Guy’s & St Thomas’ Hospitals NHS Foundation Trust, King’s College London, London, UK.
BMC Med Educ. 2013 Jun 14;13:85. doi: 10.1186/1472-6920-13-85.
Most assessments of the quality of postgraduate training are based on anonymised questionnaires of trainees. We report a comprehensive assessment of the quality of training at a large postgraduate psychiatry training institute using non-anonymised face-to-face interviews with trainees and their trainers.
Two consultant psychiatrists interviewed 99 trainees and 109 trainers. Scoring of interview responses was determined by using a pre-defined criteria. Additional comments were recorded as free text. Interviews covered 13 domains, including: Clinical, teaching, research and management opportunities, clinical environment, clinical supervision, adequacy of job description, absence of bullying and job satisfaction. Multiple interview domain scores were combined, generating a 'Combined' score for each post.
The interview response rate was 97% for trainers 88% for trainees. There was a significant correlation between trainee and trainer scores for the same interview domains (Pearson's r = 0.968, p< 0.001). Overall scores were significantly higher for specialist psychiatry posts as compared to general adult psychiatry posts (Two tailed t-test, p < 0.001, 95% CI: -0.398 to -0.132), and significantly higher for liaison psychiatry as compared to other specialist psychiatry posts (t-test: p = 0.038, 95% CI: -0.3901, -0.0118). Job satisfaction scores of year 1 to year 3 core trainees showed a significant increase with increasing seniority (Linear regression coefficient = 0.273, 95% CI: 0.033 to 0.513, ANOVA p= 0.026).
This in-depth examination of the quality of training on a large psychiatry training programme successfully elicited strengths and weakness of our programme. Such an interview scheme could be easily implemented in smaller schemes and may well provide important information to allow for targeted improvement of training. Additionally, trends in quality of training and job satisfaction amongst various psychiatric specialities were identified; specifically speciality posts and liaison posts in psychiatry were revealed to be the most popular with trainees.
大多数研究生培训质量评估都是基于对受训者进行匿名问卷调查。我们使用与受训者和培训师进行非匿名面对面访谈，对大型研究生精神病学培训学院的培训质量进行了全面评估。
两名顾问精神科医生采访了 99 名受训者和 109 名培训师。使用预先定义的标准确定访谈回应的评分。还记录了其他评论作为自由文本。访谈涵盖了 13 个领域，包括：临床、教学、研究和管理机会、临床环境、临床监督、工作描述的充分性、无欺凌和工作满意度。将多个访谈领域的分数进行组合，为每个职位生成一个“综合”分数。
培训师的访谈回复率为 97%，受训者的访谈回复率为 88%。受训者和培训师对同一访谈领域的评分存在显著相关性（Pearson r = 0.968，p<0.001）。与普通成人精神病学职位相比，专业精神病学职位的总体得分明显更高（双侧 t 检验，p<0.001，95%CI：-0.398 至-0.132），与其他专业精神病学职位相比，联络精神病学职位的得分明显更高（t 检验：p=0.038，95%CI：-0.3901 至-0.0118）。1 至 3 年核心受训者的工作满意度评分随着资历的增加而显著增加（线性回归系数=0.273，95%CI：0.033 至 0.513，方差分析 p=0.026）。
对大型精神病学培训计划进行的深入检查成功地揭示了我们计划的优势和劣势。这种访谈方案可以很容易地在较小的计划中实施，并且很可能提供重要信息，以有针对性地改进培训。此外，还确定了不同精神病学专业的培训质量和工作满意度趋势；具体来说，精神病学中的专业职位和联络职位是受训者最受欢迎的。
