在产科和妇科住院实习中探索存在主义
Mengyang Sun1, Karen George2, Jennifer M Keller3
1Flushing Hospital Medical Center, Flushing, New York.
Journal of surgical education
|September 19, 2025
概括
产科和妇科住院医生比项目主任有更高的存在率,通常是由于患者护理责任和同事的担忧. 支持出席缺席的文化提高了节目主任的工作满意度,而存在主义则对其产生了负面影响.
科学领域:
- 医学教育 医学教育
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
背景情况:
- 现场主义,即在生病时工作的做法,在医疗保健中越来越令人担忧.
- 了解产科和妇科 (OBGYN) 住院人员和项目主任 (PD) 的存在主义对于解决员工福利和计划有效性至关重要.
研究的目的:
- 调查 OBGYN 住院医生和 PD 之间存在的流行率和潜在原因.
- 探索影响现场主义的因素及其对PD工作满意度的影响.
主要方法:
- 在OBGYN居民和PD中进行了一项全国性调查,以收集有关现场主义,社会人口统计因素和计划特征的数据.
- 使用统计分析,包括Z测试,双变量分析,卡帕系数和多变量线性回归来研究差异和关系.
主要成果:
- 与PDs (21.2%) 相比,居民报告的出席率 (51.3%) 显著更高.
- 住院出席主义的主要原因包括担心同事覆盖班次和患者护理责任.
- 现在的PD有负面影响工作满意度,而对缺席的支持文化与它有积极的相关性.
结论:
- 在 OBGYN 居民中,存在主义比 PDs 更普遍.
- 机构政策和支持性的工作环境对于减轻现场主义和提高在职计划中的工作满意度至关重要.
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