评估 16 小时实习生轮班限制：一项针对普通外科住院医师和教师的多中心、混合方法研究的结果。
Assessing the 16 hour intern shift limit: Results of a multi-center, mixed-methods study of residents and faculty in general surgery.
机构信息
Department of Sociology, University of Georgia, Athens, GA, USA.
HPB and Endocrine Surgery, Virginia Mason Medical Center, Seattle, WA, USA.
出版信息
Am J Surg. 2018 Feb;215(2):326-330. doi: 10.1016/j.amjsurg.2017.08.053. Epub 2017 Nov 4.
BACKGROUND
The study explores how residents and faculty assess the ACGME's 16-h limit on intern shifts.
METHODS
Questionnaire response rates were 76% for residents (N = 291) and 71% for faculty (N = 279) in 13 general surgery residency programs. Results include means, percentage in agreement, and statistical tests for 15 questionnaire items. Semi-structured interviews conducted with 39 residents and 43 faculty were analyzed for main themes.
RESULTS
Few view the intern shift limit as a positive change. Views differ (P < 0.01) for residents and faculty on 12 of 15 item means and across PGY levels on all 15 items. Interviews indicate concerns about losses with respect to education and professional development, difficulties when interns transition to their second year, and how intern shifts may be more fatiguing than expected.
CONCLUSIONS
The 16-h limit on intern shifts has remained a source of concern and an educational challenge for residents and faculty.
背景
本研究探讨住院医师和教师如何评估 ACGME 对住院医师轮班时间的 16 小时限制。
方法
在 13 个普通外科住院医师培训项目中，对 291 名住院医师和 279 名教师进行了问卷调查，回应率分别为 76%和 71%。结果包括 15 个问卷条目的平均值、同意百分比和统计检验。对 39 名住院医师和 43 名教师进行了半结构化访谈，分析了主要主题。
结果
很少有人认为实习医师轮班限制是积极的变化。对于 15 个条目的 12 个，住院医师和教师的看法不同（P<0.01），而在所有 15 个条目中，住院医师的水平也不同。访谈表明，人们担心教育和职业发展方面的损失、住院医师过渡到第二年时的困难，以及实习医师轮班可能比预期更累人。
结论
实习医师轮班时间的 16 小时限制一直是住院医师和教师关注的问题和教育挑战。
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