Training Satisfaction for Internal Medicine Fellows
Author Information
Author(s): Catherine Kaminetzky, Sheri A Keitz, T Michael Kashner, David C Aron, John M Byrne, Barbara K Chang, Christopher Clarke, Stuart C Gilman, Gloria J Holland, Annie Wicker, Grant W Cannon
Primary Institution: Department of Medicine, Duke University
Hypothesis
What factors influence satisfaction among internal medicine subspecialty fellows in the VA system?
Conclusion
Internal medicine fellows are highly satisfied with their VA training, with non-procedural fellows reporting higher satisfaction in most areas.
Supporting Evidence
- Procedural and non-procedural fellows reported similar overall satisfaction scores.
- Non-procedural fellows reported higher satisfaction with 79 of 81 items within the six domains.
- Satisfaction with clinical faculty/preceptor and personal experience had the strongest impact on overall satisfaction.
Takeaway
Doctors in training at VA hospitals are mostly happy with their experiences, especially those who don't do procedures.
Methodology
The study surveyed 2,221 internal medicine subspecialty fellows using the Learners' Perceptions Survey to assess satisfaction across various domains.
Potential Biases
Selection bias may have occurred due to the voluntary nature of survey participation.
Limitations
The study had a low estimated response rate and was limited to VA experiences, which may not reflect other training settings.
Participant Demographics
Participants were internal medicine subspecialty fellows rotating through VA facilities from 2001 to 2008.
Statistical Information
P-Value
0.59
Confidence Interval
(79.0, 83.4)
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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