Kong V Y, Odendaal J J, Clarke D L
Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal, South Africa.
S Afr J Surg. 2015 Dec;53(3 and 4):8-10.
Surgical training has undergone major changes worldwide, especially with regard to work hour regulations. Very little is known regarding the situation in South Africa, and how it compares with other countries.
We conducted a retrospective review of the hours worked by surgical residents in a major university hospital in South Africa.
The attendance records of 12 surgical residents were reviewed during the three-month study period from January 2013 to March 2013. Ten were males. The mean age of the residents was 33 years. The mean total hours worked by each resident each month was 277 hours in January, 261 hours in February and 268 hours in March. The mean monthly total over the study period was 267 hours. This equates to approximately 70 hours per week.
The average surgical resident worked 70 hours per week in our unit. This was shorter than that in USA, but higher than that in Europe. There is likely to be a degree of heterogeneity between different training units, which needs to be explored further if a more accurate overall picture is to be provided.
全球范围内外科培训已发生重大变化，尤其是在工作时间规定方面。对于南非的情况以及它与其他国家的比较情况，人们知之甚少。
我们对南非一家主要大学医院外科住院医师的工作时长进行了回顾性研究。
在2013年1月至2013年3月的三个月研究期间，对12名外科住院医师的出勤记录进行了审查。其中10人为男性。住院医师的平均年龄为33岁。每位住院医师每月工作的平均总时长在1月为277小时，2月为261小时，3月为268小时。研究期间的月平均总时长为267小时。这相当于每周约70小时。
我们科室外科住院医师的平均工作时长为每周70小时。这比美国短，但比欧洲长。不同培训科室之间可能存在一定程度的差异，如果要提供更准确的整体情况，还需要进一步探究。
