....................................................................................................
Table 1
|
The changes in residents' career satisfaction, attitudes and emotional states before and after implementation of the duty hour requirements.
|
|
|
Selected group comparison
|
|
The entire cohort Post:Pre
|
PostV:PreM
|
PostNV:PreM
|
PostV:PostNV
|
|
|
Satisfaction
|
0.96
|
0.41
|
0.96
|
0.41
|
Competent
|
0.67
|
0.21
|
0.95
|
0.29
|
Excited
|
0.72
|
0.75
|
0.47
|
0.72
|
Important
|
0.50
|
0.69
|
0.82
|
0.51
|
Relieved
|
0.01
|
0.09
|
0.04
|
0.65
|
Useful
|
0.10
|
0.05
|
0.80
|
0.13
|
|
|
Angry
|
0.17
|
0.02
|
0.36
|
0.14
|
Anxious
|
0.73
|
0.27
|
0.39
|
0.20
|
Bored
|
0.04
|
0.01
|
0.40
|
0.11
|
Depressed
|
0.12
|
0.00
|
0.33
|
0.01
|
Defeated
|
0.06
|
0.00
|
0.03
|
0.06
|
Fatigued
|
0.66
|
0.00
|
0.19
|
0.00
|
Inferior
|
0.67
|
0.00
|
0.83
|
0.00
|
Lonely
|
0.29
|
0.00
|
0.52
|
0.00
|
Nervous
|
0.23
|
0.57
|
0.32
|
0.10
|
Overwhelmed
|
0.50
|
0.12
|
0.47
|
0.40
|
|
The p-values were computed by the Fisher's exact test. The p-values in italics are significant at 5% level.
• Selected group: residents from programs where there were violations.
• PostV: violators of the selected group in the survey after implementation.
• PostNV: non-violators of the selected group in the survey after implementation.
• PreM: pre intervention residents in those programs where there were violations in the post intervention survey. |
....................................................................................................
Table 2
|
The changes in residents' experience in positive and negative aspects of training.
|
|
The entire cohort
|
Selected group comparison
|
|
p-value
|
Proportion
|
p-value
|
Proportion
|
|
Post:Pre
|
Post
|
Pre
|
PostV:PreM
|
PostNV:PreM
|
PostV:PostNV
|
PostV
|
PostNV
|
PreM
|
|
|
Seeing sick people get better because of my action
|
0.26
|
0.84
|
0.87
|
0.22
|
0.36
|
0.52
|
0.84
|
0.87
|
0.91
|
Interacting with practicing physicians
|
0.52
|
0.71
|
0.69
|
0.34
|
0.84
|
0.27
|
0.74
|
0.65
|
0.66
|
Feeling the camaraderie of my peers
|
0.40
|
0.80
|
0.83
|
1.00
|
0.05
|
0.28
|
0.84
|
0.77
|
0.85
|
Earning a salary for practicing medicine
|
0.88
|
0.50
|
0.49
|
0.88
|
0.34
|
0.77
|
0.47
|
0.44
|
0.49
|
Being responsible for decisions regarding patients
|
0.16
|
0.71
|
0.75
|
0.38
|
0.57
|
0.61
|
0.72
|
0.75
|
0.78
|
Feeling competent about patient care
|
0.00
|
0.83
|
0.91
|
0.28
|
0.04
|
1.00
|
0.88
|
0.87
|
0.93
|
Contributing to the teaching program of students
|
0.88
|
0.63
|
0.62
|
0.27
|
0.76
|
0.36
|
0.58
|
0.65
|
0.66
|
Being legally responsible for patient care
|
0.78
|
0.08
|
0.07
|
0.28
|
0.31
|
0.06
|
0.12
|
0.05
|
0.07
|
Being finished with classroom duties
|
0.92
|
0.18
|
0.18
|
1.00
|
0.80
|
0.85
|
0.16
|
0.18
|
0.17
|
Knowing people look up to me
|
0.14
|
0.20
|
0.25
|
1.00
|
0.25
|
0.46
|
0.25
|
0.20
|
0.24
|
Establishing good communication with patients
|
0.74
|
0.74
|
0.75
|
0.49
|
0.56
|
0.29
|
0.72
|
0.79
|
0.76
|
Exercising good clinical judgment
|
0.19
|
0.83
|
0.87
|
0.03
|
0.89
|
0.04
|
0.75
|
0.87
|
0.88
|
Learning from interesting clinical cases
|
0.53
|
0.79
|
0.81
|
1.00
|
0.81
|
0.71
|
0.79
|
0.81
|
0.80
|
Having one less year to train
|
0.36
|
0.27
|
0.24
|
1.00
|
0.75
|
0.87
|
0.26
|
0.28
|
0.26
|
|
|
Meeting unrealistic expectations of faculty
|
0.94
|
0.33
|
0.33
|
0.01
|
0.92
|
0.02
|
0.51
|
0.33
|
0.33
|
Having no free time
|
0.25
|
0.63
|
0.67
|
0.72
|
0.13
|
0.19
|
0.79
|
0.69
|
0.76
|
Seeing patients die
|
0.00
|
0.31
|
0.21
|
0.12
|
0.02
|
1.00
|
0.33
|
0.33
|
0.23
|
Coping with patients who have self-destructive diseases
|
0.02
|
0.50
|
0.41
|
0.76
|
0.10
|
0.55
|
0.53
|
0.58
|
0.50
|
Worrying about money decisions
|
0.51
|
0.50
|
0.47
|
0.18
|
0.63
|
0.30
|
0.56
|
0.48
|
0.46
|
Being required to make decisions beyond my competence
|
0.35
|
0.24
|
0.27
|
0.87
|
0.23
|
0.60
|
0.26
|
0.23
|
0.28
|
Getting too little sleep
|
0.01
|
0.55
|
0.65
|
0.61
|
0.02
|
0.44
|
0.70
|
0.63
|
0.74
|
Having to see too many patients in too little time
|
0.88
|
0.43
|
0.44
|
0.01
|
1.00
|
0.01
|
0.68
|
0.48
|
0.49
|
Dealing with angry, unresponsive, disrespectful patients
|
0.83
|
0.46
|
0.47
|
0.45
|
0.63
|
0.24
|
0.60
|
0.50
|
0.53
|
Missing my family/spouse
|
0.46
|
0.56
|
0.59
|
0.05
|
0.27
|
0.01
|
0.79
|
0.60
|
0.65
|
Feeling uncertain about my medical decisions
|
0.77
|
0.41
|
0.39
|
1.00
|
0.92
|
0.88
|
0.40
|
0.39
|
0.40
|
Endless gray clouds; never seeing the sun rise or set
|
0.40
|
0.24
|
0.27
|
0.20
|
0.19
|
0.03
|
0.39
|
0.24
|
0.30
|
Coping with different advice/opinion/instructions of consulting staff
|
0.03
|
0.31
|
0.39
|
0.36
|
0.27
|
0.88
|
0.32
|
0.33
|
0.39
|
Feeling anxious about my ability to perform physician skills
|
0.06
|
0.32
|
0.39
|
0.45
|
0.03
|
0.53
|
0.37
|
0.32
|
0.43
|
Being criticized or put down by consulting staff
|
0.86
|
0.22
|
0.23
|
0.03
|
0.82
|
0.02
|
0.39
|
0.23
|
0.24
|
Seeing the same kinds of patients over and over
|
1.00
|
0.08
|
0.08
|
0.64
|
0.40
|
0.30
|
0.12
|
0.08
|
0.10
|
Spending too much time with paperwork
|
0.24
|
0.60
|
0.56
|
0.12
|
0.92
|
0.06
|
0.72
|
0.60
|
0.60
|
|
|
The p-values were computed by the Fisher's exact test followed by the corresponding proportions of "yes" responses to each question. The p-values in italics are significant at 5% level. For details of the column headings, see Figure 1 caption. |
....................................................................................................
Answers to all your Biology Questions
