Department of Surgery, Mayo Clinic College of Medicine, Phoenix, Arizona 85054, USA.
J Surg Educ. 2010 Nov-Dec;67(6):371-5. doi: 10.1016/j.jsurg.2010.07.009. Epub 2010 Nov 5.
Variances between resident expectations and faculty expectations may create conflict and/or dissatisfaction. The objective of this study was to determine if resident expectations of case requirements differed significantly from faculty expectations and/or national and program averages.
Residents and faculty members from 3 separate residency programs in Phoenix were sent an electronic survey and asked to indicate the number of operations as surgeon that should be performed by a resident during surgical residency in 34 categories in order to be deemed a competent general surgeon. The faculty and resident responses were compared with the average number of cases performed by graduating residents in these Phoenix programs and national means for 2007-2008.
The resident response rate was 65% (55 of 84) and the faculty response rate was 80% (37 of 46). Residents' responses of necessary numbers of cases exceeded program averages in 76% of categories and national averages in 73% of categories. Faculty perceptions of necessary numbers of cases exceeded both program and national averages in 65% of categories. The largest discrepancies for both residents and faculty were their perceptions of the number of necessary cases of nonoperative trauma compared with the national mean (responses were 307% and 193% more respectively) and the number of cases of laparoscopic cholecystectomy compared with actual program averages (responses were 57% and 63% less respectively).
Resident and faculty perceptions of the number of cases needed for a competent graduating general surgery resident differ substantially from each other as well as from actual means. Improved education of each group to better align expectations with reality may improve satisfaction during training and confidence upon completion of training.
住院医师的期望与教师的期望之间的差异可能会产生冲突和/或不满。本研究的目的是确定住院医师对病例要求的期望是否与教师的期望以及国家和项目平均水平有显著差异。
来自凤凰城的 3 个独立住院医师培训项目的住院医师和教师收到了一份电子调查，并要求他们在 34 个类别中指出一名住院医师在外科住院医师培训期间应完成的手术数量，以被认为是一名合格的普通外科医生。将教师和住院医师的回答与这些凤凰城项目和全国 2007-2008 年毕业住院医师的平均手术次数进行比较。
住院医师的回复率为 65%（55/84），教师的回复率为 80%（37/46）。住院医师对所需病例数量的回答在 76%的类别中超过了项目平均值，在 73%的类别中超过了全国平均值。教师对所需病例数量的看法在 65%的类别中超过了项目和全国平均值。住院医师和教师对非手术创伤所需病例数量的看法差异最大，分别比全国平均值多 307%和 193%（分别多 307%和 193%），腹腔镜胆囊切除术的病例数量比实际项目平均值少 57%和 63%（分别少 57%和 63%）。
住院医师和教师对一名合格的普通外科毕业住院医师所需病例数量的看法与彼此以及实际平均值存在显著差异。对每个群体进行更好的教育，使期望与现实更好地协调，可能会提高培训期间的满意度，并在培训结束时增强信心。
