Engel W, Seime R, Powell V, D'Alessandri R
South Med J. 1987 Jun;80(6):761-3. doi: 10.1097/00007611-198706000-00022.
We assessed the effect of in-hospital call on clinical performance and emotional state in seven medical interns. Clinical performance was evaluated through the use of actors who were trained to pose as patients seeking consultation because of specific medical complaints. The physician-patient interaction was scored according to predetermined criteria. There was no significant difference in interns' performance whether or not the preceding 24 hours had been spent on call. On a standardized questionnaire, interns reported significantly more fatigue and depression after call. We conclude that the major discernible effect of call is a deterioration of interns' feelings of well-being.
我们评估了住院值班对7名医学实习生临床工作表现及情绪状态的影响。临床工作表现通过使用经过培训、装作因特定医疗诉求前来咨询的演员进行评估。医患互动根据预先设定的标准进行评分。无论之前24小时是否值班，实习生的表现均无显著差异。在一份标准化问卷中，实习生报告称值班后疲劳和抑郁情绪明显增多。我们得出结论，值班的主要可察觉影响是实习生幸福感的下降。
