Perceptions of a night float system for intern doctors in an internal medicine program: an Asian perspective

• 발행기관: 한국의학교육학회
• 저자명: Benjamin Yong-Qiang Tan Nicholas Jinghao Ngiam Zi Yun Chang Sandra Ming Yien Tan Xiayan Shen Shao Fe
• 간행물 정보: 『Korean Journal of Medical Education』제31권 제3호, 271~276쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2019.09.30

영문 초록

Long duty hours have been associated with significant medical errors, adverse events, and physician “burn-out”. An innovative night float (NF) system has been implemented in our internal medicine program to reduce the negative effects of long duty hours associated with conventional full-call systems. However, concerns remain if this would result in inadequate training for interns. We developed a structured questionnaire to assess junior doctors’ perceptions of the NF system compared to full calls, in areas of patient safety, medical training, and well-being. Ninety-seven (71%) of the 137 doctors polled responded. Ninety-one (94%) felt the NF system was superior to the full call system. A strong majority felt NF was beneficial for patient safety compared to full call (94% vs. 2%, p<0.001). The NF system was also perceived to reduce medical errors (94% vs. 2%, p<0.001) and reduce physician “burn-out” (95% vs. 5%, p<0.001). Beyond being a practical solution to duty-hour limitations, there was a significant perceived benefit of the NF system compared to the full call in terms of overall satisfaction, patient safety, reducing medical errors and physician “burn-out”.

목차

Introduction

Methods

Results

Discussion

키워드

After-hours care Patient safety Medical education