Internal medicine residents' perceptions of the balance between service and education in their night‐call activities
Internal medicine residents' perceptions of the balance between service and education in their night‐call activities
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内科住院医师对夜诊活动中服务与教育平衡的看法
DOI：
10.1097/00001888-199308000-00017
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发表时间：
1993
影响因子：
7.4
通讯作者：
T J McGlynn
中科院分区：
文献类型：
--
作者：
V C Wood;R. J. Markert;T J McGlynn
目的：量化居民夜间服务的工作量，了解居民在夜间服务活动中对服务与教育平衡的认知。方法。22名内科住院医师--9名第一年住院医师和13名老年住院医师(即第二年、第三年或第四年)--在莱特州立大学医学院附属的一家有772个床位的教学医院记录了他们在1991-92年间的两次夜间叫醒活动，每期16天。居民们用以下五分量表对每项活动进行评分：1，严格服务；3，均衡；5，严格教育。他们还记录了花在各种活动上的总时间。数据分析采用独立和配对t检验。结果。98%的原木被退回。第一年和老年住院医生在记录事件上花费的时间没有显著差异。第一年住院医师和老年住院医师都认为许多夜间呼叫活动侧重于教育，特别是那些涉及评估考虑入院的危重病人的活动(总体平均评分为3.3)。第一年住院医师与老年住院医师对服务与教育平衡的认知并无显著差异。结论。居民对服务与教育关系的认知表明，两者之间存在着均衡的平衡。夜间值班的教育方面可以而且应该继续作为住院医生培训的一个组成部分。
PURPOSE: To quantify the workload of residents on night call and to determine the residents' perceptions of the balance between service and education in their night-call activities. METHOD. Twenty-two internal medicine residents–nine first-year residents and 13 senior residents (i.e., in their second, third, or fourth year)–kept logs of their night-call activities for two periods of 16 days each in 1991–92, at a 772-bed teaching hospital affiliated with Wright State University School of Medicine. The residents used the following five-point scale to rate each activity: 1, strictly service; 3, even balance; 5, strictly education. They also recorded the total times spent on various activities. Data were analyzed by using the independent and paired t-tests. RESULTS. Ninety-eight percent of the logs were returned. The first-year and senior residents did not differ significantly in times spent on logged events. Both the first-year and the senior residents perceived many night-call activities to be weighted toward education, especially those involving evaluation of acutely ill patients being considered for hospital admission (overall mean rating of 3.3). There was no striking difference between the first-year and senior residents' perceptions of the balance between service and education in their activities. CONCLUSION. The residents' perceptions of the relationship between service and education indicate that there was an even balance between the two. The educational aspects of night-call duties can and should remain an integral part of residents' training.