2024年医生工作改革中的最佳工作时间:住院项目主任的见解
Kiyoshi Shikino1,2, Yuji Nishizaki3, Koshi Kataoka3
1Department of Community-oriented Medical Education, Chiba University Graduate School of Medicine, Chiba, Japan.
Advances in medical education and practice
|August 27, 2025
概括
日本的2024年医生工作方式改革限制了加班时间. 城市医院认为与农村医院相比,培训人员和监督人员的最佳加班时间更高,这可能会影响福祉.
科学领域:
- 医学教育
- 医疗保健政策
- 职业健康问题
背景情况:
- 日本实施了2024年医生工作方式改革, 每月加班的上限.
- 这些限制在培训医院对研究生医学实习生 (PGY1-2) 和监督人员的解释和应用方面尚不清楚.
研究的目的:
- 量化节目主管对教育里程碑的最佳每月加班时间的看法.
- 评估培训人员对最佳加班时间的看法.
- 评估对监督员工作量合规性的最佳加班时间的看法,并比较城市和农村医院.
主要方法:
- 在日本的644个认可的研究生培训课程中进行了基于网络的横截面调查.
- 节目主任选择了最佳的每月加班时间 (0-100小时).
- 医院被分为城市或农村;分析了线性趋势.
主要成果:
- 有151名董事回复 (23%的回复率). 40小时/月是所有类别中最常见的最佳加班选择.
- 城市医院比农村医院更有可能认可更高的加班时间 (≥60小时).
- 城市课程认为每月80个小时或更适合学员和主管的幸福度是两倍的.
结论:
- 虽然每月工作40个小时是一个常见的观念,但城市医院更愿意接受长时间的加班,可能会超过法规限制.
- 政策干预应侧重于城市环境中的工作量减轻和任务转移,以保护学员和主管的福祉.
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