Department of Surgery, Houston Methodist Hospital, TX.
George Washington University School of Medicine and Health Services, Washington, DC.
Surgery. 2021 Apr;169(4):830-836. doi: 10.1016/j.surg.2020.10.021. Epub 2020 Nov 24.
Patients play a crucial role in surgical training, but little is known about the public's knowledge of general surgery training structure or opinion of resident assessment. Our aim was to evaluate the public's knowledge of general surgery training and assessment processes.
We administered an anonymous, electronic survey to US adult panelists using SurveyGizmo. We used Dillman's Tailored Design Method to optimize response rate. Questions pertained to demographics, knowledge of general surgery training structure, and opinions regarding resident assessment. Outcome measures included public knowledge of the structure of general surgery residency and the perceptions of resident assessment. Univariate and multivariate statistics were used as appropriate.
Survey response rate was 93% (2005 of 2148). Respondents had nationally representative demographics. Most respondents had health insurance (87%). Sixty-one percent of respondents believed that 100% of hospitals trained residents. Age <40 years, Black race (odds ratio 1.48 [95% confidence interval (CI) 1.11-1.96]), working in a hospital/health care field (odds ratio 1.49 [95% CI 1.12-1.97]), and having a family member/close acquaintance working in a hospital/health care field (odds ratio 1.53 [95% CI .20-1.94]) were associated with this belief. There was a preference to obtain online information about medical training (30% television [TV] shows, 24% Internet searches, 5% social media). Eighty percent of respondents felt that resident self-assessment and patient assessment of residents was "important" or "essential" when considering readiness for independent practice.
The US public has limited knowledge of general surgery training and competency assessment. Public educational strategies may help inform patients about the structure of training and assessment of trainees to improve engagement of these important stakeholders in surgical training.
患者在外科培训中起着至关重要的作用，但人们对公众对普通外科培训结构的了解或对住院医师评估的看法知之甚少。我们的目的是评估公众对普通外科培训和评估过程的了解。
我们使用 SurveyGizmo 向美国成年小组人员进行了匿名电子调查。我们使用 Dillman 的定制设计方法来优化响应率。问题涉及人口统计学、普通外科培训结构的知识以及对住院医师评估的看法。结果包括公众对普通外科住院医师培训结构的了解和对住院医师评估的看法。根据需要使用单变量和多变量统计。
调查的回复率为 93%（2148 人中的 2005 人）。受访者具有全国代表性的人口统计学特征。大多数受访者都有医疗保险（87%）。61%的受访者认为 100%的医院都培训住院医师。年龄<40 岁（比值比 1.48[95%置信区间（CI）1.11-1.96]）、在医院/医疗保健领域工作（比值比 1.49[95%CI 1.12-1.97]）和有家庭成员/亲密熟人在医院/医疗保健领域工作（比值比 1.53[95%CI.20-1.94]）与这种信念相关。人们更倾向于通过在线获取有关医学培训的信息（30%的电视[TV]节目、24%的互联网搜索、5%的社交媒体）。80%的受访者认为，在考虑独立执业的准备情况时，住院医师的自我评估和患者对住院医师的评估“重要”或“必不可少”。
美国公众对普通外科培训和能力评估的了解有限。公众教育策略可能有助于告知患者培训结构和学员评估，以提高这些重要利益相关者对手术培训的参与度。
