Carpenter Alexander, Vora Sona M, Kestenbaum Samantha, Thompson Ameeka, Devine Mark, Tenison Emma, Quicke Eleanor, Liang Kate, Deibel Francesca
Severn Deanery, Bristol, UK.
Future Healthc J. 2019 Jun;6(2):118-122. doi: 10.7861/futurehosp.6-2-118.
Hospital medicine in the UK is under unprecedented pressure, with increasing demand on physicians as well as challenges in recruiting new doctors into the physicianly specialties. We sought to assess the prevalence of the afternoon ward round and its effect on those undertaking them. We sampled each hospital within our postgraduate region, surveying junior doctors working on inpatient medical wards. We surveyed roughly two-thirds of eligible doctors, -finding that 30% of juniors had some commitment, of varying frequency, to ward rounds beginning after 1.00pm. Of the -doctors involved in afternoon ward rounds, the majority felt they contributed to late finishes, delayed discharge of -patients, reduced team efficiency and reduced job -satisfaction. Just under 80% felt they were less likely to consider a career in hospital medicine as a result The afternoon ward round lives on, and we should not -underestimate its effect. Low junior doctor morale coupled with high work intensity can lead to burnout as well as -impairing the effectiveness of the clinical service. Clinical -leaders should consider leaving this practice in the past so we can cope with the challenges of the future.
英国的医院医学面临前所未有的压力，对医生的需求不断增加，同时在招聘新医生进入医师专业领域方面也面临挑战。我们试图评估下午查房的普遍性及其对参与查房人员的影响。我们对研究生区域内的每家医院进行了抽样，调查了在内科住院病房工作的初级医生。我们对大约三分之二符合条件的医生进行了调查，发现30%的初级医生在下午1点之后有不同频率的查房任务。在参与下午查房的医生中，大多数人认为这导致了下班延迟、患者出院推迟、团队效率降低和工作满意度下降。近80%的人认为，因此他们不太可能考虑从事医院医学领域的职业。下午查房仍然存在，我们不应低估其影响。初级医生士气低落加上工作强度大，可能导致职业倦怠，同时也会削弱临床服务的有效性。临床领导者应该摒弃这种做法，以便我们能够应对未来的挑战。
