Rentea Rebecca M, Forrester Jared A, Kugler Nathan W, Dua Anahita, Webb Travis P
WMJ. 2015 Jun;114(3):110-5.
Restriction of resident duty hours has resulted in the implementation of night float systems in surgical and medical programs. Many papers have examined the benefits and structure of night float, but few have addressed patient safety issues, quality patient care, and the impact on the residency education system. The objective of this review is to provide practical tips to optimize the night float experience for resident training while continuing to emphasize patient care. The tips provided are based on the experiences and reflections of residents, supervising staff, group discussions, and the available literature in a hospital-based general surgery residency program. Utilizing these resources, we concluded that the night float system addresses resident work hour restrictions; however, it ultimately creates new issues. Adaptations will help achieve a balance between resident education and patient safety.
限制住院医师值班时长导致了外科和内科项目中实施夜间轮值制度。许多论文探讨了夜间轮值的益处和结构，但很少涉及患者安全问题、优质患者护理以及对住院医师培训体系的影响。本综述的目的是提供实用建议，以优化住院医师培训的夜间轮值体验，同时继续强调患者护理。所提供的建议基于住院医师、带教人员的经验和反思、小组讨论以及一所医院普通外科住院医师培训项目中的现有文献。利用这些资源，我们得出结论，夜间轮值制度解决了住院医师工作时长限制问题；然而，它最终产生了新的问题。进行调整将有助于在住院医师教育和患者安全之间取得平衡。
