耳鼻喉科における居住者の労働時間と労働環境. 日々の活動と住民の認識の分析
C L Strunk1, B J Bailey, B A Scott
1Department of Otolaryngology, University of Texas Medical Branch, Galveston 77550-2778.
JAMA
|September 11, 1991
まとめ
耳鼻喉科のレジデントは週平均79.4時間という長時間勤務しており,患者のケアや生活に影響を及ぼしています. 多くの人は,週80時間の労働は合理的だと考えているが,疲労は依然として懸念事項である.
科学分野:
- 医療教育 医療教育について
- 外科研修の訓練を受けています.
- 耳鼻喉科 - 頭頸部外科
背景:
- 耳鼻喉科-頭頸部外科のレジデンスプログラムは,厳しい仕事のスケジュールを伴う.
- 居住者の労働条件を理解することは,訓練と福祉の最適化に不可欠です.
研究 の 目的:
- 耳鼻喉科・頭頸部外科のリジデントの労働環境と労働時間を分析する.
- 監督,責任,ワーク・ライフ・バランスに関する住民の認識を評価する.
主な方法:
- 6つの多様なプログラムから59人の住人が参加しました.
- 環境分析のアンケートと7日間の日常活動ログが使用されました.
- 収集されたデータには,労働時間,出勤頻度,および患者のケアと教育に対する知覚された影響が含まれています.
主要な成果:
- 住民は週平均79.4時間働いていて,その中でも52.8時間待機していた.
- 疲労は,31%の患者にとって標準以下の患者ケアをもたらし,47%の患者にとって教育に影響を与えました.
- 70%が80時間の週間の労働を合理的に考えましたが,仕事の要求は2/3の個人の生活に悪影響を及ぼしました.
結論:
- 耳鼻喉科の定員のうちかなりの割合は,長時間労働を標準として認識しているが,疲労は介護と教育を損なう.
- 文書処理の非効率性とサポートサービスの欠如が特定されました.
- 居住要求は,合理的な範囲内であっても,居住者の職業生活と個人生活に悪影響を及ぼします.
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