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兽医麻醉住院医师的培训满意度和幸福感:是采取行动的时候了。

Training satisfaction and well-being among veterinary anaesthesia residents: time for action.

机构信息

ChesterGates Veterinary Specialists CVS UK (Ltd.), Chester, UK.

ChesterGates Veterinary Specialists CVS UK (Ltd.), Chester, UK.

出版信息

Vet Anaesth Analg. 2023 Jan;50(1):9-20. doi: 10.1016/j.vaa.2021.06.016. Epub 2021 Sep 23.

Abstract

OBJECTIVE

To explore the satisfaction and well-being experienced by anaesthesia residents during their training, and to investigate factors that may have influenced their experiences.

STUDY DESIGN

Cross-sectional online anonymous voluntary survey.

SAMPLE POPULATION

A total of 150 (of approximately 600 canvassed) former veterinary anaesthesia residents.

METHODS

Participants were invited to complete an internet-based survey regarding the satisfaction and well-being experienced during their residency. Multiple choice, categorical, dichotomous, Likert-type rating scales and slider questions were used to investigate five domains (demographic, working conditions, educational environment, training satisfaction, well-being). Sampling adequacy, questionnaire reliability and participant responses were investigated by Kaiser-Meyer-Olkin (KMO) indices, Cronbach's α and standard statistical techniques, respectively (p < 0.05).

RESULTS

The questionnaire demonstrated good sampling adequacy (median KMO index 0.74; range 0.51-0.89) and high item 'reliability' (α = 0.82-0.94). Of the 150 responders, (25% participation rate) 62% were satisfied, 14% were neutral and 24% were dissatisfied with their residency training; 60.6% would do the residency again, 39.3% would not or were unsure. Sex and age did not correlate with training satisfaction (p > 0.05). Salary/stipend was considered inadequate by 70% of responders; 66% received no on-call supplement. Greater supervisory input, a good working environment and extra income when on-call were positively correlated with training satisfaction (p < 0.01). The majority (94.6%) of trainees suffered from at least one medical condition during their residency, with fatigue, sleep disturbance or anxiety reported by > 62%.

CONCLUSIONS

Although a quarter of responders were dissatisfied with their residency, several modifiable factors were identified, particularly with respect to supervisors' input, working environment and pay, which could inform improvements for future residency programmes. Most trainees experienced negative health impacts; however, this parallels the general situation in both the medical and veterinary professions, which requires greater attention from the supervisors, trainees and colleges.

摘要

目的

探讨麻醉住院医师培训期间的满意度和幸福感,并调查可能影响其体验的因素。

研究设计

横断面在线匿名自愿调查。

样本人群

共 150 名(调查约 600 名中的)前兽医麻醉住院医师。

方法

邀请参与者完成一项关于住院医师期间的满意度和幸福感的在线调查。使用多项选择、分类、二分、李克特量表和滑块问题来调查五个领域(人口统计学、工作条件、教育环境、培训满意度、幸福感)。采用 Kaiser-Meyer-Olkin(KMO)指数、Cronbach's α 和标准统计技术分别调查样本充足性、问卷信度和参与者反应(p<0.05)。

结果

问卷显示出良好的抽样充足性(中位数 KMO 指数 0.74;范围 0.51-0.89)和高项目“可靠性”(α=0.82-0.94)。在 150 名应答者中(参与率 25%),62%对住院医师培训感到满意,14%中立,24%不满意;60.6%会再次接受住院医师培训,39.3%不会或不确定。性别和年龄与培训满意度无关(p>0.05)。70%的应答者认为薪酬过低;66%没有获得值班补贴。更多的监督投入、良好的工作环境和值班时的额外收入与培训满意度呈正相关(p<0.01)。大多数(94.6%)受训者在住院医师培训期间至少患有一种疾病,62%以上报告疲劳、睡眠障碍或焦虑。

结论

尽管四分之一的应答者对住院医师培训不满意,但确定了几个可修改的因素,特别是关于主管的投入、工作环境和薪酬,这可为未来的住院医师培训计划提供改进建议。大多数受训者都经历了负面的健康影响;然而,这与医疗和兽医行业的总体情况类似,需要主管、受训者和学院更加关注。

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