Yee Lynn M, Grobman William A
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, 250 E. Superior Street, #5-2191, Chicago, IL, 60611, USA.
BMC Med Educ. 2016 May 10;16:138. doi: 10.1186/s12909-016-0659-4.
Obstetrician cognitive and affective traits have been identified to have relationships with their patients' perinatal outcomes. The objective was to identify relationships between obstetrician demographic and practice characteristics and physician coping, self-efficacy, anxiety and ambiguity tolerance.
Obstetricians at a single institution were surveyed using 5 validated scales measuring coping skills, tolerance for ambiguity, cognitive engagement and trait anxiety. Demographics and practice characteristics were assessed. Chi-square tests, t-tests, ANOVA and linear regression were used to assess relationships between physician characteristics and cognitive traits.
Ninety-four physicians participated. Women expressed greater proactive coping than men (p = 0.03) on the Proactive Coping scale. Providers with greater delivery volume expressed lower engagement in cognitive efforts (p = 0.03) on the Need for Cognition scale. Maternal-fetal medicine physicians demonstrated greater ambiguity tolerance (p < 0.01) and cognitive engagement (p = 0.012) than general obstetricians. Differences by specialty persisted after adjustment for potentially confounding factors.
Practice type and specialty appeared to be related to several cognitive characteristics. It remains uncertain whether these differences are a cause or a consequence of specialty training and whether they result in differences in obstetric outcomes.
已确定产科医生的认知和情感特质与患者的围产期结局存在关联。目的是确定产科医生的人口统计学和执业特征与医生应对方式、自我效能感、焦虑和模糊耐受性之间的关系。
使用5个经过验证的量表对单一机构的产科医生进行调查，这些量表用于测量应对技能、对模糊性的耐受性、认知参与度和特质焦虑。评估人口统计学和执业特征。使用卡方检验、t检验、方差分析和线性回归来评估医生特征与认知特质之间的关系。
94名医生参与了调查。在积极应对量表上，女性表现出比男性更强的积极应对能力（p = 0.03）。分娩量较大的医生在认知需求量表上表现出较低的认知努力参与度（p = 0.03）。与普通产科医生相比，母胎医学医生表现出更高的模糊耐受性（p < 0.01）和认知参与度（p = 0.012）。在对潜在混杂因素进行调整后，各专业之间的差异仍然存在。
执业类型和专业似乎与几种认知特征有关。这些差异是专业培训的原因还是结果，以及它们是否会导致产科结局的差异，仍不确定。
