THE OPINION OF THE RESIDENTS. SATISFACTION AND EXPECTATIONS REGARDING SPECIALIST TRAINING
T. Yera, T. Campos, R. Serrano, ...
Upcoming SlideShare
Loading in …5
×

THE OPINION OF THE RESIDENTS. SATISFACTION AND EXPECTATIONS REGARDING SPECIALIST TRAINING

275 views

Published on

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
275
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

THE OPINION OF THE RESIDENTS. SATISFACTION AND EXPECTATIONS REGARDING SPECIALIST TRAINING

  1. 1. THE OPINION OF THE RESIDENTS. SATISFACTION AND EXPECTATIONS REGARDING SPECIALIST TRAINING T. Yera, T. Campos, R. Serrano, C. Cortes-Martinez Regional Ministry of Health. Regional Government of Andalusia e-mail:trinidad.yera@juntadeandalucia.es The Andalusian Regional Ministry of Health is responsible for training residents in Andalusia. In order to improve training processes it is particularly important to know the level of satisfaction and the expectations held by housemen during their training period . In 2008 the Institute for Advanced Social Studies (a public research centre) was charged with performing a survey to discover, from the point of view of the residents, what training process they undergo during their residency and whether or not this satisfies the demands of the Andalusian Public Health System. The survey also attempted to analyse to what extent the Public Health System is prepared for training residents. 1. To reveal the healthcare culture of residents. 2. To analyse to what extent university education fulfils the needs of the APHS, the strengths and weaknesses of the same, and possible improvements which could be introduced to facilitate the transition from university education to resident training. 3. To reconstruct, based on the opinions of residents, the practical training they receive during their residency and determine whether or not this really responds to APHS demands. 4. To assess to what extent the APHS is prepared for training housemen, both with regard to the skills of tutors and specialists material resources needed for the task. 5. To note what residents expect from their training, their level of satisfaction with the same and their suggestions for improving the process. 6. To discover whether or not their opinion changes during their training period and the way and extent to which it varies. DESCRIPTION OF WHAT WAS DONE/ METHODOLOGY INTRODUCTION OR IDENTIFICATION OF NEED OBJECTIVES/PURPOSES OF THE WORK CONCLUSION Although the residency period amply achieves its aim of training healthcare professionals, more progress is needed in some well-defined areas. 1 A smoother progression period should be established before assuming responsibilities 1 Efforts should be made to establish a greater balance between practical and theoretical training 2 Tutors should be trained and qualified 3 Communication with residents should be improved 4 Involvement of residents should be encouraged 6 Efforts should be made to establish training and performance protocols: systematising residency but endeavouring to be flexible enough to attend to the specific needs of each centre, each speciality and even each trainee Methodology : qualitative. Specifically, two techniques were chosen. l. One was the open interview, based on establishing a dialogue between the researcher and a subject whose opinion or perspective of the aim of the survey is particularly relevant because of his or her privileged connection with the social situation being researched. 2. The other technique was the discussion group. This consisted of four groups of residents distributed according to region and training year. Source: Survey on the expectations of residents, 2008-2009 (IESA-CSIC). *Mean (0-100), where 0 corresponds to “Only Training” and100 corresponds to “Only Work”. Opinions, preferences and expectations regarding residency Agreement with the following statements concerning tutors Source: Survey on the expectations of residents(IESA-CSIC). •The importance percentage corresponds, on a 1 to 5 Likert scale, to 4 and 5 points, omitting the “don’t knows”. Contributors:Organised by: Opinion of APHS users Source: Survey on the expectations of residents, 2008-2009 (IESA-CSIC). 1. They give a positive rating to their university education, although they believe that there is insufficient practical training during the undergraduate study period 2. Their main expectations lie in obtaining new knowledge because they give greater priority to education than work during their residency period 3. The most important tasks undertaken by training tutors are supervision, assessment and guidance 4. Of the following aspects: training, work, research and rotations, training is given preference 5. With regard to their opinion of the work of a resident, they believe they will have too much work and have to assume responsibilities beyond those of a resident 6. Over 90% of the group consider the system of rotations to be necessary RESULTS 7. Of the group, 92.8% believe that patients make inappropriate use of healthcare resources 8. They believe that the Andalusian Public Health System has followed a negative evolutionary path during the past three years. Nevertheless, the public health service is rated higher when compared with private medical services mainly More training than Work Equal work and training More work than training Mainly work 70.0% No Answer Mean (0-100) Should be different each year Older tutors have more authority Tutors Know what is best for the resident Need to control the tutor Main role is is to motivate the resident Main role is is to motivate the resident Professional prestige Professional knowledge Attitudes of patients Professional communication skills Appropiate Quite appropiate Fairly appropiate Inappropiate Less demanding Equally demanding Very demanding Forgood doctor-patient relationships Usemade ofservice byusers Usersare 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

×