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An Appeal for Evidence-Based Resident Duty Hours Reform
JAMA Internal Medicine ( IF 39.0 ) Pub Date : 2017-09-18 , DOI: 10.1001/jamainternmed.2017.4469
Elaine C. Khoong 1 , Anne S. Linker 2
Affiliation  

Resident duty hour regulations help balance the often conflicting goals of patient safety, trainee education, and physician well-being. Over the past few decades, there have been many changes in duty hour regulations. The Accreditation Council for Graduate Medical Education (ACGME) announced a change effective July, 2017 allowing interns and resident clinicians to work 24-hour shifts. Although an 80-hour per week limit on resident clinicians’ work, averaged over 4 weeks, was maintained, the limit on work shifts for first-year resident clinicians was extended from 16 hours to 24 hours. A limit of 24 hours per shift had already been established for those in the second year of residency and beyond.



中文翻译:

呼吁开展基于证据的居民工作时间改革

居民工作时间规定有助于平衡患者安全,受训者教育和医师健康这两个相互矛盾的目标。在过去的几十年中,工作时间规定发生了许多变化。研究生医学教育认证委员会(ACGME)宣布自2017年7月起生效的一项变更,允许实习生和住院医师进行24小时轮班。尽管维持每周80小时的住院医师临床工作限制(平均超过4周),但第一年住院医师的轮班限制从16小时延长到24小时。对于居住第二年及以后的居民,已经确定每班24小时的限制。

更新日期:2017-09-18
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