Counihan Timothy C, Nye David, Wu Jacqueline J
Berkshire Medical Center, Pittsfield, Massachusetts.
Berkshire Medical Center, Pittsfield, Massachusetts.
J Surg Educ. 2015 Sep-Oct;72(5):974-8. doi: 10.1016/j.jsurg.2015.03.007. Epub 2015 Apr 15.
Little is known about surgeons' attitudes toward patients' concerns about the role of trainees in their care. The nature of the discussion between surgeons and their patients about trainees and the effect on how patients are cared for is an important part of patient-centered care. We aim to elucidate surgeons' attitude toward patients' concerns regarding trainee involvement in their care.
An electronic, web-based 15-question survey (SurveyMonkey) was used.
Surveys were sent to 528 e-mail accounts of the members of the Massachusetts Chapter of the American College of Surgeons. Surgeon demographics, the frequency and nature of patients' concerns about trainees, and the reactions to these concerns by surgeons were explored.
Of the 528 surgeons surveyed, 109 completed the online survey. Most specialties of surgery were represented.
We analyzed 109 responses (21% response rate). Most surgeons from a variety of specialties were involved with teaching medical students and residents. Half the respondents trained fellows as well. Patients' concerns are raised more often in the community setting where surgeons are more likely to alter their practice.
Although patients' concerns about trainee involvement are infrequent, they arise enough to deserve specific attention in the current patient-centric environment. Surgeons successfully negotiate to have trainee involvement in the vast majority of cases. Specific guidelines should be developed and adopted to ensure that patients consent to trainee involvement and understand the role of trainees and their supervision.
关于外科医生对患者对实习医生参与其治疗的担忧的态度，我们所知甚少。外科医生与患者之间关于实习医生的讨论性质以及对患者治疗方式的影响，是患者中心护理的重要组成部分。我们旨在阐明外科医生对患者有关实习医生参与其治疗的担忧的态度。
使用了一项基于网络的15个问题的电子调查问卷（SurveyMonkey）。
调查问卷发送至美国外科医师学会马萨诸塞州分会成员的528个电子邮件账户。探讨了外科医生的人口统计学特征、患者对实习医生担忧的频率和性质，以及外科医生对这些担忧的反应。
在接受调查的528名外科医生中，109名完成了在线调查。涵盖了大多数外科专业。
我们分析了109份回复（回复率为21%）。大多数来自不同专业的外科医生参与医学生和住院医师的教学。一半的受访者还培训专科住院医生。在社区环境中，患者的担忧更常出现，在这种情况下外科医生更有可能改变其做法。
尽管患者对实习医生参与治疗的担忧并不常见，但在当前以患者为中心的环境中，这种担忧出现得足够频繁，值得特别关注。在绝大多数情况下，外科医生成功协商让实习医生参与治疗。应制定并采用具体指南，以确保患者同意实习医生参与治疗，并了解实习医生的角色及其监督情况。
