Hodge R H, Sawtelle S, Foote S, Reid R A
J Med Educ. 1979 Aug;54(8):638-42. doi: 10.1097/00001888-197908000-00007.
Many internal medicine residency training programs are being modified to permit each resident to gain more outpatient experience, including providing continuous care to a defined panel of patients for three years. Increasing emphasis on these outpatient responsibilities and education, however, places demands on the resident that conflict with his responsibilities on the inpatient wards. In this paper the authors describe the development and implementation of a rotational scheduling system aimed at substantially alleviating the conflict between inpatient and outpatient responsibilities. During the first year of operation 84 percent of house staff members indicated their preference for continuing the system in future years.
许多内科住院医师培训项目正在进行调整，以使每位住院医师能获得更多门诊经验，包括为指定的一组患者提供为期三年的持续护理。然而，对这些门诊职责和教育的日益重视，给住院医师带来了与他们在住院病房的职责相冲突的要求。在本文中，作者描述了一种轮班调度系统的开发与实施，旨在大幅缓解住院和门诊职责之间的冲突。在该系统运行的第一年，84%的住院医师表示他们希望在未来几年继续使用该系统。
