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手术实习的要求:不仅仅是值班时间?
Rebecca S Gates1, Michael T Kemp2, Julie Evans2
1Center for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
The Journal of surgical research
|June 16, 2023
概括
外科医生长时间工作,每周工作时间超过78小时,影响健康和教育. 当前的值班时间规定没有完全捕捉住户的工作需求或确保足够的休息,影响医生福祉.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 医生福利 医生福利
背景情况:
- 外科住院医生的福祉对于有效的培训和患者护理至关重要.
- 了解居民的就业需求和资源是改善福祉的关键.
- 当前的值班时间规定可能不准确地反映了居民工作的全部范围.
研究的目的:
- 评估外科住院医生如何在医院内外分配时间.
- 了解居民对当前工作时间法规的看法.
- 确定影响外科住院医生的工作需求和幸福感的因素.
主要方法:
- 一项横截面调查分发给美国27个项目中的1098名外科住院医生.
- 收集的数据包括工作时间,人口统计,医生福利指数得分和对值班时间的看法.
- 描述性统计和内容分析用于数据评估.
主要成果:
- 总共有163名居民回应 (14.8%的回应率).
- 居民报告说,他们平均每周在病人护理中花费78.0小时,在其他职业活动中花费12.5小时.
- 超过40%的居民有抑郁症/自杀风险;主题确定了工作时间定义,工作与生活平衡以及对教育的影响.
结论:
- 目前的值班时间报告机制不足以充分捕捉外科医生住院工作需求的全部范围.
- 居民认为工作时间阻碍了充分的休息和完成学术任务.
- 建议修订工作时间政策,以全面考虑需求和资源,以提高居民的福祉.
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