The Physician Trainee Environment and its Associated Effects on Trainees and their Patients

摘要

Introduction: The physician trainee's work and educational environment impacts patient care and trainee learning and is understudied.;Methods: A cross-sectional survey of trainees at a paediatric hospital evaluated learning, patient care, and adverse trainee events (crashes, needlestick injury, inappropriate personal comments, assaults or threats).;Results: Completed surveys described 132 trainee months and 101 duty periods; 49 (37 %) respondents reported an adverse trainee events. Learning was rated median (IQR) of 6 (5--7) on a 10-point scale. Patient care was rated 4 or more in a 5-point scale by 93%. Multivariable analyses found staff supervision and attendance at education sessions independently associated with increased learning. Trainee adverse events were associated with seniority and working fewer nights.;Conclusion: Preliminary distribution shows questions are understood, a modest distribution of safety responses, and few positive relationships, in this single center pilot. Future iterations in multiple centers can evaluate these questions further.