在妇产科实习的第三年,教师和住院医师对过夜学生的看法。

Hawaii medical journal Pub Date : 2011-09-01
Mark Hiraoka, Stephen Sung, James Davis, David Kim
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引用次数: 0

摘要

目的:本研究的目的是确定大学教师、社区医生和住院医生对在传统的工作日安排之外采用夜间呼叫的安排如何影响医学生教育、健康和三年级妇产科见习期间的病人护理的看法。方法:2007年7月,通过对夏威夷大学妇产科的社区教学医生、住院医师和教师进行问卷调查,进行了一项描述性研究。共有114份调查问卷分发给夏威夷大学妇产科的所有住院医师、临床教师和全职教师。该调查包括有关学生打电话/工作时间限制的影响的问题。结果:总有效率为45.6%(52/114)。结果表明,84.6%(44/52)的住院医生、教师和社区主治医生同意三年级医学生在妇产科实习期间应接听电话。数据分析采用Spearman相关和Cochran-Mantel-Haenszel统计。在年龄或医生类型(住院医师vs教师vs社区主治医师)方面没有发现统计学差异。结论:大多数医师教育工作者认为医学生在妇产科实习期间受益于夜间值班。在取消妇产科职员的夜间呼叫之前,应仔细考虑。
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Faculty and resident perceptions regarding overnight student call during the third year OB/GYN clerkship.

Objectives: The objective of this study is to identify university faculty, community physician, and resident perceptions of how a schedule that employs overnight call in addition to a traditional weekday schedule affects medical student education, well being, and patient care during the third year obstetrics and gynecology clerkship.

Methods: In July 2007, a descriptive study was performed by distributing surveys to community teaching physicians, current residents, and faculty in the University of Hawai'i Department of Obstetrics and Gynecology. A total of 114 surveys were distributed to all current residents, clinical faculty and full-time faculty in the University of Hawai'i Department of Obstetrics and Gynecology. The survey included questions regarding the effect of the student call/work hour restrictions.

Results: A response rate of 45.6% was obtained (52/114). Results demonstrate that 84.6% (44/52) of residents, faculty, and community attendings agree that third year medical students should take call during their obstetrics and gynecology clerkship. Data was analyzed utilizing Spearman correlation and Cochran-Mantel-Haenszel statistics. No statistical difference was detected in terms of age or physician type (resident vs faculty vs community attending).

Conclusion: Most physician-educators believe that medical students benefit from taking overnight call during their obstetrics and gynecology clerkship. Careful consideration should be given prior to elimination of overnight call in the obstetrics and gynecology clerkship.

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