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Systematic Review of the Impact of Physician Work Schedules on Patient Safety with Meta-Analyses of Mortality Risk.系统评价医师工作安排对患者安全的影响：死亡率风险的荟萃分析。
Jt Comm J Qual Patient Saf. 2023 Nov;49(11):634-647. doi: 10.1016/j.jcjq.2023.06.014. Epub 2023 Jul 7.
2
Residents' Procedural Experience Does Not Ensure Competence: A Research Synthesis.住院医师的操作经验并不能确保其胜任能力：一项研究综述。
J Grad Med Educ. 2017 Apr;9(2):201-208. doi: 10.4300/JGME-D-16-00426.1.
3
The Effect of Restricting Residents' Duty Hours on Patient Safety, Resident Well-Being, and Resident Education: An Updated Systematic Review.限制住院医师工作时长对患者安全、住院医师福祉及住院医师教育的影响：一项更新的系统评价
J Grad Med Educ. 2015 Sep;7(3):349-63. doi: 10.4300/JGME-D-14-00612.1.
4
Continued rise in the use of mid-level providers in US emergency departments, 1993-2009.1993 - 2009年美国急诊科中级医疗服务提供者使用情况持续上升。
Int J Emerg Med. 2012 May 23;5(1):21. doi: 10.1186/1865-1380-5-21.

今非昔比：医学培训中操作技能的衰退

Not Like They Used To: The Decline of Procedural Competency in Medical Training.

作者信息

Menzin Eleanor R

机构信息

Department of General Pediatrics, Boston Children's Hospital, Boston, MassachusettsHarvard Medical School, Boston, MassachusettsLongwood Pediatrics, Boston, Massachusetts

出版信息

Ann Fam Med. 2025 Jan 27;23(1):81-82. doi: 10.1370/afm.240309.

DOI:10.1370/afm.240309
PMID:39870542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11772035/
Abstract

As a primary care pediatrician trained before work hour restrictions were enacted, I spent hours mastering procedures that trainees today rarely perform. The changing landscape of health care clinician roles, technology, and work hour restrictions have all contributed to a remarkable decline in trainees' procedural competence which has significant negative effects for patients, health care systems, and physicians themselves. I suggest simulation, live training, mentoring, and scheduled opportunities as ways to reemphasize the importance of learning these technical skills.

摘要

作为一名在工作时间限制实施之前接受培训的初级保健儿科医生，我花费了数小时来掌握如今实习生很少执行的操作。医疗保健临床医生角色、技术和工作时间限制的不断变化，都导致了实习生操作能力的显著下降，这对患者、医疗保健系统和医生自身都产生了重大负面影响。我建议通过模拟、现场培训、指导和安排机会等方式，来重新强调学习这些技术技能的重要性。