The Effect of the 80-Hour Work Week on General Surgery Resident Operative Case Volume
The Effect of the 80-Hour Work Week on General Surgery Resident Operative Case Volume
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每周工作 80 小时对普外科住院医师手术病例量的影响
DOI：
10.1177/000313480607201019
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
C. D. de Virgilio
中科院分区：
文献类型：
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作者：
J. Tran;R. Lewis;C. D. de Virgilio
为了满足2003年7月1日新的工作时间限制，我们的普通外科住院医师计划经历了许多变化。本研究的目的是检查这些变化的实施是否会对普外科住院医师的手术量产生不利影响，这些变化部分是为了遵守新的值班时间限制。记录2000年7月1日至2004年12月31日住院住院的分类外科手术病例。主要结局指标是每位住院医师每季度（3个月）进行手术病例的中位数。每位住院医生每季度接到的内部电话数量也被记录下来。从2000年到2004年，每季度内部电话的中位数显著下降（分别为27、25、15、10和14；P < 0.001）。每个季度的手术次数中位数没有变化（P = 0.49）。在研究生1年（P = 0.07）和2年（P = 0.04）水平上，手术例数有增加的趋势，在研究生3年（P = 0.058）水平上有所减少，在研究生4年和5年没有变化。每周80小时的工作时间并没有对我们的分类外科住院医生的手术经验产生不利影响，尽管大大减少了内部呼叫。
To meet the new duty hour restrictions on July 1, 2003, our general surgery residency program underwent many changes. The purpose of this study was to examine whether the implementation of these changes, made in part to comply with new duty hour restrictions, would adversely impact general surgery residents’ operative volume. The operative cases of categorical surgical residents were recorded from July 1, 2000 to December 31, 2004. The main outcome measure was the median number of operative cases performed by each resident per quarter (a 3-month period). The number of in-house calls each resident took per quarter was also recorded. From 2000 to 2004, the median number of in-house calls per quarter significantly decreased (27, 25, 15, 10, and 14, respectively; P < 0.001). The median number of operative procedures performed did not vary from quarter to quarter (P = 0.49). There was a trend toward an increase in number of cases performed at the postgraduate year (PGY) 1 (P = 0.07) and 2 (P = 0.04) levels, a decrease at the PGY3 level (P = 0.058), and no change at the PGY4 and 5 years. The 80-hour work week did not adversely affect the operative experience of our categorical surgical residents despite significant reductions of in-house call.