Piotrowski Madison, Stulberg Debra, Egan Mari
Pritzker School of Medicine, University of Chicago, Chicago, IL.
Department of Family Medicine, Pritzker School of Medicine, University of Chicago, Chicago, IL.
Fam Med. 2018 May;50(5):339-344. doi: 10.22454/FamMed.2018.169078.
Medical residents continue to experience high rates of burnout during residency training even after implementation of the 2003 Accreditation Council for Graduate Medical Education duty-hour restrictions. The purpose of this study is to determine medical student interest in flexible residency training options.
Researchers developed an 11-question survey for second through fourth-year medical students. The populations surveyed included medical students who were: (1) attending the 2015 American Academy of Family Physicians National Conference, the 2015 Family Medicine Midwest Conference, and (2) enrolled at University of Chicago Pritzker School of Medicine, University of Illinois College of Medicine at Chicago, Drexel University College of Medicine, and Case Western Reserve University School of Medicine.
The survey was completed by 789 medical students. Over half of medical students surveyed indicated that they would be interested in working part-time during some portion of their residency training (51%), and that access to part-time training options would increase their likelihood of applying to a particular residency program (52%). When given the option of three residency training schedules of varying lengths, 41% of male students and 60% of female students chose a 60-hour workweek, even when that meant extending the residency length by 33% and reducing their yearly salary to $39,000.
There is considerable interest among medical students in access to part-time residency training options and reduced-hour residency programs. This level of interest indicates that offering flexible training options could be an effective recruitment tool for residency programs and could improve students' perception of their work-life balance during residency.
即使在2003年研究生医学教育认证委员会实施了工作时长限制之后，住院医师培训期间的医学生倦怠率仍然居高不下。本研究的目的是确定医学生对灵活的住院医师培训选项的兴趣。
研究人员为大二至大四的医学生设计了一份包含11个问题的调查问卷。调查对象包括以下医学生：（1）参加2015年美国家庭医师学会全国会议、2015年中西部家庭医学会议的学生，以及（2）就读于芝加哥大学普利兹克医学院、伊利诺伊大学芝加哥分校医学院、德雷塞尔大学医学院和凯斯西储大学医学院的学生。
789名医学生完成了调查问卷。超过半数的受访医学生表示，他们有兴趣在住院医师培训的某些阶段从事兼职工作（51%），并且提供兼职培训选项会增加他们申请特定住院医师项目的可能性（52%）。当被问及三种不同时长的住院医师培训安排时，41%的男学生和60%的女学生选择了每周工作60小时的安排，即使这意味着住院医师培训时长延长33%，且年薪降至39,000美元。
医学生对获得兼职住院医师培训选项和缩短工作时长的住院医师项目有相当浓厚的兴趣。这种兴趣程度表明，提供灵活的培训选项可能是住院医师项目有效的招生工具，并且可以改善学生对住院医师培训期间工作与生活平衡的认知。
