Stewart Emily A, Marzio Dina Halegoua-De, Guggenheim Douglas E, Gotto Joanne, Veloski J Jon, Kane Gregory C
J Grad Med Educ. 2011 Dec;3(4):487-9. doi: 10.4300/JGME-D-11-00047.1.
To examine whether resident communication skills evaluated through patient satisfaction surveys demonstrate evidence of decline through the 3 years of internal medicine residency.
Data for this study were collected retrospectively from a database of patient satisfaction surveys completed for internal medicine residents at different levels of training. Patient satisfaction was measured with the Aggregated EVGFP (excellent, very good, good, fair, or poor) questionnaire recommended by the American Board of Internal Medicine.
Over a span of 5 years (2005-2009), a total of 768 patient rating forms were completed for 67 residents during their 3 years of residency training. In postgraduate year (PGY)-1, the residents had a mean satisfaction rating of 4.33 ± 0.48 compared to a mean rating of 4.37 ± 0.45 in their PGY-3 year. Analysis of variance indicated no significant difference by PGY level.
Our findings demonstrate that resident communication skills and patient satisfaction do not decline during the 3 years of residency. This is contrary to our hypothesis that patient satisfaction would worsen as residents progressed through training.
通过患者满意度调查评估内科住院医师培训3年期间的沟通技能,以检验是否有证据表明其沟通技能有所下降。
本研究数据是从为不同培训阶段的内科住院医师完成的患者满意度调查数据库中回顾性收集的。患者满意度采用美国内科医学委员会推荐的综合EVGFP(优秀、非常好、好、一般或差)问卷进行测量。
在5年期间(2005 - 2009年),67名住院医师在其3年的住院医师培训期间共完成了768份患者评分表。在住院医师第1年(PGY-1),住院医师的平均满意度评分为4.33±0.48,而在住院医师第3年(PGY-3),平均评分为4.37±0.45。方差分析表明,不同PGY阶段之间无显著差异。
我们的研究结果表明,住院医师的沟通技能和患者满意度在住院医师培训的3年期间并未下降。这与我们的假设相反,即随着住院医师培训的推进,患者满意度会恶化。