盧奐廷1 林名男2 吳晉祥3 黃信彰4 林偉瑄1 林季緯1
（台灣家醫誌2022; 32: 45-56）DOI: 10.53106/168232812022033201005
受理日期：110年11月1日 修改日期：111年1月11日 同意刊登：111年3月10日
通訊作者：林季緯 通訊地址：高雄市燕巢區角宿里義大路1號 E-mail: email@example.com
The Impact of Resident Duty Hour Reform on Family
Medicine Residency Training: Residents’ Points of View
Huan-Ting Lu1, Ming-Nan Lin2, Jin-Shang Wu3, Shinn-Jang Hwang4,
Wei-Hsuan Lin1 and Chi-Wei Lin1
Objective:The study assessed family medicine residents’ overall satisfaction with the resident duty hour restriction implemented in 2019 and explored their perceptions of the impacts of the restriction on their well-being, education, and patient safety. The study further compared the differences in residents’ perceptions based on the level of residency training, size of residency training program, and level of training hospital.
Methods:Residents admitted to the family medicine residency training program by the Taiwan Association of Family Medicine from 2017 to 2019 were selected to participate in this study. A prospective anonymous questionnaire survey was administered to family medicine residents nationwide to gather their opinions and suggestions regarding the newly implemented resident duty hour reform.
Results:A total of 286 family medicine residents responded to the questionnaire survey. Nearly 90% of the residents were satisfied with the current duty hour regulations and found the restriction unlikely to compromise the quality of residency training. First-year residents reported a greater frequency of working overtime, compared to residents of other levels. The more senior the residents, the stronger the belief that duty hour restriction reduced time for learning and faculty guidance; however, the majority of the responding residents were of the opinion that the restriction did not affect the overall quality of residence training. Over 50% of the first-year residents felt the restriction helped reduced the likelihood of medical error, while more senior residents found the likelihood unchanged. Regardless of the levels of their training hospitals, a great part of the residents found the problems of fatigue and daytime sleepiness alleviated, yet there was still a minority of residents in regional and district hospitals felt the problems aggravated.
Conclusion:After the implementation of duty hour restriction, most family medicine residents are satisfied with the current regulations and feel no significant impact of the restriction on the quality of residency training. In their opinion, there is no need to extend the length of residency training. The duty hour reform does exert positive influences on their physical and mental health and bring about no impact on patients’ safety and quality of care.
(Taiwan J Fam Med 2022; 32: 45-56) DOI: 10.53106/168232812022033201005
Key words: duty hour restriction, family medicine, resident, training program
1Departments of Family Medicine, E-Da Hospital, Kaohsiung; School of Medicine for International Students, College of Medicine, I-Shou University; 2Department of Family Medicine, Dalin Tzu Chi Hospital, Chiayi; 3Department of Family Medicine, National Cheng Kung University Hospital, Tainan; Department of Family Medicine, National Cheng Kung University Hospital Dou Liu Branch, Yunlin; 4Department of Family Medicine, National Yang Ming Chiao Tung University,Taipei; Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Received: November 1, 2021; Revised: January 11, 2022; Accepted: March 10, 2022.