Freeman Scott R, Greene Riley E, Kimball Alexa B, Freiman Anatoli, Barzilai David A, Muller Sigfrid, Duke Jodi K, Dellavalle Robert P
Department of Dermatology, University of Colorado Denver, USA.
Arch Dermatol. 2008 Jul;144(7):896-900. doi: 10.1001/archderm.144.7.896.
To evaluate residents' satisfaction with dermatology training and mentorship.
Written survey.
The Las Vegas Dermatology Seminar in 2005 and 2006.
Graduating dermatology residents in the United States.
Satisfaction with and importance of 26 training components, overall training satisfaction, satisfaction with availability and quality of mentors, and time spent outside the clinics and classroom with mentors.
Of dermatology residents attending the 2005 and 2006 seminars, 57 (50%) and 49 (54%), respectively, completed the survey. In 2006, 38 more surveys were received by mail, for a combined total of 144 respondents. In 2005 and 2006, respectively, 44 (77%) and 66 (76%) residents scored training at or above 7 on a 10-point rating scale. Residents were most satisfied with peer teaching, medical dermatology training, pathology slide sessions, and live patient conferences and least satisfied with business management and dermoscopy training. Discrepancies between perceived importance and satisfaction were greatest for business management, time for independent study, and responsiveness to resident input. Residents spending 30 minutes (the median) or more per month outside of clinics and the classroom with someone they defined as a mentor reported higher training satisfaction (8.0 vs 7.2; P = .02). Resident-perceived program mentor availability (P = .001 in 2005, P=.002 in 2006) and quality (P =.002 in 2005, P < or = .001 in 2006) were also associated with increased overall training satisfaction.
Of 26 training components, residents were most dissatisfied with business management training. Resident training satisfaction was associated with program mentor availability and quality, as well as time spent with mentors.
评估住院医师对皮肤科培训及导师指导的满意度。
书面调查。
2005年和2006年的拉斯维加斯皮肤科研讨会。
美国即将毕业的皮肤科住院医师。
对26项培训内容的满意度及重要性、整体培训满意度、对导师可及性和质量的满意度，以及在诊所和教室之外与导师相处的时间。
参加2005年和2006年研讨会的皮肤科住院医师中，分别有57名（50%）和49名（54%）完成了调查。2006年，通过邮件又收到38份调查问卷，总计144名受访者。2005年和2006年，分别有44名（77%）和66名（76%）住院医师在10分制评分中给培训打分为7分及以上。住院医师对同伴教学、皮肤医学培训、病理切片课程和真实患者会诊最为满意，对业务管理和皮肤镜检查培训最不满意。在业务管理、自主学习时间和对住院医师意见的反馈方面，感知到的重要性与满意度之间的差异最大。每月在诊所和教室之外与他们认定的导师相处30分钟（中位数）或更长时间的住院医师报告的培训满意度更高（8.0对7.2；P = 0.02）。住院医师感知到的项目导师可及性（2005年P = 0.001，2006年P = 0.002）和质量（2005年P = 0.002，2006年P≤0.001）也与整体培训满意度的提高相关。
在26项培训内容中，住院医师对业务管理培训最不满意。住院医师培训满意度与项目导师的可及性和质量以及与导师相处的时间相关。
