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巴西圣保罗内科住院医师的时间管理

Time management of Internal Medicine medicalresidents, São Paulo, Brasil.

作者信息

Torres Rafael Augusto Tamasauskas, Fischer Frida Marina

机构信息

Médico, com residência em Medicina do Trabalho pelo Hospital das Clínicas da Faculdade de Medicina da USP, Mestre em Ciências pela Faculdade de Saúde Pública da USP, São Paulo, SP, Brasil.

Professora Titular do Departamento de Saúde Ambiental, Faculdade de Saúde Publica da Universidade de São Paulo, São Paulo, SP, Brasil. Master dissertation supervised by Frida Marina Fischer. Graduate program in Public Health, School of Public Health, University of São Paulo .

出版信息

Rev Assoc Med Bras (1992). 2019 Sep 12;65(8):1048-1054. doi: 10.1590/1806-9282.65.8.1048.

Abstract

INTRODUCTION

Medical Residency is a recognized form of professional qualification, but there are criticisms regarding the overload of work activities. Given the length of the daily and weekly workdays, residents develop practices that enable them to reconcile the Residency with their personal life.

AIM

To describe time management strategies in the daily routine of Internal Medicine Medical Residents of a university hospital in São Paulo, Brasil.

METHODS

Eight interviews were conducted with resident physicians of the second year, addressing aspects of personal and family life, theoretical study, practical activities, and work bonds. Content analysis was carried out using the MaxQDA software.

RESULTS

Six thematic categories emerged from the reports: work organization at the Medical Residency; learning and/or professional activities; housing, financial planning, and household activities; time for leisure and interpersonal relationship; family planning/children; rest/sleep.

DISCUSSION

Several strategies are adopted for time management: residing near the hospital, domestic activities helped by housekeepers, postponement of maternity leave, and social support centered on interacting with other residents. There are paid activities not associated with the Residency, which lead to reduced time for rest, study, and leisure, with a greater loss during work at night shifts.

CONCLUSIONS

Residents experience a period of intense learning, which requires a high workload and complex work. The evaluation of the work organization of medical residents should include not only time for rest but also time management strategies for daily activities, which can reduce the negative outcomes associated with long working hours.

摘要

引言

医学住院医师培训是一种公认的专业资格形式,但有人批评其工作活动负担过重。鉴于每日和每周工作日的时长,住院医师们形成了一些做法,使他们能够在住院医师培训与个人生活之间取得平衡。

目的

描述巴西圣保罗一家大学医院内科住院医师日常时间管理策略。

方法

对二年级住院医师进行了八次访谈,涉及个人和家庭生活、理论学习、实践活动及工作关系等方面。使用MaxQDA软件进行内容分析。

结果

报告中出现了六个主题类别:医学住院医师培训中的工作安排;学习和/或专业活动;住房、财务规划及家务活动;休闲和人际关系时间;计划生育/子女;休息/睡眠。

讨论

采用了多种时间管理策略:居住在医院附近、由家政人员协助进行家务活动、推迟产假以及以与其他住院医师互动为中心的社会支持。存在与住院医师培训无关的有偿活动,这导致休息、学习和休闲时间减少,夜班工作期间损失更大。

结论

住院医师经历一段高强度学习时期,这需要高工作量和复杂工作。对医学住院医师工作安排的评估不仅应包括休息时间,还应包括日常活动的时间管理策略,这可以减少与长时间工作相关的负面结果。

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