Thrush Carol R, Hicks Elizabeth K, Tariq Sara G, Johnson Allison M, Clardy James A, O'Sullivan Patricia S, Williams D Keith
Acad Med. 2007 Oct;82(10 Suppl):S121-5. doi: 10.1097/ACM.0b013e318140658f.
Indicators of program quality in graduate medical education have not been thoroughly well developed or studied. This study explores resident physicians' perceptions of program quality and associations with an external quality indicator.
Responses to two open-ended questions about program strengths and areas in need of improvement were analyzed for 392 residents from 14 specialty programs that were reaccredited between 1999 and 2005. Computerized text analysis facilitated reliable categorization of 1,502 comments. Mann-Whitney U tests and nonparametric analyses for correlated data were used to examine associations between resident perceptions and accreditation length.
The most frequently mentioned program strengths were related to the quality of faculty, exposure to patients, education, and the social environment. Of these core strengths, residents in programs with longer cycle lengths had significantly more comments about the quality of faculty in their program.
Resident feedback can provide beneficial information about dimensions of program quality and the learning environment.
研究生医学教育中的项目质量指标尚未得到充分发展或研究。本研究探讨住院医师对项目质量的看法以及与外部质量指标的关联。
分析了1999年至2005年间重新获得认证的14个专科项目的392名住院医师对两个关于项目优势和需要改进领域的开放式问题的回答。计算机文本分析有助于对1502条评论进行可靠分类。使用曼-惠特尼U检验和相关数据的非参数分析来检验住院医师看法与认证时长之间的关联。
最常提到的项目优势与师资质量、患者接触、教育以及社会环境有关。在这些核心优势中，认证周期较长的项目中的住院医师对其项目师资质量的评论明显更多。
住院医师的反馈可以提供有关项目质量维度和学习环境的有益信息。
