国民警卫队卫生事务部非在职轮转评估：非在职住院医师认知调查结果

Evaluation of off-service rotations at National Guard Health Affairs: Results from a perception survey of off-service residents.

作者信息

Alquraini Mustafa M, Baig Lubna, Magzoub Mohi, Omair Amir

机构信息

Department of Emergency Medicine, King Abdul-Aziz Medical City for National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.

出版信息

J Family Community Med. 2013 May;20(2):123-9. doi: 10.4103/2230-8229.114773.

DOI:10.4103/2230-8229.114773

PMID:23983565

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3748647/

Abstract

CONTEXT

"Off-service" clinical rotations are part of the necessary requirements for many residency training programs. Because these rotations are off-service, little attention is given to their structure and quality of training. This often leads to suboptimal educational experience for the residents on these rotations.

AIMS

The aim of this study was to assess medical residents' perceptions, opinions, and levels of satisfaction with their "off-service" rotations at a major residency training site in Saudi Arabia. It was also to evaluate the reliability and validity of a questionnaire used for quality assurance in these rotations. Improved reliability and validity of this questionnaire may help to improve the educational experience of residents in their "off-service" rotations.

MATERIALS AND METHODS

A close-ended questionnaire was developed, Pilot tested and distributed to 110 off-service residents in training programs of different specializations at King Fahad Naitonal Guard Hospital and King Abdulziz Medical City, Riyadh, Saudi Arabia, between September 2011 and December 2011.

RESULTS

A total of 80 out of 110 residents completed and returned the questionnaire. Only 33% of these residents had a clear set of goals and educational learning objectives before the beginning of their off-service rotations to direct their training. Surgical specializations had low satisfaction mean scores of 57.2 (11.9) compared to emergency medicine, which had 70.7 (16.2), P value (0.03). The reliability of the questionnaire was Cronbach's alpha 0.57. The factor analysis yielded a 4-factor solution (educational environment, educational balance, educational goals and objectives, and learning ability); thus, accounting for 51% variance in the data.

CONCLUSION

Our data suggest that there were significant weaknesses in the curriculum for off-service clinical rotations in KAMC and that residents were not completely satisfied with their training.

摘要

背景

“非本专业科室”临床轮转是许多住院医师培训项目的必要要求。由于这些轮转是非本专业科室的，所以很少有人关注其培训结构和质量。这往往导致参加这些轮转的住院医师获得的教育体验不理想。

目的

本研究旨在评估沙特阿拉伯一个主要住院医师培训地点的住院医师对其“非本专业科室”轮转的看法、意见和满意度水平。同时还评估用于这些轮转质量保证的问卷的信度和效度。提高该问卷的信度和效度可能有助于改善住院医师在“非本专业科室”轮转中的教育体验。

材料与方法

设计了一份封闭式问卷，进行预测试后，于2011年9月至2011年12月分发给沙特阿拉伯利雅得法赫德国王国民警卫队医院和阿卜杜勒阿齐兹国王医疗城不同专业培训项目中的110名非本专业科室住院医师。

结果

110名住院医师中共有80名完成并返还了问卷。这些住院医师中只有33%在非本专业科室轮转开始前有明确的目标和教育学习目标来指导他们的培训。与急诊医学专业平均满意度得分70.7（16.2）相比，外科专业的平均满意度得分较低，为57.2（11.9），P值为0.03。问卷的信度为Cronbach's alpha 0.57。因子分析得出一个四因子解决方案（教育环境、教育平衡、教育目标和学习能力）；因此，解释了数据中51%的方差。