Wang Tsung-Hsi, Drolet Brian C, Tsai Kun-Yu, Liu Yu-Fu
Ministry of Health and Welfare (MOHW), Taipei City, Taiwan; School of Medicine, National Yang-Ming University, Taipei City, Taiwan.
Department of Plastic Surgery, Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI, USA.
J Formos Med Assoc. 2017 May;116(5):398-401. doi: 10.1016/j.jfma.2016.11.004. Epub 2016 Dec 22.
Residents' work overload is a rising issue in Taiwan. Duty hours of the residents in the United States have been limited by the Accreditation Council for Graduate Medical Education Common Program Requirements since 2003; similar standards were not implemented in Taiwan until 2013. Taiwanese duty hour standards are the work hour limits adopted as part of the required teaching hospital accreditation status. In January 2015, the Ministry of Health and Welfare conducted a national survey for all house officers in Taiwan. We collected data including those on demographics and perceptions of residents regarding duty hour limits. Most respondents reported positive perceptions of the duty hour standards. They felt that these limits will improve resident education, quality of life, and patient safety. The strong incentive to follow the regulations (through teaching hospital accreditation) could help protect residents (and patients) from unsafe working conditions. However, further studies on the influence of shortened duty hour on professional development are necessary for future improvement.
住院医师工作负荷过重是台湾地区一个日益凸显的问题。自2003年起,美国毕业后医学教育认证委员会的共同项目要求对住院医师的值班时长进行了限制;台湾地区直到2013年才实施类似标准。台湾地区的值班时长标准是作为教学医院认证状态要求的一部分而采用的工作时长限制。2015年1月,台湾地区卫生福利部对全台所有住院医师进行了一项全国性调查。我们收集了包括人口统计学数据以及住院医师对值班时长限制的看法等数据。大多数受访者对值班时长标准持积极看法。他们认为这些限制将改善住院医师培训、生活质量和患者安全。遵循这些规定的强大激励措施(通过教学医院认证)有助于保护住院医师(和患者)免受不安全工作条件的影响。然而,为了未来的改进,有必要进一步研究缩短值班时长对职业发展的影响。