Division of Intensive Care, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan,
J Anesth. 2015 Feb;29(1):122-5. doi: 10.1007/s00540-014-1867-x. Epub 2014 Jul 1.
An urban legend that "you will get hurt if you go to hospital at the beginning of the fiscal year" is in circulation, because people in general suppose that inexperienced newcomers start to work at clinical practice during that time period. We tried to determine whether this urban legend was true or not by using data from our operation management system. We retrospectively conducted a study to investigate whether the number of cannulation failures, which was used as an index of patient disadvantages at clinical practice, could be affected by the volume of residents in clinical participation. The number of insertion trials per case was not prominent in the first month of the fiscal year. However, the number of insertion trials per case increased in proportion to the average number of residents per day. It seems that there was no evidence to support the urban legend that "you will get hurt if you go to hospital at the beginning of the fiscal year." However, our results suggest that rather than an urban legend, we are now confronting the fact that patients may suffer from medical disadvantages in the teaching hospitals.
有一种都市传说称“在财政年度之初去医院会受伤”，因为人们普遍认为，在那段时间内，没有经验的新手开始在临床实践中工作。我们试图通过使用我们的运营管理系统中的数据来确定这个都市传说是否属实。我们回顾性地进行了一项研究，以调查作为临床实践中患者劣势指标的插管失败次数是否会受到临床参与的居民人数的影响。在财政年度的第一个月，每个病例的插入试验次数并不突出。然而，每个病例的插入试验次数与每天平均居民人数成正比增加。似乎没有证据支持“在财政年度之初去医院会受伤”的都市传说。然而，我们的结果表明，与其说是都市传说，不如说我们现在面临的事实是，患者在教学医院可能会遭受医疗劣势。
