Hoekelman R A, Parker R M
Department of Pediatrics, University of Rochester School of Medicine, NY.
Acad Med. 1990 Apr;65(4):257-66.
Data were gathered in 1987 from 180 pediatrics and 302 internal medicine residency training programs about (1) the length of vacation provided their residents, (2) time allowed them for absence from work for reasons other than vacation, (3) how many of them during the previous three years had been required to extend their training to make up absences from work, and (4) whether a system was in place to cover their unexpected absences from work. All these variables affect the duration--but not necessarily the quality--of training that residents actually experience. The data show that these variables demonstrated wide ranges that depended on the postgraduate year of training, the discipline, the program size, and the program type (university, university-affiliated, freestanding, or military). The Accreditation Council for Graduate Medical Education, training program directors, and the American Board of Pediatrics and the American Board of Internal Medicine each need to consider these variables in making their respective decisions about accrediting training programs, verifying the clinical competence of trainees, and certifying program graduates.
1987年收集了来自180个儿科和302个内科住院医师培训项目的数据，内容包括：（1）为住院医师提供的休假时长；（2）因休假以外原因允许他们缺勤的时间；（3）在过去三年中有多少人曾被要求延长培训以弥补工作缺勤；（4）是否有一个系统来应对他们意外的工作缺勤。所有这些变量都会影响住院医师实际经历的培训时长——但不一定影响培训质量。数据显示，这些变量呈现出很大的范围，这取决于培训的研究生年级、学科、项目规模和项目类型（大学、大学附属、独立或军事）。毕业后医学教育认证委员会、培训项目主任以及美国儿科学会和美国内科医学委员会在就认证培训项目、核实受训人员的临床能力以及认证项目毕业生做出各自决定时，都需要考虑这些变量。
