Kodi Munthu Wogwira Ntchito Zachilengedwe Akukufunirani Zabwino?
Kodi chidziwitso cha nocturnist, chokhudzana ndi chithandizo chamankhwala? Mwachidziwitso, munthu wothandizira usiku ndi wothandizira aliyense wathanzi yemwe amagwira ntchito usiku uliwonse. Komabe, kugwiritsidwa ntchito kofala kwa mutu wa "nocturnist" ndikutanthawuza dokotala wogwiritsidwa ntchito kuchipatala yemwe amangogwira ntchito nthawi yausiku.
Monga momwe chithandizo chamankhwala chinawonjezeka kwambiri ndi apadera m'zaka zaposachedwapa, makamaka zaka 10 mpaka 20 zapitazi, chipatala choyambira kuchipatala chinayamba kugwira ntchito, chinakula ndi kutchuka kumayambiriro kwa zaka za 2000, ndipo chikupitirizabe kukulirakulira kupyolera lero.
Achipatala ndi madokotala omwe amapereka maola-ozungulira, osamalira odwala kuchipatala, popanda kusunga ndondomeko iliyonse yachipatala kapena maudindo otha msinkhu . Ambiri mwachipatala anaphunzitsidwa mankhwala achipatala kapena mankhwala osungirako mankhwala, ndipo ena angapeze maphunziro owonjezereka kuchipatala kupyolera mu chaka chowonjezera cha maphunziro a chiyanjano kuchipatala, kapenanso kalata yowonjezereka (CAQ).
Zipatala zambiri zinayamba kufunafuna madokotala odziwa ntchito zachipatala komanso zachipatala kuti azitha kugwira ntchito zachipatala, kudula madokotala a chisamaliro chapadera, ndi kuziphwanya kukhala zigawo zing'onozing'ono zomwe zimaphatikizapo omwe akufuna kuchita chipatala, komanso omwe akufuna kuwona okha odwala mu ofesi. Chikhalidwe cha chisamaliro chapadera, chomwe chimaphatikizapo kusakaniza kwa odwala matenda opatsirana komanso odwala matenda opatsirana, sichikhala chosowa m'msika wa lero wa thanzi.
Madokotala ambiri a zachipatala ndi othandizira anthu ogwira ntchito zachipatala adakopeka ndi chipatala, kuphatikizapo nthawi yowonongeka, yomwe imachititsa sabata imodzi sabata iliyonse, komanso kuchuluka kwa malipiro apamwamba, poyerekeza ndi chizoloŵezi choyamba cha chisamaliro.
Kugwira Ntchito Monga Wopanga Nocturnist
Mu msika wamankhwala wa lero, ambiri, ngati sizipatala zonse zimagwiritsa ntchito ogwira ntchito kuchipatala kapena mgwirizano wa gulu la iwo.
Odwala chipatala adayambitsa zofunikira za madokotala omwe amatha kugwira ntchito usiku wonse ngati chipatala, chifukwa panalibe madokotala omwe amawaitana. Anthu opita kuchipatala usikuwa amatchedwa nocturnists.
Ngakhale odwala chipatala "nthawi zonse" amagwira ntchito 7:00 am mpaka 7:00 madzulo, ndondomeko ya nocturnists amatenga 7:00 pm mpaka 7:00 am kusintha. Maola ndi kusintha kumasiyana malinga ndi malo, koma kawirikawiri ndikutuluka kwa maola 12 ndikuyamba pa 7:00.
Ngati kugwira ntchito usiku wonse sikuwoneka kokongola kapena kotheka kwa inu, kumbukirani kuti chipatala chimagwira ntchito nthawi yeniyeni, kutanthauza kuti amagwira ntchito masabata asanu ndi awiri ndi asanu ndi awiri mphambu zisanu ndi ziwiri, kenako amatha masiku asanu ndi awiri (7-14) kuchoka kwathunthu. (Zigawo zina zingakhale masiku asanu, masiku asanu kuchoka.) Choncho, monga chipatala, banja lanu ndi nthawi yanu yanu idzakhala yochepa panthawi yomwe muli pantchito, mosasamala kanthu kuti mumagwira ntchito masiku kapena usiku.
Pazithunzi, mumakhala masiku asanu ndi awiri (7-14) otsatizana, panthawi yomwe mungathe kukhala mogwirizana ndi ndondomeko yomwe ikukuyenderani bwino.
"Monga bambo wosakwatira, kukhala wothandizira usiku kunandipatsa nthawi yoti ndizikhala ndi anyamata anga aamuna asanu ndi limodzi a masana masana ... ndikuwatengera ku sukulu, kuwatenga iwo, kupita nawo ku paki, pena pena ndingakhale kuntchito." -Jorge Sallaberry, MD
Jorge Sallaberry, MD, SFHM, wakhala ngati chipatala kuyambira atamaliza maphunziro mu 2003. Anagwira ntchito "masiku onse", mpaka zaka pafupifupi zitatu zapitazo, atakhala wa nocturnist. Dr. Sallaberry akugwiritsidwa ntchito ndi Centura Health Physician Group (CPHG) ku Castle Rock, CO.
Dr. Sallaberry anafotokoza kuti: "Mwanzeru ndinasankha chipatala chomwe ndimadziwa kuti ndikufuna kugwira ntchito monga katswiri wa noloŵerera. "Ndinasamukira ku Castle Rock kuchokera ku Reno komwe ndinkasintha usiku. Kumeneko, ndinakhala usiku wonse ndikuvomereza odwala 18 usiku uliwonse, kuphatikizapo kupereka chithandizo cha pansi. Sindinafune kuchita zimenezi [nthawi zonse] , choncho, pofunafuna ntchito ya nthawi zonse, ndinasankha zipatala zazing'ono zomwe zimakhala kuti ntchito yamadzulo idzakhala yochepa kwambiri. "
Zochita ndi Zoipa za Night Shift
Poyerekeza ndi masiku ogwira ntchito, "ntchito ikuchepa kwambiri (Ndikugwira ntchito kuchipatala chaching'ono chakumidzi kwa Denver), zomwe zimapangitsa kuti moyo wanga ukhale wabwino (Ndimakhala ndi maola awiri mpaka 4 koloko usiku uliwonse). kusewera, ndi nthawi ya pulogalamu ya maola awiri mpaka 3 asanabwerere kuntchito, "akutero.
Kusintha kwa usiku kungaperekenso ufulu wowonjezera, kudzilamulira, ndi kusinthasintha, kuphatikizapo kuthekera kwambiri kupeŵa ndale zilizonse zapakhomo kapena kugwira ntchito ndi chipatala nthawi zonse. "Ndondomeko yanga imakhala yotseguka. Ndimafika koyamba ndikukonza ndondomeko, monga momwe madzulo a masana amachitira usiku wonse. Ma chipatalachi adakopanso malo omwe amachititsa kuti azikhala nawo usiku powapatsa malipiro omwewo monga momwe ndimagwirira ntchito tsiku limodzi ndikugwira ntchito mwezi uliwonse. "
Ngakhale kuti pali zovuta zambiri zogwira ntchito ngati mwana wausiku, komanso zomwe zimakhudza moyo wake, Dr. Sallaberry akuvomereza kuti ntchito yausiku sikuli kwa aliyense. Iye akuwonjezera kuti: "Zimapereka madokotala ochepa omwe amakonda kugwira ntchito mwachindunji komanso amakhala ndi chitonthozo chokwanira m'magulu awo a kuchipatala." Alangizi a Nocturn ayenera kukhala okonzeka kupereka mausiku ambiri kuntchito, ndipo zingakhale zovuta kusinthana ndi madokotala ena pakufunikira, malingana ndi kukula kwa gulu lachipatala, ndi chiwerengero cha anthu olemba zachinsinsi omwe akugawana ndondomeko ya usiku. Mlandu wa Dr. Sallaberry, ndiye yekhayo amene adadzipereka kuntchito yake pamalo ake.
Kuonjezerapo, Dr. Sallaberry akufotokoza kuti mukamagwira ntchito usiku, mulibe mwayi wopeza zinthu zomwe mungagwiritse ntchito ndi kuthana ndi vuto lachipatala. Komabe, ntchito yamadzulo imakhala yotsika kwambiri kuposa masana. "Ntchito yanga monga kachipatala ndikutulutsa" moto "kwa odwala omwe amavomereza, ndipo amavomereza odwala atsopano. Sindimachita misonkhano ya banja pokhapokha ngati wodwalayo akudwala kwambiri komanso ndikusamalira," akutero Dr. Sallaberry.
Ndalama Zimayankhula: Malipiro a Nocturnists Ali Oposa Ena Achipatala
Chifukwa cha madokotala otsika omwe alipo komanso omwe amafunanso kugwira ntchito usiku, anthu olemba za nocturnal amapeza ndalama zambiri kuposa am'chipatala omwe amagwira ntchito masana. Kapena, monga momwe nkhani ya Dr. Sallaberry ikuchitira, anthu odziwa zachisawawa angagwiritse ntchito masentimita angapo pachaka, chifukwa cha ndalama zofanana ndi anzawo a tsiku ndi tsiku.
Ambiri olemba ntchito ku The Medicus Firm, kafukufuku wa madokotala, omwe tsopano akuimira zipatala zambirimbiri zomwe zimafufuza akatswiri a nocturnist m'malo osiyanasiyana m'dziko lonselo. Iwo amawona kuti malipiro a madzulo amatha pafupifupi madola 20,000 mpaka $ 40,000 pachaka, poyerekezera ndi malipiro a anthu omwe amapita kuchipatala omwe amapita tsiku lililonse. Komabe, zimenezo zingasinthe mosiyana.
Kiersten Feldman, dokotala wogwira ntchito ku ofesi ya ofesi ya Atlanta, akufotokoza kuti mmodzi mwa makasitomala ake akum'maŵa akum'maŵa akupereka ndalama zokwana madola 100,000 pa malipiro a pachaka a nocturnists. Awonjezeranso kuti, kwa madokotala omwe angathe kusamalira ndondomeko yapaderayi, mwayi wopeza ndalama zambiri monga madyerero ake amapereka njira yabwino kuti madokotala azilipira ngongole, kusunga ndalama, kapena kukwaniritsa zolinga zina ndi ndalama zina.
Chris Miller, yemwe ndi adokotala wamkulu wa The Medicus Firm ku Dallas, athazikitsa anthu angapo usiku omwe akugwira ntchito m'chipatala. Amavomereza kuti, ngakhale ntchito ya nocturnist ili yopindulitsa, sikuti ndizofunikira kwa aliyense. Akuti madokotala ena omwe ali ndi mabanja amapeza zovuta usiku, kuphatikizapo ntchito yokha. "Nocturnists alibe nthawi zambiri monga momwe madokotala amachitira tsiku lililonse, motero, olemba zachisawawa amatha kuchita maulendo apamwamba kuposa njira zachipatala zomwe zimachitika tsiku lililonse." Awonjezeranso kuti madzulo amatha kukhala ndi odwala ochepa pokhapokha atasintha, koma amavomerezanso, (mwachitsanzo, odwala kuti avomereze kuchipatala) ndipo makamaka mapepala, kusiyana ndi chipatala chomwe chikanakhala ndi tsiku lomwelo.
Mawu Ochokera
Ngati muli chipatala mukuganizira ntchito monga katswiri wotsutsa, pali zifukwa zambiri zomwe muyenera kuziganizira, monga zilili ndi kusintha kwakukulu kwa ntchito. Ndiwe nokha ndi banja lanu mungathe kudziwa nthawi ndi ntchito zomwe zingakhale zopindulitsa kwambiri pa zofuna zanu komanso zokhumba zanu. Palibe ntchito imodzi m'munda uliwonse umene umakhudza zosowa zonse kwa aliyense, choncho pulojekiti aliyense ndi banja lake ayambe kuyang'ana mosamala za ubwino ndi kuthetsa kwa kusintha kulikonse kwa ntchito, ndipo ganizirani momwe zingakhudzire miyoyo ya munthu aliyense musanapange chisankho chanu .