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Related Experiment Videos

Quantitating qualitative issues in residency training: development and testing of a scaled program evaluation

C B Seelig1

  • 1University of North Carolina, Chapel Hill.

Journal of General Internal Medicine
|November 1, 1993
PubMed
Summary

A new questionnaire effectively measures resident satisfaction with workload, learning environment, and stress. Increased on-call hours significantly worsened resident stress and satisfaction.

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Area of Science:

  • Medical education research
  • Program evaluation methodologies
  • Resident well-being studies

Background:

  • Resident satisfaction is crucial for effective medical training.
  • Existing evaluation tools may not adequately capture workload, learning environment, and stress.
  • Developing validated instruments is essential for program improvement.

Purpose of the Study:

  • To develop and validate a scaled questionnaire for assessing resident satisfaction.
  • To evaluate resident perceptions of workload, learning environment, and stress.
  • To identify factors influencing resident satisfaction and well-being.

Main Methods:

  • A 33-item Likert-scaled questionnaire was developed through literature review and pilot testing.
  • Phase 1 involved factor analysis of 92 resident responses from five programs.

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  • Phase 2 prospectively evaluated questionnaire responses over three years in one program, correlating with program changes.

    • Main Results:

    • Factor analysis identified three distinct scales: workload, faculty/learning environment, and stress.
    • First-year residents reported lower stress and higher satisfaction than senior residents.
    • Increased senior resident on-call hours significantly elevated stress and decreased satisfaction with the learning environment.

    Conclusions:

    • The developed questionnaire is a valid tool for program evaluation in medical residency.
    • Programmatic changes, such as increased call burden, directly impact resident well-being.
    • Widespread use of such instruments can lead to more responsive training environments and improved trainee experiences.