属于外科住院:一个全国性的队列研究
Rachael C Acker1,2,3, Carol Barry4, James E Sharpe1
1From the Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA.
概括
外科住院医生经历了各种各样的归属感,受到家乡邻近和压力水平的影响. 非白人居民报告说,他们的归属程度较低,这凸显了对包容性居住计划的需求.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 归属感,需要有意义的关系,对于学术和心理健康至关重要.
- 影响在外科实习生中归属的因素尚未得到充分理解.
- 了解归属对于培养支持性的培训环境至关重要.
研究的目的:
- 调查一般外科住院医生中与归属相关的患病率和因素.
- 识别与外科训练中归属感相关的个人,项目和地理特征.
主要方法:
- 在全国范围内对整体外科住院医生进行了一项在职培训考试后的调查.
- 一个经过验证的11项仪器测量了属于 (尺度11-55).
- 用回归模型收集和分析了人口统计,家乡,压力和计划特征的数据.
主要成果:
- 6166名居民 (58.9%的响应率) 报告了47的中位数归属得分.
- 归属与在家乡附近的培训,更高的研究生年和更低的压力有积极的相关性.
- 非白人种族与较低的归属分数有关,检查的因素解释了16%的变化.
结论:
- 在全国范围内,外科住院医生的属性存在显著差异.
- 个人,计划和地理因素不完全解释了归属的变化.
- 衡量归属和提供支持是创建包容性外科文化的第一步.
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