Wortmann R L, Costrini N V, Adams N D
J Med Educ. 1982 Apr;57(4):288-93. doi: 10.1097/00001888-198204000-00003.
Individuals occupying the position of chief medical resident have the opportunity to influence significantly the quality and tenor of medical education and medical practice. To assess the status of the position, the authors surveyed chief medical residents completing their tenure in 1980. These residents distributed their time among administrative (41 percent), teaching (35 percent), patient care (21 percent), and research (3 percent) activities. They reported that their experience was quite positive. However, overall satisfaction was significantly negatively correlated with percentage of time spent performing administrative tasks. The percentage of time chief medical residents allocate to administration has increased during the past decade, while time spent teaching and delivering patient care has decreased. Based upon this survey, recommendations for improved utilization of the time and talents of these individuals are presented.
担任总住院医师职位的人员有机会对医学教育和医疗实践的质量及发展方向产生重大影响。为评估该职位的现状，作者对1980年任期已满的总住院医师进行了调查。这些住院医师将时间分配在行政工作（41%）、教学（35%）、患者护理（21%）和研究（3%）活动上。他们表示自己的经历相当积极。然而，总体满意度与执行行政任务所花费时间的百分比显著负相关。在过去十年中，总住院医师分配给行政工作的时间百分比有所增加，而用于教学和提供患者护理的时间则减少了。基于这项调查，本文提出了关于更好地利用这些人员的时间和才能的建议。
