Volume 16 (2013)
Volume 15 (2012)
Volume 11 (2008)
Volume 8 (2005)
Volume 7 (2004)
Volume 6 (2003)
Volume 5 (2002)
Volume 4 (2001)
Volume 3 (2000)
Volume 1 (1998)
Most Downloaded Articles
- Fat Taxes: Big Money for Small Change by Chouinard, Hayley H/ Davis, David E/ LaFrance, Jeffrey T and Perloff, Jeffrey M
- Price Shopping in Consumer-Directed Health Plans by Sood, Neeraj/ Wagner, Zachary/ Huckfeldt, Peter and Haviland, Amelia M.
- High US Health-Care Spending and the Importance of Provider Payment Rates by Anderson, Gerard/ Chalkidou, Kalipso and Herring, Bradley
- The Business Case for Diabetes Disease Management for Managed Care Organizations by Beaulieu, Nancy/ Cutler, David M/ Ho, Katherine/ Isham, George/ Lindquist, Tammie/ Nelson, Andrew and O'Connor, Patrick
- A Primer on the Economics of Prescription Pharmaceutical Pricing in Health Insurance Markets by Berndt, Ernst R./ McGuire, Thomas and Newhouse, Joseph P.
Predictors of Internal Medicine Resident Satisfaction with Teaching by Attendings
1Michigan State University, email@example.com
2Pardee Rand Graduate School, firstname.lastname@example.org
4UCLA, Rand Corporation, email@example.com
Citation Information: Forum for Health Economics & Policy. Volume 13, Issue 2, Pages –, ISSN (Online) 1558-9544, DOI: 10.2202/1558-9544.1183, June 2010
- Published Online:
This study identifies factors that predict internal medicine resident satisfaction with the quality of teaching by attendings. A key issue facing educators is whether high-quality instruction can be maintained in an environment in which attending physicians have many competing demands placed on their time. A national survey of clinical third-year internal medicine residents in 125 academically affiliated generally medical training programs was conducted. Univariate analyses describe the characteristics of the sample, and multivariate analyses evaluate the factors associated with resident satisfaction with teaching. The response rate was 64.1% (n=1354). Positive factors relating to satisfaction with teaching on inpatient ward rotations included: number of patients seen during rounds, attendings were fulltime, attending did clinical teaching during bedside work rounds, attending gave spontaneous and prepared presentations, and attendings were reached soon when needed. Negative factors included: number of residents in a ward team, number of patients admitted on overnight call, attendings seemed rushed and eager to finish rounds, and attendings were temporarily called away during rounds. Positive factors relating to satisfaction with teaching in continuity clinics included: residents being female and amount of time spent on talking to or examining patients. Negative factors included: amount of time spent on paperwork or routine work, attending changed residents decisions, attendings were difficult to reach, and attendings were temporarily called away during teaching. Different clinic settings also affected satisfaction. This study identifies several factors associated with internal medicine residents satisfaction with teaching and highlights mutable factors that faculty may consider changing to improve education and satisfaction.