Blazek Bridgette A, Zollinger Terrell W, Look Katherine Y
Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN, USA.
Am J Obstet Gynecol. 2005 Nov;193(5):1798-803. doi: 10.1016/j.ajog.2005.08.002.
The objective of the study was to identify factors associated with satisfaction in the Indiana University School of Medicine Obstetrics-Gynecology residency program and the residents' and faculty's perception of whether these factors were extant in our program.
Residents and faculty at the Indiana University School of Medicine Obstetrics-Gynecology program were surveyed using an instrument based on prior primary care specialty investigations. Multivariate regression evaluated the impact of various factors on resident satisfaction.
Seventy-seven percent (44 of 57) and 100% (35 of 35) of faculty and residents, respectively, completed the survey. Relevant training, collegiality, adequate resources, workload, care continuity, supportive coworkers, learning environment, autonomy, role ambiguity, and supportive faculty were significantly associated with resident satisfaction. Care continuity, role ambiguity, and learning environment were the areas of largest faculty/resident disagreement.
Relevant training and collegiality were most strongly linked to resident satisfaction. Three areas of dissatisfaction were identified, and we will seek to remedy these areas.
本研究的目的是确定与印第安纳大学医学院妇产科住院医师培训项目满意度相关的因素，以及住院医师和教职员工对这些因素在我们项目中是否存在的看法。
印第安纳大学医学院妇产科项目的住院医师和教职员工使用基于先前初级保健专业调查的工具进行了调查。多变量回归评估了各种因素对住院医师满意度的影响。
分别有77%（57人中的44人）和100%（35人中的35人）的教职员工和住院医师完成了调查。相关培训、同事关系、充足资源、工作量、护理连续性、支持性的同事、学习环境、自主权、角色模糊性和支持性的教职员工与住院医师满意度显著相关。护理连续性、角色模糊性和学习环境是教职员工/住院医师分歧最大的领域。
相关培训和同事关系与住院医师满意度联系最为紧密。确定了三个不满意的领域，我们将寻求改善这些领域。
