Girard D E, Hickam D H, Gordon G H, Robison R O
Division of General Medicine, Oregon Health Sciences University, Portland 97201.
Acad Med. 1991 Feb;66(2):111-4. doi: 10.1097/00001888-199102000-00014.
To evaluate whether the negative emotions and attitudes that residents develop during internship continue throughout the remaining years of their residency, the authors undertook a four-year prospective study of two classes of internal medicine residents who completed their training in 1985 and 1986 in a residency program based at the Oregon Health Sciences University. Every two to three months over all three years of training, the residents indicated on Likert-type scales their levels of agreement with questions about their career satisfaction and emotional states, and the satisfying and dissatisfying aspects of their residency experiences. Between the internship and the end of their residencies, the physicians indicated significant improvements in their emotions and attitudes. Those experiences identified as satisfying continued to be so, whereas those considered dissatisfying became less so. Although more research of other classes of residents is needed, the findings suggest that while internal medicine internships may be dysphoric, the residents' emotional states and attitudes tend to normalize during the remainder of the residency.
为了评估住院医师实习期间产生的负面情绪和态度是否会在其住院医师培训的剩余年份中持续存在，作者对在俄勒冈健康与科学大学住院医师培训项目中于1985年和1986年完成培训的两届内科住院医师进行了一项为期四年的前瞻性研究。在整个三年培训期间，每两到三个月，住院医师需通过李克特量表表明他们对有关职业满意度、情绪状态以及住院医师培训经历中满意和不满意方面问题的认同程度。在实习期间和住院医师培训结束之间，医生们表示他们的情绪和态度有了显著改善。那些被认为令人满意的经历依然如此，而那些被认为不满意的经历则变得不那么令人不满了。尽管还需要对其他类别住院医师进行更多研究，但研究结果表明，虽然内科实习可能会令人烦躁不安，但住院医师的情绪状态和态度在住院医师培训的剩余时间里往往会恢复正常。
