Trainee satisfaction in surgery residency programs: modern management tools ensure trainee motivation and success.

Details

Serval ID
serval:BIB_6840E8152402
Type
Article: article from journal or magazin.
Collection
Publications
Title
Trainee satisfaction in surgery residency programs: modern management tools ensure trainee motivation and success.
Journal
Surgery
Author(s)
von Websky M.W., Oberkofler C.E., Rufibach K., Raptis D.A., Lehmann K., Hahnloser D., Clavien P.A.
ISSN
1532-7361 (Electronic)
ISSN-L
0039-6060
Publication state
Published
Issued date
2012
Volume
152
Number
5
Pages
794-801
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
OBJECTIVE: To assess trainee satisfaction in their surgery residency with a validated instrument and identify the contributing factors.
BACKGROUND: Currently, surgery is deemed unattractive by medical students and ignored by many candidates planning to enter an academic career. New insights on the rational for such lack of interest are needed. Job satisfaction is a central concept in organizational and behavioral research that is well understood by large companies such as Google, IBM, and Toyota. Similar assessment can likewise be used to improve trainee satisfaction in surgery residency.
METHODS: A survey among 2039 surgery residents was conducted in three European countries analyzing satisfaction at work using the Global Job Satisfaction Instrument (validated in Emergency Room physicians). Crucial factors covering different aspects of surgery residency where identified using the GJS instrument combined with multiple logistic regression analysis.
RESULTS: With an overall response rate of 23%, we identified trainee dissatisfaction in one third of residents. Factors affecting satisfaction related almost exclusively to training issues, such as assignment of surgery procedures according to skills (OR 4.2), training courses (OR 2.7), availability of a structured training curriculum (OR 2.4), bedside teaching, and availability of morbidity-mortality conferences (OR 2.3). A good working climate among residents (OR 3.7) and the option for part time work (OR 2.1) were also significant factors for trainee satisfaction. Increased working hours had a modest (OR 0.98)-though cumulative- negative effect. The sex of the trainee was not related to trainee satisfaction.
CONCLUSION: Validated measurement of job satisfaction as used in the industry appears to be an efficient tool to assess trainee satisfaction in surgery residency and thereby identify the key contributing factors. Improvement of conceptual training structures and working conditions might facilitate recruitment, decrease drop-out, and attract motivated candidates with possibly better quality of care.
Keywords
Adult, Consumer Satisfaction/statistics & numerical data, Europe, Female, General Surgery/education, General Surgery/statistics & numerical data, Humans, Internship and Residency/economics, Internship and Residency/standards, Male, Middle Aged
Pubmed
Web of science
Create date
30/09/2014 14:24
Last modification date
20/08/2019 14:23
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