Department of Medical Education, Chonnam National University Medical School, Hwasun, Korea.
Korean J Med Educ. 2020 Mar;32(1):67-72. doi: 10.3946/kjme.2020.154. Epub 2020 Mar 1.
This study investigated the perceptions of medical residents and faculty members before the implementation of the duty hour regulation in December 2017.
A survey was administered to 263 residents and 358 faculty members in the Chonnam National University Hospital. The subjects were given a self-administered structured questionnaire designed to measure their perspectives on duty hour regulation. They were also asked to answer an open-ended question regarding their expectations or concerns regarding duty hour regulation. The response rates were 50.2% for residents and 24.0% for faculty members.
Residents and faculty members regarded the improvement of junior residents' well-being favorably, but had conflicting views regarding senior residents. Residents expressed difficulty in completing unchanged workloads within the limited time, while faculty members were more concerned about worsening patient safety due to the discontinuity of care and insufficient resident education.
Medical residents and faculty members had differing concerns regarding duty hour regulation. Further studies and the development of future policies should be considered to improve resident education and patient safety within the limited duty hour regulation.
本研究旨在调查 2017 年 12 月实施工作时间规定之前，住院医师和教师对该规定的看法。
在全南国立大学医院，对 263 名住院医师和 358 名教师进行了一项调查。这些受试者接受了一项自我管理的结构化问卷，旨在衡量他们对工作时间规定的看法。他们还被要求回答一个关于对工作时间规定的期望或担忧的开放性问题。住院医师和教师的回应率分别为 50.2%和 24.0%。
住院医师和教师都赞成改善初级住院医师的福利，但对高级住院医师的看法存在分歧。住院医师表示，在有限的时间内完成不变的工作量有困难，而教师则更担心由于护理连续性中断和住院医师教育不足导致患者安全恶化。
住院医师和教师对工作时间规定有不同的担忧。应进一步研究和制定未来政策，以在有限的工作时间规定内改善住院医师教育和患者安全。
