Wagner Justin P, Tillou Areti, Nguyen David K, Agopian Vatche G, Hiatt Jonathan R, Chen David C
Department of Surgery, David Geffen School of Medicine, University of California, 10833 Le Conte Ave 72-235 CHS, Los Angeles, CA 90095, USA.
Department of Surgery, David Geffen School of Medicine, University of California, 10833 Le Conte Ave 72-235 CHS, Los Angeles, CA 90095, USA.
Am J Surg. 2015 Jan;209(1):101-6. doi: 10.1016/j.amjsurg.2014.08.035. Epub 2014 Oct 22.
We implemented a real-time mobile web-based reporting module for students in our surgery clerkship and evaluated its effect on student satisfaction and perceived abuse.
Third-year medical students in the surgery clerkship received surveys regarding intimidation, perceived abuse, satisfaction with clerkship resources, and interest in a surgical career. Survey data were analyzed to assess differences after implementing the mobile reporting system and to identify independent predictors of perceived abuse.
With the reporting module, students perceived less intimidation by residents (P < .001) and by faculty (P = .008), greater satisfaction reporting feedback (P < .001), and greater interest in surgical careers (P = .003). Perceived abuse decreased without reaching statistical significance (P = .331). High ratings of intimidation by faculty independently predicted perceived abuse (odds ratio = 1.3), and satisfaction with anonymous reporting was a negative predictor (odds ratio = .2).
A mobile web-based system for real-time reporting fosters open communication and bidirectional feedback and promotes greater satisfaction with the surgery clerkship and interest in a surgical career.
我们为外科实习学生实施了一个基于移动网络的实时报告模块，并评估了其对学生满意度和感知到的虐待情况的影响。
外科实习的三年级医学生接受了关于恐吓、感知到的虐待、对实习资源的满意度以及对外科职业兴趣的调查。分析调查数据以评估实施移动报告系统后的差异，并确定感知到的虐待的独立预测因素。
通过报告模块，学生感觉到住院医师的恐吓减少（P <.001），教师的恐吓减少（P =.008），对报告反馈的满意度更高（P <.001），对外科职业的兴趣更高（P =.003）。感知到的虐待有所减少，但未达到统计学意义（P =.331）。教师的高恐吓评分独立预测了感知到的虐待（优势比 = 1.3），对匿名报告的满意度是一个负向预测因素（优势比 =.2）。
基于移动网络的实时报告系统促进了开放沟通和双向反馈，并提高了对外科实习的满意度以及对外科职业的兴趣。
