Faculty of Medicine, Department of Surgery, Shamir Medical Center, Zeriffin, Tel Aviv University, Tel Aviv, Israel.
Department of Management, Medical Management program, Bar Ilan University, Ramat Gan, Israel.
PLoS One. 2022 Aug 2;17(8):e0272548. doi: 10.1371/journal.pone.0272548. eCollection 2022.
Work overload in hospitals enforced reducing shifts length of physicians in many countries over the last decade. In Israel, the current shift standard is of 26 hours, however, there is a residents' struggle alongside a governmental intent to short the shifts to 16 hour. We aim to evaluate residents and interns support and preferences regarding shortening shifts and their ramifications to quality of life and residency programs.
A structured questionnaire was distributed to all resident and interns in a single center. We evaluated their current quality of residency and life, their support in the shorter shifts model, offering alternative program components such as reduced pay, longer residency or replacement in order to allow rest. We compared those who support the new model to those who objected to identify common characteristics to draw a resident profile for acceptance of change.
Overall, 151 physicians answer the questionnaire. 70.2% support the shorter shifts model. Residents above 35 years old and those reaching completion of residency, significantly less support the shortening shifts model. No other demographic nor professional parameters were different between the supporters and non-supporters. Option of reduced pay or longer residency dramatically reduced the support rate to less than 30% and 20%, respectively. Replacement by other physician (resident or senior physician) in order to allow rest was supported by only 40%.
Residents' standpoints regarding a desirable change are crucial to plan a successful implementation. A national survey is required before a new model is introduced, to achieve an optimal transparent efficient process.
在过去十年中，许多国家都因医院工作负荷过重而强制缩短医生的轮班时长。在以色列，目前的轮班标准是 26 小时，但有住院医师在争取，政府也有意将轮班时间缩短至 16 小时。我们旨在评估住院医师和实习医师对缩短轮班时间的支持和偏好，以及这对生活质量和住院医师培训项目的影响。
我们向一个中心的所有住院医师和实习医师发放了一份结构化问卷。我们评估了他们目前的住院医师培训质量和生活状况，以及他们对缩短轮班时间模式的支持程度，还提供了减少薪酬、延长住院医师培训时间或替代休息时间等替代方案，以允许休息。我们比较了支持新模式和反对新模式的人，以确定共同特征，从而为接受变革绘制住院医师形象。
共有 151 名医生回答了问卷。70.2%的人支持缩短轮班时间模式。35 岁以上和即将完成住院医师培训的住院医师，明显较少支持缩短轮班时间模式。支持者和反对者之间没有其他人口统计学或专业参数的差异。减少薪酬或延长住院医师培训时间的选择将支持率分别降低到 30%和 20%以下。为了允许休息而由其他医生（住院医师或高级医生）代替的选择仅得到 40%的支持。
住院医师对理想变革的立场对于成功实施计划至关重要。在引入新模式之前，需要进行全国性调查，以实现透明高效的最佳流程。
