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Related Experiment Videos

Resident preparedness for practice: a longitudinal cohort study.

Kenneth B Roberts1, Susan Starr, Thomas G DeWitt

  • 1Moses Cone Health System, Greensboro, NC 27401, USA. Kenneth.Roberts@mosescone.com

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
|April 3, 2002
PubMed
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Physician preparedness for practice remains high over time, with significant improvements noted in specific clinical areas. However, some areas of perceived weakness persist years after residency.

Area of Science:

  • Medical Education
  • Physician Training
  • Practice Preparedness

Background:

  • Assessing physician preparedness is crucial for effective medical training.
  • Continuity experiences during residency may influence long-term practice confidence.

Purpose of the Study:

  • To evaluate changes in perceived practice preparedness among physicians over time.
  • To identify specific areas where preparedness perception evolves or remains static.

Main Methods:

  • A longitudinal questionnaire survey was conducted with University of Massachusetts residents.
  • Responses from an initial survey were compared with a follow-up survey conducted 5 years later.
  • Statistical analysis (Wilcoxon rank sum test) and supplementary questionnaires were used to assess changes in confidence.

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Main Results:

  • Overall sense of preparedness remained consistently high between the initial survey and the 5-year follow-up.
  • Statistically significant increases in preparedness perception were observed in common illnesses, office gastroenterology, and office gynecology.
  • Six areas, including nutrition, patient scheduling, cost-effectiveness, telephone management, office gynecology, and orthopedics, continued to be rated with relatively low preparedness.

Conclusions:

  • Physicians generally feel well-prepared for practice upon entry and maintain this perception years later.
  • While confidence improved in nutrition, patient scheduling, and telephone management, persistent challenges were noted in cost-effectiveness, gynecology, and orthopedics.
  • Further research is warranted to investigate if areas of initial weakness remain so long-term.