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肾病学住院医师培训期间的家庭呼叫:是负担还是获益?

Home call during nephrology fellowship: Burden or benefit?

出版信息

Clin Nephrol. 2022 Dec;98(6):305-308. doi: 10.5414/CN110884.

DOI:10.5414/CN110884
PMID:36331017
Abstract

BACKGROUND

Home call is one of the factors that can influence physician wellness. Nephrology fellows at the University of Wisconsin tracked home call activities in an attempt to quantify the impact of sleep to identify areas for improvement.

MATERIALS AND METHODS

Each of the 6 nephrology fellows filled out a daily survey between November 9, 2020, and January 31, 2021, to address total hours, quality of sleep, and if the fellows reported to the hospital.

RESULTS

The average amount of sleep per night was 5.3 hours. When necessary to report to the hospital (50%), the average hours of sleep dropped to 4.3 hours. However, if not called in, sleep increased to 5.8 hours per night. Sleep quality during night call was described as restful for 55% of nights.

CONCLUSION

Obtaining an understanding of how a call can impact a learner is essential to making decisions about programmatic structural changes. Programs might use this data to compare their programs when making decisions about call structure. Hospital culture or overnight management changes can be made to impact the number of phone calls or needs to report to the hospital.

摘要

背景

家庭值班是影响医生健康的因素之一。威斯康星大学的肾病学研究员跟踪家庭值班活动,试图量化睡眠对医生的影响,以确定需要改进的领域。

材料和方法

2020 年 11 月 9 日至 2021 年 1 月 31 日期间,6 名肾病学研究员每人每天填写一份调查问卷,以记录总工作时间、睡眠质量以及是否需要到医院值班。

结果

平均每晚睡眠时间为 5.3 小时。如果需要到医院值班(50%),则平均睡眠时间会减少到 4.3 小时。但是,如果没有接到电话,每晚的睡眠时间会增加到 5.8 小时。夜间值班时,55%的研究员表示睡眠质量良好。

结论

了解值班如何影响学习者对于做出关于项目结构改变的决策至关重要。各项目在做出值班结构决策时可以使用这些数据进行比较。医院文化或夜间管理的改变可以减少电话呼叫次数或需要到医院值班的次数。

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