Santen Sally A, Hemphill Robin R, Prough Emily E, Perlowski Alice A
edicine, Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232-4700, USA.
Acad Med. 2004 Feb;79(2):139-43. doi: 10.1097/00001888-200402000-00009.
To assess patients' understanding of levels of training and responsibilities for residents, medical students, and attendings in the emergency department as well as their degree of comfort in being cared for by a physician-in-training.
In 1999, a questionnaire was administered to a convenience sample of 430 adult patients and family members in a university emergency department. The questionnaire asked for demographic information and contained 17 questions addressing the different levels of medical training and seven opinion-based questions on patients' willingness to have physicians-in-training care for them.
Respondents answered 65% of the knowledge-based questions about physicians' training correctly. Only 43% understood that residents are always supervised when caring for patients, and 30% thought attendings required supervision by a resident. Respondents with education greater than a high school diploma answered more questions correctly (71% versus 59%; p <.05). A total of 80% felt it was very important to know their physician's level of training, but only 58% reported actually knowing the level of training. Only 62% felt comfortable knowing that their physician might be a supervised physician-in-training. In addition, despite the fact that this survey took place at a teaching hospital, 22% of respondents prefer not to be treated in a teaching hospital.
Patients and their families do not fully understand the roles and responsibilities of the physicians-in-training that may be caring for them despite feeling it is important to know their physicians' level of training.
评估患者对急诊科住院医师、医学生和主治医生的培训水平及职责的理解，以及他们对接受实习医生治疗的舒适程度。
1999年，对一所大学急诊科的430名成年患者及其家属进行了问卷调查，这些样本是方便选取的。问卷询问了人口统计学信息，并包含17个关于不同医学培训水平的问题，以及7个基于患者是否愿意接受实习医生治疗的观点性问题。
受访者正确回答了65%的关于医生培训的知识性问题。只有43%的人明白住院医师在照顾患者时始终受到监督，30%的人认为主治医生需要住院医师的监督。高中以上学历的受访者回答正确的问题更多（71%对59%；p<.05）。共有80%的人认为了解医生的培训水平非常重要，但只有58%的人表示实际了解培训水平。只有62%的人知道他们的医生可能是一名接受监督的实习医生时感到放心。此外，尽管这项调查是在一家教学医院进行的，但22%的受访者表示不愿意在教学医院接受治疗。
尽管患者及其家属认为了解医生的培训水平很重要，但他们并不完全理解可能为他们治疗的实习医生的角色和职责。
