Steele M T, Watson W A
Department of Emergency Medicine, Truman Medical Center, University of Missouri-Kansas City Schools of Pharmacy.
Ann Emerg Med. 1995 Mar;25(3):321-4. doi: 10.1016/s0196-0644(95)70287-3.
To assess current emergency medicine faculty scheduling practices, preferences, and recent changes.
Mail survey.
All emergency medicine residency program directors and full-time faculty.
Questions were asked about current faculty scheduling practices, preferences, and recent changes.
Eighty-five percent (79 of 93) of the programs and 63% (606 of 961) of the full-time faculty responded. Faculty most commonly worked a combination of 8- and 12-hour shifts. Seventy-five percent of full-time faculty stated that they would prefer to work 8-hour shifts. Eighty-three percent of those who work some or all 8-hour shifts preferred 8-hour shifts; 21% of those working 12-hour shifts preferred the same (P < .0005; test of proportions difference, 62%; 95% confidence interval, 55% to 69%). Over the past 5 years, 40% of programs had shortened shift lengths, and the number of night shifts worked per month and/or the number of nights in a row worked per faculty decreased for 34%.
Residency faculty prefer and have moved toward working shorter shifts. They are also working fewer night shifts per month and fewer night shifts in a row.
评估当前急诊医学教员的排班做法、偏好及近期变化。
邮寄调查。
所有急诊医学住院医师培训项目主任及全职教员。
询问有关当前教员排班做法、偏好及近期变化的问题。
85%（93个项目中的79个）的项目及63%（961名全职教员中的606名）的全职教员做出了回应。教员最常采用8小时和12小时轮班相结合的工作方式。75%的全职教员表示他们更愿意上8小时的班。在那些上部分或全部8小时班的人中，83%更喜欢8小时的班次；在那些上12小时班的人中，21%也更喜欢8小时的班次（P <.0005；比例差异检验，62%；95%置信区间，55%至69%）。在过去5年中，40%的项目缩短了轮班时长，教员每月值夜班的次数和/或连续值夜班的天数减少了34%。
住院医师培训教员更喜欢并已转向较短时长的轮班工作。他们每月值夜班的次数减少，连续值夜班的天数也减少。
