Chinthammitr Yingyong, Chierakul Nitipatana
J Med Assoc Thai. 2014 Dec;97(12):1269-73.
To evaluate the effect of program training atmosphere on the academic performance among internal medicine residents.
Data of satisfaction survey among internal medicine residents in academic year 2012, conducted by the Royal College of Physicians of Thailand, were retrieved. Association between training environment rating scores in three major aspects (program training structure, faculty nurturance, and support system) and board certifying examination scores, were then assessed.
There were 12 training centers with 535 residents in that academic year. The mean satisfaction score for second-year residents was 77.1 ± 6.1, and the mean written examination score was 56.4 ± 4.6, with the modest correlation (r = 0.515, p = 0.087). For the third-year residents, the mean satisfaction score was 78.5 ± 6.5 and the mean clinical examination score was 71.1 ± 1.6, with no correlation (r = -0.004, p = 0.991). In the subgroup analysis in second-year residents, program training structure had strongest influence (r = 0.569, p = 0.053), as compared to faculty nurturance (r = 0.425, p = 0.169), andsupport system (r = 0.492, p = 0.104).
Perception of positive training environment, especially the program training structure, may influence the performance of internal medicine residents in term of knowledge achievement as determined by written examination score. However, it has no effect in terms of clinical skill accomplishments, as determined by clinical examination scores.
评估项目培训氛围对内科住院医师学业成绩的影响。
检索泰国皇家内科医师学院2012学年内科住院医师满意度调查数据。然后评估三个主要方面（项目培训结构、教师培养和支持系统）的培训环境评分与委员会认证考试分数之间的关联。
该学年有12个培训中心，共535名住院医师。二年级住院医师的平均满意度得分为77.1±6.1，笔试平均成绩为56.4±4.6，两者呈中等程度相关（r = 0.515，p = 0.087）。三年级住院医师的平均满意度得分为78.5±6.5，临床考试平均成绩为71.1±1.6，两者无相关性（r = -0.004，p = 0.991）。在二年级住院医师的亚组分析中，项目培训结构的影响最强（r = 0.569，p = 0.053），相比之下，教师培养（r = 0.425，p = 0.169）和支持系统（r = 0.492，p = 0.104）的影响较弱。
对积极培训环境的认知，尤其是项目培训结构，可能会影响内科住院医师在笔试成绩所反映的知识掌握方面的表现。然而，就临床考试成绩所反映的临床技能成就而言，它没有影响。
