Puddester Derek
BMC Med Educ. 2014;14 Suppl 1(Suppl 1):S3. doi: 10.1186/1472-6920-14-S1-S3. Epub 2014 Dec 11.
The medical establishment is grappling with the complex issue of duty hour regulations - an issue that is a natural consequence of the numerous changes in medical culture and practice that have occurred over the course of decades. Sleep deprivation resulting from long duty hours has a recognized impact on resident health and wellness. This paper will briefly outline the evolution of the concept of well-being in residency, review the specific theme of fatigue management within that context, and describe strategies that may be used to mitigate and manage fatigue, as well as approaches that may be taken to adapt to new scheduling models such as night float. Finally, the paper will call for a change in the culture in our workplaces and among our residents and faculty to one that promotes good health and ensures that we maintain a fit and sustainable medical workforce.
医疗机构正在应对值班时间规定这一复杂问题，这一问题是几十年来医学文化和实践中诸多变化的自然结果。长时间值班导致的睡眠剥夺对住院医师的健康有着公认的影响。本文将简要概述住院医师培训中幸福感概念的演变，在这一背景下回顾疲劳管理的具体主题，并描述可用于减轻和管理疲劳的策略，以及适应诸如夜间轮值等新排班模式的方法。最后，本文将呼吁在我们的工作场所、住院医师和教职员工中改变文化，形成一种促进健康并确保我们维持一支健康且可持续的医疗队伍的文化。
