Berry Obianuju O, Sciutto Mary, Cabaniss Deborah, Arbuckle Melissa
New York Presbyterian Hospital, New York, NY, USA.
Columbia University College of Physicians and Surgeons, New York, NY, USA.
Acad Psychiatry. 2017 Aug;41(4):486-490. doi: 10.1007/s40596-016-0658-0. Epub 2017 Feb 14.
A formal residency advisory program was instituted in 2010 to assist psychiatry residents in achieving academic and personal goals and to help identify additional mentors. In this project the authors sought to evaluate and improve resident and faculty satisfaction with the residency advisory program.
At the end of the 2013-2014 academic period, residents completed an anonymous survey to determine baseline satisfaction with the residency advisory program. A series of interventions were then implemented including the addition of a resident liaison to the program, formal recognition of faculty advisors, and email reminders regarding regular residency advisory meetings. Eight months later a follow-up survey was distributed to assess the impact of the interventions on resident and faculty satisfaction with the residency advisory program and mentoring within the residency program.
There were notable improvements in overall satisfaction with a 58% increase (p<0.05) in residents meeting with their advisors. After the intervention, residents were more likely to seek their resident advisor for help in facilitating relationships with potential career mentors (28% vs 72%, OR=6.64, 95% CI =1.83-24.08). Although 87% of all residents reported having mentors outside of the formal residency advisory program, approximately half of those who are in their first year post medical school (PGY1s) reported having no mentors outside of the residency advisory program (notably all women).
Resident advisory programs benefit from continuous evaluation and quality improvement with enhanced structure, including a senior resident position, leading to improved satisfaction. Residency advisory programs may be particularly useful in helping to facilitate relationships with other mentors, which may be particularly important for women early in their training.
2010年设立了一个正式的住院医师咨询项目，以协助精神科住院医师实现学术和个人目标，并帮助确定更多的导师。在这个项目中，作者试图评估并提高住院医师和教职员工对住院医师咨询项目的满意度。
在2013 - 2014学年末，住院医师完成了一项匿名调查，以确定对住院医师咨询项目的基线满意度。随后实施了一系列干预措施，包括为该项目增加一名住院医师联络人、正式认可教职员工顾问，以及发送关于定期住院医师咨询会议的电子邮件提醒。八个月后，进行了一项后续调查，以评估这些干预措施对住院医师和教职员工对住院医师咨询项目的满意度以及住院医师项目中指导情况的影响。
总体满意度有显著提高，与顾问会面的住院医师增加了58%（p<0.05）。干预后，住院医师更有可能向住院医师顾问寻求帮助，以促进与潜在职业导师的关系（28%对72%，OR = 6.64，95%CI = 1.83 - 24.08）。尽管87%的住院医师报告在正式的住院医师咨询项目之外有导师，但医学院毕业后第一年的住院医师（PGY1）中约有一半报告在住院医师咨询项目之外没有导师（尤其所有女性）。
住院医师咨询项目受益于持续评估和质量改进，通过加强结构，包括设立高级住院医师职位，从而提高满意度。住院医师咨询项目在帮助促进与其他导师的关系方面可能特别有用，这对处于培训早期的女性可能尤为重要。
