Cantor Arielle, Flood Catherine, Boutin Savanna, Regan Shauna, Ross Sue
Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.
Division of Urogynecology, Department of Obstetrics and Gynecology, Lois Hole Hospital for Women, Edmonton, AB.
J Obstet Gynaecol Can. 2018 Jan;40(1):24-28. doi: 10.1016/j.jogc.2017.05.036. Epub 2017 Aug 30.
Studies from disciplines outside gynaecology have found that most patients do not understand the clinical responsibilities allocated to physicians-in-training. No research on this topic has been published in gynaecology, despite litigation against gynaecological surgeons regarding the role of residents in surgery. The goal of this research was to explore what gynaecological surgery patients understand about the role of resident doctors.
A questionnaire was distributed to female patients in gynaecological surgery pre-admission clinics in Edmonton, Alberta. Surveys included knowledge and opinion statements about residents' duties. Anonymous responses were entered into a secure database. Descriptive statistics were used to characterize the results.
Of 108 participants, 83% understood that residents had a higher level of training than medical students, yet 40% were unsure whether residents were doctors. Almost one half (43%) of participants were uncertain whether residents required supervision, including while operating (20%). Most (92%) believed it was important to know their physician's level of training, yet only 63% reported knowing this information. Only 50% of participants would be comfortable with residents operating on them under supervision. A considerable number (56%) wanted to learn more about residents' roles.
Patients do not fully understand the role of residents, and many are uncomfortable with trainees operating on them under supervision. Considering the significant role of residents in patient care, educating patients is essential to improve their comfort and the overall consent process.
来自妇科以外学科的研究发现，大多数患者不了解分配给住院医生的临床职责。尽管有针对妇科外科医生关于住院医生在手术中角色的诉讼，但尚未有关于该主题的研究发表在妇科领域。本研究的目的是探讨妇科手术患者对住院医生角色的理解。
向艾伯塔省埃德蒙顿市妇科手术入院前诊所的女性患者发放问卷。调查内容包括关于住院医生职责的知识和观点陈述。匿名回复被录入一个安全的数据库。使用描述性统计来描述结果。
在108名参与者中，83%的人理解住院医生的培训水平高于医学生，但40%的人不确定住院医生是否是医生。近一半（43%）的参与者不确定住院医生是否需要监督，包括手术时（20%）。大多数（92%）人认为了解医生的培训水平很重要，但只有63%的人表示知道这些信息。只有50%的参与者会接受住院医生在监督下为他们做手术。相当一部分人（56%）想更多地了解住院医生的角色。
患者不完全理解住院医生的角色，许多人对住院医生在监督下为他们做手术感到不安。考虑到住院医生在患者护理中的重要作用，对患者进行教育对于提高他们的舒适度和整个知情同意过程至关重要。
