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Patient satisfaction and resident postgraduate year status
Girish N Nadkarni1, Manpreet Singh Sabharwal, Natraj Reddy Ammakkanavar
1Department of Medicine, St Luke's Roosevelt Hospital Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
International Journal of Health Care Quality Assurance
|March 19, 2015
Summary
Patient satisfaction is higher with first-year residents (PGY1) compared to more experienced doctors. This suggests advanced trainees may need support to maintain interpersonal skills.
Area of Science:
- Medical Education Research
- Patient Experience Studies
- Healthcare Quality Improvement
Background:
- Patient satisfaction is a key healthcare metric.
- Limited data exists on the link between physician training level (postgraduate year - PGY) and patient satisfaction with interpersonal skills.
- Assessing this relationship is crucial for enhancing patient care.
Purpose of the Study:
- To investigate the association between doctor's PGY status and patient satisfaction with provider interpersonal and humanistic qualities.
- To utilize the American Board of Internal Medicine (ABIM) questionnaire for this assessment.
Main Methods:
- A survey was administered to patients and physicians at an urban academic hospital primary care clinic.
- The ABIM patient satisfaction instrument, focusing on humanistic qualities and communication, was used.
- Statistical analyses included Mann Whitney U test and logistic regression to compare PGY levels.
Main Results:
- Postgraduate Year 1 (PGY1) residents received higher patient satisfaction scores compared to PGY2/PGY3 residents.
- PGY1 residents were significantly more likely to achieve top-tier satisfaction scores, even after controlling for other factors.
Conclusions:
- This study is the first to link patient satisfaction directly to physician PGY status.
- Findings suggest that while clinical skills may advance with experience, interpersonal and humanistic qualities might decline.
- Interventions may be needed to support advanced trainees in maintaining communication skills and humanistic qualities under increasing stress.
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