A New Professionalism? Surgical Residents, Duty Hours Restrictions, and Shift Transitions

被引：19

作者：

Coverdill, James E. ^{[1
]}

Carbonell, Alfredo M. ^{[1
]}

Fryer, Jonathan ^{[1
]}

Fuhrman, George M. ^{[1
]}

Harold, Kristi L. ^{[1
]}

Hiatt, Jonathan R. ^{[1
]}

Jarman, Benjamin T. ^{[1
]}

Moore, Richard A. ^{[1
]}

Nakayama, Don K. ^{[1
]}

Nelson, M. Timothy ^{[1
]}

Schlatter, Marc ^{[1
]}

Sidwell, Richard A. ^{[1
]}

Tarpley, John L. ^{[1
]}

Termuhlen, Paula M. ^{[1
]}

Wohltmann, Christopher ^{[1
]}

Mellinger, John D. ^{[1
]}

机构：

[1] Univ Georgia, Dept Sociol, Athens, GA 30602 USA

来源：

ACADEMIC MEDICINE | 2010年 / 85卷

关键词：

WORK HOURS;

D O I：

10.1097/ACM.0b013e3181ed455b

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Background Some anticipated that the Accreditation Council for Graduate Medical Education duty hours restrictions would foster a team-focused "new professionalism" among residents. This study explores the prevalence and challenges of a new professionalism and whether they vary by program size. Method Questionnaires distributed in 15 general surgery programs produced an 82% response rate (N = 306); 52 semistructured follow-up interviews were completed. Results include means, percentage who "agree or strongly agree," significance tests, and main themes from the interviews. Results A new professionalism is limited by residents' reluctance to pass work from day to night teams, unclear guidance regarding stay-or-go decisions during shift transitions, little educational emphasis on sign-outs, and the practice of long hours in the name of professionalism. Program size is largely unassociated with these beliefs and behaviors. Conclusions A new professionalism represents a stalled revolution among surgical residents. The new professionalism's emphasis on teamwork requires additional attention to staffing and workload management.

引用

页码：S72 / S75

页数：4

共 10 条

[1]

[Anonymous], 2004, ORG CULTURE LEADERSH

[2] Resident work hours: The five stages of grief [J].