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患者对急诊科实习医生、住院医师和主治医师职责的理解。

Patients' understanding of the roles of interns, residents, and attending physicians in the emergency department.

作者信息

Hemphill R R, Santen S A, Rountree C B, Szmit A R

机构信息

San Antonio Uniformed Services Health Education Consortium, Emergency Medicine Residency, Brooke Army Medical Center, TX, USA.

出版信息

Acad Emerg Med. 1999 Apr;6(4):339-44. doi: 10.1111/j.1553-2712.1999.tb00399.x.

DOI:10.1111/j.1553-2712.1999.tb00399.x
PMID:10230987
Abstract

OBJECTIVE

To assess patients' knowledge of the responsibilities and roles of physician training in the ED.

METHODS

This was a prospective survey of a convenience sample of 345 adult patients and family members in an academic county ED. Thirty questions addressed the different roles, responsibilities, and hierarchies of physician levels of training. Four opinion-based questions assessed patients' willingness to have physicians-in-training care for them.

RESULTS

96.5% of the surveys were returned. Of the participants responding, 68% were Hispanic, 23% were non-Hispanic white, and 55% were women. Forty percent of the participants indicated that they had education greater than a high school diploma. Most participants answered fewer than 50% of the questions correctly, indicating that they did not understand the levels of physician training. Participants with higher education were more likely to know the correct answer. Seventy-nine percent of the participants believed that it is very important to know the level of training of their physicians. However, only 34% of the participants actually thought they knew the training level of their physicians when they were being treated. Twenty-nine percent of the participants did not want learning to take place on themselves by physicians-in-training.

CONCLUSION

Participants believe that it is important to know their physicians' level of training, but they do not understand the roles and responsibilities of physicians-intraining in the medical training system in which they receive care. In particular, patients who have less than a high school education seem to know least about this system.

摘要

目的

评估患者对急诊科医师培训职责和角色的了解程度。

方法

这是一项对某学术性县级急诊科345名成年患者及家属的便利样本进行的前瞻性调查。30个问题涉及医师培训水平的不同角色、职责和层级。4个基于观点的问题评估患者接受实习医师治疗的意愿。

结果

96.5%的调查问卷被收回。在做出回应的参与者中,68%为西班牙裔,23%为非西班牙裔白人,55%为女性。40%的参与者表示他们的受教育程度高于高中文凭。大多数参与者正确回答的问题少于50%,这表明他们不了解医师培训水平。受教育程度较高的参与者更有可能知道正确答案。79%的参与者认为了解其医师的培训水平非常重要。然而,只有34%的参与者在接受治疗时实际认为他们知道其医师的培训水平。29%的参与者不希望实习医师在自己身上进行学习。

结论

参与者认为了解其医师的培训水平很重要,但他们不了解在他们接受治疗的医疗培训系统中实习医师的角色和职责。特别是,高中以下文化程度的患者似乎对该系统了解最少。

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