Chan Jeremy, Oo Shwe, Yeatman Mark
Department of Cardiothoracic Surgery, Morriston Hospital, Swansea, UK.
Department of Cardiothoracic Surgery, Bristol Heart Institute, Bristol, UK.
J Card Surg. 2019 Oct;34(10):1069-1074. doi: 10.1111/jocs.14211. Epub 2019 Aug 7.
The national training surveys was first started in 2006, with an aim to determine the quality of the national training standard. All trainees working in a General Medical Council approved training post are required to complete the survey. We aimed to evaluate cardiothoracic trainees' satisfaction and determine whether there is variation in the United Kingdom.
The national training survey report in cardiothoracic surgery from 2012 to 2019 was obtained from the General Medical Council website. The cardiothoracic centers were divided based on their geographic locations. Comparisons in all 18 indicators in the national training surveys report were made between the four counties (national) and four local education training boards (LETBs) in England (Regional). Centers with less than 4 years of data were excluded from this study.
Thirty-three cardiothoracic centers are included in this study The top three areas that trainees are most satisfied are clinical supervision (out of hours) (91.65), clinical supervision (90.65), and educational supervision (88.27). On the other hand, trainees are less satisfying with the handover (62.63), rota design (61.91), and workload (45.07). It is worth noting that workload is the only area of less than 60%. In addition, there is no national variation in all 18 indicators CONCLUSION: Our data suggested that there is no difference in overall trainee satisfaction in the United Kingdom. However, there are differences in various indicators between England and the three other nations. Individual hospital should reflect on trainees' evaluation on the national training surveys report and improve on specific areas if deemed unsatisfactory.
全国培训调查于2006年首次开展，旨在确定国家培训标准的质量。所有在英国医学总会认可的培训岗位工作的学员都必须完成该调查。我们旨在评估心胸外科培训学员的满意度，并确定英国是否存在差异。
从英国医学总会网站获取2012年至2019年心胸外科全国培训调查报告。心胸外科中心根据地理位置进行划分。在全国培训调查报告的所有18项指标上，对四个郡（全国范围）和英格兰的四个地方教育培训委员会（地区）进行了比较。数据少于4年的中心被排除在本研究之外。
本研究纳入了33个心胸外科中心。学员最满意的前三个方面是临床监督（非工作时间）（91.65）、临床监督（90.65）和教育监督（88.27）。另一方面，学员对交接班（62.63）、排班设计（61.91）和工作量（45.07）不太满意。值得注意的是，工作量是唯一低于60%的领域。此外，所有18项指标在全国范围内均无差异。结论：我们的数据表明，英国学员的总体满意度没有差异。然而，英格兰与其他三个国家在各项指标上存在差异。各医院应参考学员在全国培训调查报告中的评价，对不满意的特定领域进行改进。
