Department of Psychiatry, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78284-7792, USA.
Acad Psychiatry. 1998 Sep;22(3):170-80. doi: 10.1007/BF03341921.
Much of the literature on resident moonlighting has been editorial in nature. Very little information on psychiatric residents' moonlighting practices and attitudes exists. The authors developed an instrument that was mailed to survey the chief residents of all 203 Accreditation Council for Graduate Medical Education-approved psychiatry residencies, with 137 (67.5%) programs responding. According to the responses, the percentage of residents moonlighting increased with each successive year of training, with an average of 31 hours per resident per month. The two major reasons given for moonlighting were payment of living expenses (58%) and repayment of student loans (24%). No supervision was provided to 22% of the moonlighting residents. Only 10% of the programs proscribed moonlighting by their residents. To better assess the positive and negative effects of moonlighting, it is time to truly monitor and guide the moonlighting experience for both residents and their programs.
关于住院医师兼职的文献大多是社论性质的。关于精神科住院医师兼职的做法和态度的信息很少。作者开发了一种工具,将其邮寄给所有 203 个经研究生医学教育认证委员会批准的精神病学住院医师培训计划的首席住院医师,其中 137 个(67.5%)计划做出了回应。根据回应,随着培训年限的增加,兼职的住院医师比例增加,每位住院医师每月平均兼职 31 小时。兼职的两个主要原因是支付生活费用(58%)和偿还学生贷款(24%)。22%的兼职住院医师没有得到监督。只有 10%的计划禁止其住院医师兼职。为了更好地评估兼职的积极和消极影响,现在是时候真正监督和指导住院医师及其计划的兼职经历了。