Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.06.004
Brazilian Journal of Anesthesiology
Original Investigation

Anesthesiologists’ perception on their residency training

Percepção do anestesiologista sobre seu treinamento na residência

Lilian V. Mottana; Cleidilene R Magalhães; Clovis T Bevilacqua Filho; Patrick Dubugras Barone; Geraldo P Jotz

http://dx.doi.org/10.1016/j.bjane.2021.06.004 Braz J Anesthesiol, vol.72, n1, p.37-43, 2022
PDF English
PDF Português
SciELO
Downloads: 0
Views: 658

Abstract

Background: Self-regulated professions such as medicine are characterized by professional commitment to the public they serve and require life-long development of expected skills. There is a paucity of data regarding quality of training during residency in anesthesiology. The objective of this study was to create an instrument to assess the anesthesiologists’ perception regarding the quality of their training during medical residency.

Methods: An electronic questionnaire was sent to 120 anesthesiologists, assuming 15% response rate for worst case scenario, considering a number of 613 potential respondents. The answers to the questionnaire were submitted to psychometric evaluation through internal consistency analysis measured by the Cronbach’s alpha coefficient, and factorial analysis by the principal components’ method with varimax rotation method with Kaiser normalization. The level of Concordance (C) and Disaccord (D) of each item were compared byz tests (consensus if p < 0.05). A question asking the respondents if they would recommend their training center to a relative or a friend was added to the questionnaire and considered as a secondary outcome.

Results: One hundred and one responses were obtained. The Cronbach’s alpha value was 0.86, suggesting good reliability of the questionnaire. The initial analysis including all the 14 items presented on the questionnaire demonstrated that four components obeyed the Kaiser criterion, depicting 68.20% of variance. Consensus was achieved among participants regarding all items of the questionnaire. The medical residency in anesthesiology was recommended by 93% of the participants. Preceptors were considered role-models by 83% of the participants. Acquisition of practical skills was better evaluated in comparison to other areas.

Conclusion: The questionnaire effectively characterized the perception of anesthesiologists regarding the quality of their training during medical residency. The information produced by this instrument could provide interesting clues on the quality of residency programs, pointing out areas of education that need more attention.

Keywords

Anesthesiology, Medical residency, Medical education

Palavras-chave

Anestesiologia, Residência médica, Educação médica

References

1 Duffy FD, Holmboe ES. Self-assessment in lifelong learning and improving performance in practice: Physician know thyself. J Am Med Assoc. 2006;296:1137-9.

2 Irvine D. The performance of doctors I: Professionalism and self-regulation in a changing world. Br Med J. 1997;314:1540-2.

3 Epstein RM, Hundert EM. Defining and assessing professional competence. J Am Med Assoc. 2002;287:226-35.

4 Larsson J, Holmström I. Understanding anesthesia training and trainees. Curr Opin Anaesthesiol. 2012;25:681-5.

5 Nunes TPM, Michel JLM, Haddad AE, et al. A residência médica, a preceptoria, a supervisão e a coordena¸cão. Cad Bras Med. 2011;7:35-40.

6 Mattar FN, Oliveira B, Motta SL. Outras formas de amostragens probabilísticas e o tamanho amostral. In: Mattar FN, editor. Pesquisa de Marketing: Metodologia, planejamento, execu¸cão e análise. 7 ed. Rio de Janeiro: Elsevier Ltd; 2014. p. 213-44.

7 Bould MD, Crabtree NA, Naik VN. Assessment of procedural skills in anaesthesia. Br J Anaesth. 2009;103:472-83.

8 Kim YM. Validation of psychometric research instruments: the case of information science. J Am Soc Inform Sci and Tech. 2009;60:1178-91.

9 Yang H, Wilson-Yang K, Raymer K. Recruitment in anaesthesia: results of two national surveys. Can J Anaesth. 1994;41:621-7.

10 Slotnick HB. How doctors learn: education and learning across the medical-school-to-practice trajectory. Acad Med. 2001:1013-26.

11 de Oliveira Filho GR. The construction of learning curves for basic skills in anesthetic procedures: an application for the cumulative sum method. Anesth Analg. 2002;95:422-6.

12 Sivarajan M, Miller E, Hardy C, et al. Objective evaluation of clinical performance and correlation with knowledge. Anesth Analg. 1984;63:603-7.

13 de Oliveira Filho GR, Schonhorst L. Attitudes of residents and anesthesiologists toward basic sciences. Anesth Analg. 2006;103:137-43.

14 Wood DF. Problem based learning. In: Cantillon P, Hutchinson L, Wood D, editors. ABC of learning and teaching in Medicine. 1 ed. London: BMJ Publishing Group Ltd; 2003. p. 08-11.

15 Custers EJFM, Ten Cate OTJ. Medical students’ attitudes towards and perception of the basic sciences: A comparison between students in the old and the new curriculum at the University Medical Center Utrecht, The Netherlands. Med Educ. 2002;36:1142-50.

16 Kauffman D, Mann K. Basic sciences in problem-based learning and conventional curricula: Students’ attitudes. Med Educ. 2009;31:177-80.

17 Maggi West SP, Kaufaman A, Galey W. Medical Students’ attitudes toward basic sciences: influence of a primary care curriculum. Med Educ. 1982;16:188-91.

18 Salinas-Miranda AA, Shaffer-Hudkins EJ, Bradley-Klug KL, et al. Student and resident perspectives on professionalism: beliefs, challenges, and suggested teaching strategies. Int J Med Educ. 2014;5:87-94.

19 Bahaziq W, Crosby E. Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency. Can J Anesth. 2011;58:1039-50.

20 Flin R, Patey R, Glavin R, et al. Anaesthetists’ non-technical skills. Br J Anaesth. 2010;105:38-44.

21 Matveevskii A, Moore DL, Samuels PJ. Competency and professionalism in medicine. Clin Teach. 2012;9:75-9.

22 Mcgaghie WC. Professional Competence Evaluation. Educ Res. 1991;20:3-9.

23 de Oliveira Filho GR, Dal Mago AJ, Garcia JHS, et al. An instrument designed for faculty supervision evaluation by anesthesia residents and its psychometric properties. Anesth Analg. 2008;107:1316-22.

24 Borman W. Effects of instructions to avoid halo error on reliability and validity of performance evaluation ratings. J Appl Psychol. 1975;60:556-60.

25 Santos EG, Ferreira RR, Mannarino VL, et al. Avalia¸cão da preceptoria na residência médica em cirurgia geral, no centro cirúrgico, compara¸cão entre um hospital universitário e um hospital não universitário. Rev Col Bras Cir. 2012;39:547-52.

26 Nora FS, Aguzzoli M, Rodrigues de Oliveira Filho G. Current attitude of anesthesiologists and anesthesiology residents regarding total intravenous anesthesia. Braz J Anesthesiol. 2006;56:362-9.
 

Submitted date:
12/22/2019

Accepted date:
06/11/2021

60e70341a953950b873f9fd2 rba Articles
2352-2291 (Electronic) 0104-0014 (Printed)
Braz J Anesthesiol ©2024 All rights reserved.

Braz J Anesthesiol

Share this page
Page Sections