Ríos Zambudio A, Sánchez Gascón F, González Moro L, Guerrero Fernández M
Department of General and Digestive Surgery, Comisión de Docencia, University Hospital Virgen de la Arrixaca, El Palmar, Murcia, Spain.
Rev Esp Enferm Dig. 2004 Oct;96(10):695-9; 700-4. doi: 10.4321/s1130-01082004001000004.
It is during Medical Residency Training (MIR) that knowledge, abilities and habits are acquired, which will shape professional activity in the future. It is therefore very likely that residents who do not acquire the necessary habits and knowledge for research activities will eventually not carry out these activities in the future. The aim of this study was to analyze the level of satisfaction of residents with his or her scientific and research training, and to determine any deficiencies with respect to this training.
The aim of the questionnaire used was to determine the level of satisfaction of residents regarding their scientific and research training during their residency period. Questionnaires were usually distributed via internal mail to all residents (MIR physicians) registered at a third level teaching hospital, with a completion rate of 78% (n = 178).
As far as the evaluation of scientific training is concerned, 68% of residents were dissatisfied or very dissatisfied. With respect to scientific studies carried out, 49% of residents had not taken part in any, but the number of studies carried out increases as the residency progresses. On the other hand, 22% of residents reported not having started their doctoral thesis, 50% having attended doctorate courses, 24% having a title for their thesis, and only 4% having written a thesis. Doctorate courses, thesis topics, and written theses increase with the year of residency, and a greater activity may be seen in this respect in surgical departments. If we analyze help available to residents for their carrying out scientific activities, 55% reported that only selected assistant doctors would offer help, and 21% reported that no doctors would offer help. Dissatisfaction with research training increases with the year of residency. With regard to main specialist fields, it can be seen that residents in surgical fields carry out more theses, whereas central fields report less facilities. Finally, if we evaluate the influence that these variables may have on the general satisfaction of residents with his or her residency, these variables are seen to be significant factors of dissatisfaction.
Most residents are dissatisfied with their scientific training and have relatively few facilities for developing such skills, which in turn results in a scarce number of scientific studies and doctoral theses.
医学住院医师培训(MIR)阶段是获取知识、能力和习惯的时期,这些将塑造未来的专业活动。因此,很有可能那些没有获得开展研究活动所需习惯和知识的住院医师最终在未来不会开展这些活动。本研究的目的是分析住院医师对其科研培训的满意度水平,并确定该培训方面的任何不足之处。
所使用问卷的目的是确定住院医师在其住院医师培训期间对科研培训的满意度水平。问卷通常通过内部邮件分发给在一家三级教学医院注册的所有住院医师(MIR医师),完成率为78%(n = 178)。
就科研培训的评估而言,68%的住院医师不满意或非常不满意。关于所开展的科学研究,49%的住院医师没有参与任何研究,但随着住院医师培训进程的推进,开展的研究数量有所增加。另一方面,22%的住院医师报告尚未开始其博士论文,50%的住院医师参加过博士课程,24%的住院医师有论文题目,只有4%的住院医师撰写过论文。博士课程、论文题目和撰写的论文数量随着住院医师培训年份的增加而增加,在外科科室这方面可以看到更活跃的情况。如果我们分析住院医师开展科研活动可获得的帮助,55%的人报告只有选定的助理医生会提供帮助,21%的人报告没有医生会提供帮助。对科研培训的不满随着住院医师培训年份的增加而增加。关于主要专科领域,可以看出外科领域的住院医师开展的论文更多,而核心领域的设施较少。最后,如果我们评估这些变量可能对住院医师对其住院医师培训总体满意度产生的影响,这些变量被视为不满的重要因素。
大多数住院医师对其科研培训不满意,且发展此类技能的设施相对较少,这反过来导致科学研究和博士论文数量稀少。