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Effect of Nonvisit Care on Resident Workload in a Family Medicine Residency

机译：非鉴定关怀对家庭医学居民居民工作量的影响

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Background and Objectives: Primary care physicians can spend 24% of their ambulatory care work day on patient care duties outside the office visit (ie, nonvisit care [NVC]). Resident work hours must be performed within duty hour restrictions defined by the Accreditation Council for Graduate Medical Education, making it crucial for program directors to understand how much time residents spend on NVC tasks. Little information is available on resident work hours dedicated to NVC generated in the continuity clinic. We designed this study to look at an objective measure of the time family medicine residents spend on NVC. Methods: We collected and categorized from the electronic health record the NVC events completed by 22 family medicine residents in a rural residency training clinic over a 9-month period. With the use of an institutional time study performed in 2014, we identified the average amount of time required to complete a single event in each category of NVC. Results: Residents spent a mean of 13.6 hours per month completing NVC, which was equivalent to 127.3 minutes of NVC per 100 empaneled patients per month for each resident. Conclusions: This study quantified the amount of time residents spend on NVC, allowing program directors to plan curriculum so that residents can keep their work time within duty hour requirements.
机译：背景和目标：初级保健医师可以在办公室访问之外的患者护理职责中花费24％的守护工作日（即非公式护理[NVC]）。居民工作时间必须在认证委员会研究生教育所定义的税务时间限制范围内，使方案董事至关重要，以了解如何在NVC任务上花费多少时间居民。在连续性诊所中生成的NVC中致力于NVC的居民工作时间很少。我们设计了这项研究，看看了一个客观的家庭医学居民在NVC上花费的客观措施。方法：我们从电子健康记录的NVC事件收集和分类，在9个月的时间内在农村居住培训诊所完成22家家庭医学居民。通过在2014年进行的制度时间研究，我们确定完成每个类别NVC中的单一事件所需的平均时间。结果：居民每月花费13.6小时完成NVC，其每100个每100名Empaneled患者为每居民的NVC为127.3分钟。结论：本研究量化了居民在NVC上花费的时间，允许计划董事计划课程，以便居民可以在税务时间内保持工作时间。

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