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首页> 外文期刊>ANZ journal of surgery >Appropriate working hours for surgical training according to Australasian trainees
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Appropriate working hours for surgical training according to Australasian trainees

机译：根据澳大利亚培训生的适当工作时间进行外科手术培训

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Background: The demands of surgical training, learning and service delivery compete with the need to minimize fatigue and maintain an acceptable lifestyle. The optimal balance of working hours is uncertain. This study aimed to define the appropriate hours to meet these requirements according to trainees. Methods: All Australian and New Zealand surgical trainees were surveyed. Roster structures, weekly working hours and weekly 'sleep loss hours' (<8 per night) because of 24-h calls were defined. These work practices were then correlated with sufficiency of training time, time for study, fatigue and its impacts, and work-life balance preferences. Multivariate and univariate analyses were performed. Results: The response rate was 55.3% with responders representative of the total trainee body. Trainees who worked median 60 h/week (interquartile range: 55-65) considered their work hours to be appropriate for 'technical' and 'non-technical' training needs compared with 55 h/week (interquartile range: 50-60) regarded as appropriate for study/research needs. Working >=65 h/week, or accruing >=5.5 weekly 'sleep loss hours', was associated with increased fatigue, reduced ability to study, more frequent dozing while driving and impaired concentration at work. Trainees who considered they had an appropriate work-life balance worked median 55 h/week. Conclusions: Approximately, 60 h/week proved an appropriate balance of working hours for surgical training, although study and lifestyle demands are better met at around 55 h/week. Sleep loss is an important determinant of fatigue and its impacts, and work hours should not be considered in isolation.
机译：背景：外科培训，学习和服务提供的需求与最大限度地减少疲劳并维持可接受的生活方式的需求相抗衡。工作时间的最佳平衡是不确定的。这项研究旨在根据学员定义合适的时间来满足这些要求。方法：对所有澳大利亚和新西兰的外科手术学员进行了调查。定义了花名册结构，每周工作时间和每周因24小时通话而导致的“失眠时间”（每晚<8）。然后，将这些工作实践与培训时间，学习时间，疲劳及其影响以及工作与生活平衡的偏好相关。进行了多变量和单变量分析。结果：响应率为55.3％，其中受训者代表学员总数。每周工作60小时（四分位范围：55-65）的受训者认为他们的工作时间适合“技术”和“非技术”培训需求，而每周工作55小时（四分位范围：50-60）根据研究/研究需要。每周工作≥65小时，或每周积累“≥5.5”“睡眠时间”，与疲劳增加，学习能力下降，开车时打zing次数增加以及工作集中度降低有关。认为自己具有适当的工作与生活平衡的受训者，平均每周工作55小时。结论：大约60小时/周证明了手术训练的工作时间是适当的平衡，尽管学习和生活方式的需求在55小时/周左右可以得到更好的满足。睡眠不足是疲劳及其影响的重要决定因素，不应单独考虑工作时间。

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