
Abstract

OBJECTIVE

To assess the education and workload of preregistration house officers in the four Thames regions.

DESIGN

Postal questionnaire.

SETTING

Teaching and non-teaching hospitals in the four Thames regions.

PARTICIPANTS

1064 Preregistration house officers.

RESULTS

Response rate was 70% (740 replies). Nine per cent of house officers (66/729) worked a rota of one in two. The average house officer had 20.4 inpatients under his or her care and admitted 23.2 patients per week. Sixty two per cent of house officers (459/740) felt that they spent an excessive amount of time on non-medical tasks of no educational merit; 75% (546/725) had never received adequate guidance on breaking bad news and 64% (467/729) had never received adequate guidance on pain control; 34% (249/731) did not feel confident that they could perform cardiopulmonary resuscitation unsupervised. House officers would tend to recommend their post to a friend.

CONCLUSIONS

There are deficiencies in preregistration training in the four Thames regions. The General Medical Council's requirements are not being heeded.

摘要

目的

评估泰晤士河地区四个区域预注册住院医师的培训情况和工作量。

设计

邮寄问卷调查。

地点

泰晤士河地区四个区域的教学医院和非教学医院。

参与者

1064名预注册住院医师。

结果

回复率为70%（740份回复）。9%的住院医师（66/729）实行两天一轮的值班制度。平均每位住院医师负责照料20.4名住院患者，每周收治23.2名患者。62%的住院医师（459/740）认为他们在无教育价值的非医疗任务上花费了过多时间；75%（546/725）从未接受过关于告知坏消息的充分指导，64%（467/729）从未接受过关于疼痛控制的充分指导；34%（249/731）对在无人监督的情况下进行心肺复苏没有信心。住院医师倾向于向朋友推荐他们的岗位。

结论

泰晤士河地区四个区域的预注册培训存在不足。英国医学总会的要求未得到重视。