Lafraia Fernanda M, Herbella Fernando A M, Kalluf Julia R, Schlottmann Francisco, Patti Marco G
Department of Surgery, Federal University of São Paulo, São Paulo, Brasil.
Department of Surgery, University of North Carolina, Chapel Hill, United States.
Rev Assoc Med Bras (1992). 2019 Mar;65(3):348-354. doi: 10.1590/1806-9282.65.3.348. Epub 2019 Apr 11.
Residency programs, especially in surgery, have been undergoing constant changes. The profile of residents in surgical fields is changing too since residents are now part of the Generation Y (Millenials). This change in profile mandates a re-evaluation to adapt surgical residency programs. Six years ago, we carried out a study evaluating attitudes and experiences during training, and the professional expectations of residents. This study aims to survey surgical residents to evaluate current attitudes, experiences, and expectations.
We surveyed 50 residents to determine professional satisfaction, residency-program satisfaction, future expectations, financial expectations, and correct attitude towards patients.
Our results show that half of the residents are satisfied with the residency program. However, dissatisfaction reaches 40% on surgical volume and 80% on mentorship; 62% of the residents are not confident to perform operations after the residency, the majority believes a specialization is necessary; most residents believe financial compensation will decrease with time, but concerns with reimbursement are low; and most residents are worried about injuring patients, but only two thirds are satisfied working with patients.
Current residents present lower job satisfaction and more criticism of teaching techniques. These changes compared to previous results match the profile of Generation Y, who is more iconoclastic when compared to previous generations.
住院医师培训项目，尤其是外科领域的项目，一直在不断变化。外科领域住院医师的情况也在改变，因为现在的住院医师属于Y世代（千禧一代）。这种情况的变化要求重新评估以调整外科住院医师培训项目。六年前，我们开展了一项研究，评估培训期间的态度和经历以及住院医师的职业期望。本研究旨在对外科住院医师进行调查，以评估他们当前的态度、经历和期望。
我们对50名住院医师进行了调查，以确定职业满意度、住院医师培训项目满意度、未来期望、经济期望以及对患者的正确态度。
我们的结果显示，一半的住院医师对住院医师培训项目感到满意。然而，对手术量的不满率达到40%，对导师指导的不满率达到80%；62%的住院医师在完成住院医师培训后对进行手术没有信心，大多数人认为有必要进行专科培训；大多数住院医师认为经济补偿会随着时间减少，但对报销的担忧较低；大多数住院医师担心伤害患者，但只有三分之二的人对与患者共事感到满意。
当前的住院医师工作满意度较低，对教学技巧的批评更多。与之前的结果相比，这些变化符合Y世代的特点，与前几代人相比，Y世代更具打破传统的精神。
