The Institute of Medicine resident work hours recommendations: a resident's viewpoint.

摘要

I just finished an internal medicine residency where we had night float on the weekday calls but still had 30-hour shifts for weekend calls. The beauty of night float is that you do get to go home and sleep in your own bed. However, as the primary team inheriting patients from the night float team the next day, there is often either duplicate work or overlooked details, even with a good hand-off. You never know the patient better than if you were the one doing the admitting. Thus, accomplishing tasks on patients after hand-off is much less efficient than if those tasks are done by the admitting team.