Satisfaction with the Internal Medicine Internship, what do we think?
DOI:
https://doi.org/10.24950/rspmi.940Keywords:
Medical Education, Internship and Residency, Mentors, Internal Medicine, QuestionnairesAbstract
Introduction: Internship is crucial to the quality of medical
care. This study aims to identify factors influencing the satisfaction with the Portuguese Internal Medicine internship
program.
Material & Methods: Observational, transversal,
analytic study. A focus group selected questions for an online
anonymous questionnaire, determining Interns demographic
data, as well as satisfaction rates in the various learning scenarios, working conditions and dynamics.
Results: We collected 213 valid questionnaires (estimated response rate of 28.4%). Average global satisfaction with the
internship was 4.05/6 (±1.14). The most unsatisfied residents
were those with more weekly working hours (p =0.018) hours
in the emergency department (p = 0.010), worst working environment among residents (p <0.001) and higher frequency of taking decisions they felt unprepared to (p <0.001). A
statistical model identified as satisfaction predicting factors
(p <0.001): satisfaction with training in the ward, in the emergency department and in the outpatient setting as well as
satisfaction with their mentor; accounting for 69.0% of the
satisfaction with the internship (R2=0.69; R2a=0.68).
Discussion: The quality of the training in the emergency department, as well as the long hours and the difficult decision
making, contribute to lower satisfaction rates. The prediction
model identified as key aspects of residency satisfaction, the
quality in the emergency and outpatient settings, as well the
satisfaction with the mentor.
Conclusion: Portuguese Internal Medicine residents are overall satisfied with their training. Training in the ward, emergency
and outpatient settings are key aspects to consider in order
to improving internship.
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