McManus I C, Lockwood D N, Cruickshank J K
Lancet. 1977 Feb 19;1(8008):413-7. doi: 10.1016/s0140-6736(77)92616-2.
A questionnaire was sent to all preregistration housemen who had graduated from the University of Birmingham in July, 1975. The results showed much dissatisfaction with the workings of the houseyear--specifically, with the long, sleepless hours of work, the almost negligible educational role of the year, the lack of time for human contact with patients, and the tendious, repetitive nature of the work. It is proposed that a shift system, which wound seem to be acceptable to most housemen, would solve many of these problems, and result in a better deal for both doctors and patients.
一份问卷被寄给了所有1975年7月从伯明翰大学毕业的预注册实习医生。结果显示他们对实习年的工作情况极为不满——具体而言，包括长时间无眠的工作、这一年几乎可以忽略不计的教育作用、缺乏与患者进行人际交流的时间，以及工作的单调乏味和重复性。有人提议，轮班制度似乎会被大多数实习医生接受，这将解决其中许多问题，并为医生和患者都带来更好的结果。
