Bandiera Glen, Hynes Melissa Kennedy, Spadafora Salvatore M
BMC Med Educ. 2014;14 Suppl 1(Suppl 1):S5. doi: 10.1186/1472-6920-14-S1-S5. Epub 2014 Dec 11.
The potential impact of resident duty hour restrictions on faculty is likely significant; however, the extent of this impact has still not been well documented. We undertook a narrative review of the literature to determine the magnitude of that potential impact and the nature of the evolving discourse related to faculty members as individuals. The literature provides an inconsistent picture of the impact of duty hour restrictions on faculty. While some studies have reported a significant increase in faculty workload, others suggest that the impact of duty hour restrictions has been minimal. Some papers suggest that duty hour restrictions may fundamentally change the nature of resident-teacher interactions and, as a result, will necessitate significant changes to the way education is delivered. Overall, the majority of issues of concern relate to one of the following: volume and composition of work, impact on faculty career choice, evolving perceptions of residents as learners, and the need to find an appropriate balance between learning and the quality and quantity of patient care. In describing these themes we identify some potential solutions and future directions for reconciling duty hour restrictions with faculty perceptions, anxieties, and desired outcomes.
住院医师值班时间限制对教员的潜在影响可能很大；然而，这种影响的程度尚未得到充分记录。我们对文献进行了叙述性综述，以确定这种潜在影响的程度以及与教员个人相关的不断演变的讨论的性质。文献对值班时间限制对教员的影响呈现出不一致的情况。虽然一些研究报告称教员工作量显著增加，但另一些研究表明值班时间限制的影响很小。一些论文表明，值班时间限制可能从根本上改变住院医师与教师互动的性质，因此，将需要对教育交付方式进行重大改变。总体而言，大多数关注的问题涉及以下方面之一：工作量和构成、对教员职业选择的影响、对住院医师作为学习者的不断变化的看法，以及在学习与患者护理的质量和数量之间找到适当平衡的必要性。在描述这些主题时，我们确定了一些潜在的解决方案以及未来的方向，以便在值班时间限制与教员的看法、焦虑和期望结果之间取得平衡。
