Trends in Duty Hour Requirements for Obstetrics and Gynecology Clerkships

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-08-25 DOI:10.1016/j.jsurg.2025.103657

Jonathan Schaffir MD , Tammy Sonn MD , Jill Sutton MD , Laura Baecher-Lind MD, MPH , Katherine T. Chen MD, MPH , Angela Fleming DO , Christine Kim MD , Shireen Madani Sims MD , Silka Patel MD , Didi Saint Louis MD , Alyssa Stephenson-Famy MD

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引用次数: 0

Abstract

Objective

Over the last 20 years, the number of American medical schools requiring night call in addition to daytime hours for students in the obstetrics and gynecology (Ob-Gyn) clerkship has dropped dramatically. This study aimed to determine patterns of call assignments and opinions of clerkship directors on this topic.

Design, Setting and Participants

The study is a cross-sectional observational study using a survey sent to all US Ob-Gyn clerkship directors. The survey inquired about required hours assigned to students on the clerkship. In addition to questions about personal demographics, participants were also asked about agreement with a set of statements regarding merits and downsides of additional call. 152 surveys were returned out of 241 distributed.

Results

Analysis was completed for 106 returned surveys, each representing a US allopathic medical school. 35 clerkships (33%) require some shift in addition to regular daytime hours, including overnight call (11), evening call (6) or weekend call (26). Clerkship directors who require call are more likely to have been in their role longer and are more likely to agree that call is worthwhile and provides additional opportunities for hands-on patient care.

Conclusions

Requirements for additional overnight and weekend shifts have declined steadily in US medical schools, often replaced by a night float system. Educators should continue to find opportunities for students to engage in the full spectrum of clinical experiences while balancing the need for restricting duty hours.

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妇产科书记员值班时间要求的趋势

目的在过去的20年里，美国医学院要求妇产科学生在白天工作的基础上还要接受夜间呼叫的数量急剧下降。本研究的目的是确定拜访任务的模式和意见的办事员主任在这一主题。设计、环境和参与者本研究是一项横断面观察性研究，使用了一份发给所有美国妇产科主任的调查。这项调查询问了分配给学生的实习时间。除了关于个人人口统计的问题外，参与者还被问及是否同意一系列关于额外电话的优点和缺点的陈述。在分发的241份调查中，有152份被收回。结果对106份返回的调查进行了分析，每一份调查代表一所美国对抗疗法医学院。35名职员（33%）需要在正常的白天工作时间之外轮班，包括通宵值班（11%）、晚班值班（6%）或周末值班（26%）。需要电话拜访的见习主任更有可能在他们的岗位上工作了更长的时间，更有可能同意电话拜访是值得的，并提供了更多的机会来亲自护理病人。结论：美国医学院对额外夜班和周末轮班的需求稳步下降，通常被夜间浮动系统所取代。教育工作者应该继续寻找机会，让学生参与全面的临床经验，同时平衡限制值班时间的需要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.