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Satisfaction with the Internal Medicine Internship, what do we think?

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Resumo:Introduction: Internship is crucial to the quality of medical care. This study aims to identify factors influencing the satisfaction with the Portuguese Internal Medicine internship program. Material & Methods: Observational, transversal, analytic study. A focus group selected questions for an online anonymous questionnaire, determining Interns demographic data, as well as satisfaction rates in the various learning scenarios, working conditions and dynamics. Results: We collected 213 valid questionnaires (estimated response rate of 28.4%). Average global satisfaction with the internship was 4.05/6 (±1.14). The most unsatisfied residents were those with more weekly working hours (p =0.018) hours in the emergency department (p = 0.010), worst working environment among residents (p <0.001) and higher frequency of taking decisions they felt unprepared to (p <0.001). A statistical model identified as satisfaction predicting factors (p <0.001): satisfaction with training in the ward, in the emergency department and in the outpatient setting as well as satisfaction with their mentor; accounting for 69.0% of the satisfaction with the internship (R2=0.69; R2a=0.68). Discussion: The quality of the training in the emergency department, as well as the long hours and the difficult decision making, contribute to lower satisfaction rates. The prediction model identified as key aspects of residency satisfaction, the quality in the emergency and outpatient settings, as well the satisfaction with the mentor. Conclusion: Portuguese Internal Medicine residents are overall satisfied with their training. Training in the ward, emergency and outpatient settings are key aspects to consider in order to improving internship.
Autores principais:Teixeira Pinto, Cristina
Outros Autores:Pinheiro Sá, Ana; Veríssimo, Rafaela; Vilas-Boas, Andreia; Firmino Machado, João
Assunto:Educação Médica Internato Mentores Medicina Interna Questionários Medical Education Internship and Residency Mentors Internal Medicine Questionnaires
Ano:2015
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Sociedade Portuguesa de Medicina Interna
Idioma:português
Origem:Revista Portuguesa de Medicina Interna

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