在你住的地方工作,还是住在你工作的地方? 在"家庭通话"期间,居民的工作和睡眠模式
David T Mitchell1, Noa G Koppin1, Michael T Talanker1
1From the Department of Surgery, Division of Plastic Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston and Children's Memorial Hermann Hospital, Houston, Tex.
Plastic and reconstructive surgery. Global open
|September 16, 2024
概括
在家调诊的住户经常在医院花费大量时间,减少睡眠. 这挑战了医学研究生教育认证委员会 (ACGME) 的呼叫后值班时间保护,特别是在密集呼叫类型的初级住院人员.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 居民工作时间 居民工作时间
背景情况:
- 研究生医学教育认证委员会 (ACGME) 不强制要求在家庭调用班次中使用呼叫后的时间.
- 家庭调用班可能无法充分保护居民免受过度工作时间的影响,尽管他们不在家里.
- 住院人员可能仍然会在家访期间在医院实体上花费大部分时间.
研究的目的:
- 调查住院住院的实际时间和住院住院人员在家调诊期间的睡眠时间.
- 为了确定当前的家庭通话实践是否与ACGME的呼叫后值班时间规定保持一致.
- 为了比较不同类型的家庭电话 (手,脸,三重电话) 的睡眠和医院时间.
主要方法:
- 在一级创伤中心进行了前性调查研究.
- 初级和高级居民在2023年1月至4月期间完成了过夜呼叫班.
- 收集的数据包括医院出院,住院时间和睡眠时间.
主要成果:
- 达到了97.5%的高响应率 (195/200班).
- 初级住院人员报告说,在密集的家庭电话类型中,睡眠显著减少 (0.73-3.92小时),住院时间更长.
- 与一般呼叫相比,老年居民也经历了与手和面部呼叫的睡眠减少.
结论:
- 家庭通话期间的睡眠时间根据通话的类型有很大差异.
- 强化家庭通话的职责减少了居民的睡眠,增加了医院的存在,可能会破坏ACGME的保护.
- 需要进一步讨论关于ACGME在家电话上为居民提供值班时间的规定.
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