[討論] 醫師工時
美國的Institute of Medicine在2003年,
建議醫院限制住院醫師每週工作不能超過80小時。
最近他們進一步建議醫院規定內科與外科的住院醫師,
連續工作(值班)時間不可以超過16小時,而且每24小時至少要有5小時的睡眠時間
最新的建議即將在2011.7發表,
以下是原文:
ACGME(Accreditation Council for Graduate Medical Education)
Board of Directors Approved New Requirements for Residency Programs
Following parts of specific duty hour recommendations from the IOM
(Institute of Medicine):
* the maximum number of work hours remains at 80 hours per week,
averaged over 4 weeks;
* moonlighting, now both internal and external,
is counted against the 80-hour weekly limit; and
* duty periods are limited to 16 hours
(although only for first-year residents by ACGME).
from Institute of Medicine September 28, 2010
http://0rz.tw/ylA9S
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值班問題的確是需要改進
一直不反應的結果
只會讓別人覺得你是默許了這個事實
連續30多小時的超時工作 本身就是一個不合理的制度
醫療制度要改進的地方很多
不過先從可以改的地方做起
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