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24/7 attendings: 'Helicoptering' the housestaff?

机译:24/7出席人数:“直升飞机”房屋工作人员?

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摘要

Senior level physician oversight of resident activity has become mandated in graduate medical education since the advent of residency work hour limitations.1 Moreover, due to the influence of The Leapfrog Group, the in-hospital presence 24 hours per day, 7 days per week ("24/7") of board-certified intensivists is now commonplace,2 despite inconsistent benefits to ICU patient safety and resident education.3'4 Concerns regarding 24/7 intensivist influence on resident autonomy and competence are now being recognized.5 In this issue of Pediatrics,6 survey results from a large national sample of housestaff, fellows, and attending physicians engaged in pediatric residency activities reflected a negative perception of 24/7 pediatric ICU intensivist presence on housestaff autonomy by 38% of residents working in this model. This finding increased to 56% among fellows and 69% among intensivists in the 24/7 system.
机译:自居住工作时间限制出现以来,研究生医学教育已强制对居民活动进行高级医师监督。1此外,由于Leapfrog集团的影响,医院每周7天,每天24小时都在住院(董事会认证的强化医生的“ 24/7”)现在很普遍,2尽管ICU患者安全和住院医师教育的收益不一致。3'4人们认识到24/7强化医生对居民自治和能力的影响。5儿科问题》 6的调查结果来自全国范围内从事小儿科住院医生活动的住户,研究人员和主治医生的抽样调查,反映出38%的从事此模式的居民对24/7小儿ICU强化主义者对小室住户自主权的看法为负面。在24/7系统中,这一发现增加到研究员中的56%和强化医生中的69%。

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