目前的紧急医疗住院人员安排的现状
Melissa Parsons1, Alexandra Mannix1, Katarzyna Gore2
1Department of Emergency Medicine University of Florida College of Medicine-Jacksonville Jacksonville Florida USA.
AEM education and training
|January 18, 2024
概括
这项研究调查了美国紧急医疗 (EM) 住院计划,以了解当前的安排实践. 调查结果显示,区块时间表和班次持续时间各不相同,为项目开发和居民健康提供了基线.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 研究生医学教育研究生医学教育
背景情况:
- 研究生医学教育认证委员会 (ACGME) 和住院审查委员会规范住院医生的工作时间.
- 缺乏明确的最低工作时间导致美国紧急医疗 (EM) 住院计划的日程安排变化.
- 增加计划扩展和专注于居民健康需要对EM住院安排的更新理解.
研究的目的:
- 评估当前的美国EM居住计划策略.
- 在不断变化的政策和计划增长中,提供有关调度模式的数据.
- 建立一个基线,开发有效的住院临床经验.
主要方法:
- 使用RedCap调查进行的横截面研究.
- 调查分发给美国所有ACGME认可的EM居住计划 (2023年1月至3月).
- 使用Microsoft Excel进行数据编译和分析.
主要成果:
- 在278个项目中,有138个 (50%) 项目做出了回应.
- 73.2%的程序使用13个28天的区块;其他人使用12个1个月的区块.
- 班次持续时间和每块小时因研究生年 (PGY) 而异,PGY-1平均为185.1小时,PGY-4平均为157.2小时. 平均休假时间为每年4周.
结论:
- 描述了当前美国EM居住时间安排模式,包括区块结构和班次持续时间.
- 数据涵盖夜班,假期,休息时间,会议报道,图表和昼夜节律.
- 计划可以使用这些发现来告知和优化住院安排和临床经验.
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