Hamill Chelsea S, Cabrera Claudia I, Murthy Henna, Mowry Sarah, Maronian Nicole, Tamaki Akina
Department of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.
Case Western Reserve University School of Medicine, Cleveland, Ohio, U.S.A.
Laryngoscope. 2021 Oct;131(10):2211-2218. doi: 10.1002/lary.29541. Epub 2021 Apr 2.
Evaluate resident perception on implementation of a night float (NF) system to an otolaryngology residency program. We compared these perceptions to Accreditation Council for Graduate Medical Education (ACGME) case log data.
A retrospective anonymous survey was sent to residents and alumni graduating between 2015 and 2023. Deidentified ACGME case log information was then examined for key indicator (KI) cases from post graduate year (PGY) 2 and PGY5.
Thirty (93.8%) residents and alumni responded. Residents with NF answered more positively compared to those without NF on following duty hour violations: 80-hour work week, 1-in-7 days off, 1 call every 3 days, adequate time between shifts, and allotted time after a 24-hour shift. Residents most commonly agreed that NF has improved patient care, resident education, and resident morale. Although residents with NF were neutral on PGY2 case volume effects, they disagreed that it affected overall case volume. The only KIs that differed for both PGY2 and PGY5s were airway cases (P = .004 vs P = .002) and bronchoscopy (P = .02 vs P = .006), which were significantly higher for those with NF. Thyroid surgery was the only KI higher for the residents without NF and spanned all PGY levels.
Residents and alumni agreed that NF implementation had a positive effect on duty hour violations. The NF system does not have significant impact on case volume.
4 Laryngoscope, 131:2211-2218, 2021.
评估住院医师对在耳鼻喉科住院医师培训项目中实施夜间轮班（NF）系统的看法。我们将这些看法与毕业后医学教育认证委员会（ACGME）的病例日志数据进行了比较。
向2015年至2023年毕业的住院医师和校友发送了一份回顾性匿名调查问卷。然后检查去识别化的ACGME病例日志信息，以获取研究生二年级（PGY）2和PGY5的关键指标（KI）病例。
30名（93.8%）住院医师和校友做出了回应。在以下值班时间违规情况方面，有NF的住院医师比没有NF的住院医师回答更积极：每周80小时工作制、每7天休息1天、每3天值班1次、轮班之间有足够时间以及24小时轮班后有分配时间。住院医师最普遍认同NF改善了患者护理、住院医师教育和住院医师士气。虽然有NF的住院医师对PGY2病例数量的影响持中立态度，但他们不同意这会影响总体病例数量。PGY2和PGY5唯一不同的KI是气道病例（P = 0.004对P = 0.002）和支气管镜检查（P = 0.02对P = 0.006），有NF的住院医师的这些病例显著更多。甲状腺手术是唯一没有NF的住院医师更高且涵盖所有PGY级别的KI。
住院医师和校友一致认为NF的实施对值班时间违规有积极影响。NF系统对病例数量没有显著影响。
4 《喉镜》，131:2211 - 2218，2021年。
