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.
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.
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。
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