Walker Laura E, Colletti James E, Bellolio M Fernanda, Nestler David M
Mayo Clinic, Rochester, MN, USA.
J Patient Exp. 2019 Sep;6(3):210-215. doi: 10.1177/2374373518798098. Epub 2018 Sep 4.
Patient satisfaction surveys are vital to measuring a patient's experience of care. How scores of patients managed by emergency medicine (EM) residents change as residents progress through training is not known.
To evaluate whether EM residents' patient satisfaction scores improve as residency training progresses, similar to clinical skill improvement.
A retrospective cross-sectional study evaluated the correlation of patient satisfaction scores with EM resident year of training from 2015 through 2017. We evaluated for a change in score over time for the 4 "physician questions" and the "overall" score.
We evaluated 1684 Press Ganey surveys linked to 40 EM resident physicians during the study period. The mean top box scores for the 4 physician questions (concern for comfort [ = .72], courtesy [ = .55], informative about treatment [ = .46], and listening [ = .91]) and overall assessment of emergency department care ( = .51) were not significantly improved over the course of resident.
We did not observe a difference in EM residents' patient experience scores as their level of training progressed. Comprehensive patient experience training for residents might be needed.
患者满意度调查对于衡量患者的就医体验至关重要。急诊医学（EM）住院医师管理的患者评分如何随住院医师培训进程而变化尚不清楚。
评估EM住院医师的患者满意度评分是否会随着住院医师培训的进展而提高，类似于临床技能的提高。
一项回顾性横断面研究评估了2015年至2017年患者满意度评分与EM住院医师培训年份之间的相关性。我们评估了4个“医生问题”和“总体”评分随时间的变化。
在研究期间，我们评估了与40名EM住院医师相关的1684份Press Ganey调查问卷。4个医生问题（对舒适度的关注[ =.72]、礼貌[ =.55]、治疗信息[ =.46]和倾听[ =.91]）以及急诊科护理总体评估（ =.51）的平均最高等级评分在住院医师培训过程中没有显著提高。
随着培训水平的提高，我们未观察到EM住院医师患者体验评分的差异。可能需要对住院医师进行全面的患者体验培训。
