Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong Province

Abstract Background National standardized training for resident doctors (STRD) in mainland China has been formally established since 2014 as a kind of postgraduate education. The purpose of this survey was to assess the satisfaction of the training residents in Guangdong Province on the ophthalmolog...

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Main Authors: Xiaonan Yang, Danying Zheng, Pengxia Wan, Xiaoling Luo, Mingzhi Zhang, Liang Zhang, Shaochong Zhang, Jingjing Huang, Yehong Zhuo
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04527-3
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author Xiaonan Yang
Danying Zheng
Pengxia Wan
Xiaoling Luo
Mingzhi Zhang
Liang Zhang
Shaochong Zhang
Jingjing Huang
Yehong Zhuo
author_facet Xiaonan Yang
Danying Zheng
Pengxia Wan
Xiaoling Luo
Mingzhi Zhang
Liang Zhang
Shaochong Zhang
Jingjing Huang
Yehong Zhuo
author_sort Xiaonan Yang
collection DOAJ
description Abstract Background National standardized training for resident doctors (STRD) in mainland China has been formally established since 2014 as a kind of postgraduate education. The purpose of this survey was to assess the satisfaction of the training residents in Guangdong Province on the ophthalmology STRD program after a duration of 5 years. Method A 48-item survey was sent to all postgraduate ophthalmology residents from bases in Guangdong Province to inquire about their attitude towards the program. The survey contained questions about demographic and work-related information, job satisfaction, psychological resilience, and job performance. All responses were verified, and invalid questionnaires were excluded. Statistical analyses were performed using SPSS software version 22.0 (SPSS, Inc., Chicago, IL). Multiple logistic regression analysis was used to evaluate the factors (demographic information, working environment, clinical exposure, supervision and hands-on training opportunities, and involvement in academic activities) impacting the overall satisfaction. P < 0.05 was considered statistically significant. Results A total of 471/635 (74.17%) valid questionnaires were returned from all the STRD bases of Guangdong Province, which included 38 hospitals. 60.3% of the respondents reported overall satisfaction with their training. The satisfaction with operative teaching (60.7%) was slightly lower than the other settings of teaching experience (above 65%). Meanwhile, the satisfaction on different secessions of operative experience was all below 70%, of which in the areas of cornea and orbit were 55.42% and 57.53%, respectively. Some potential factors were found to affect general satisfaction, including the training grade, marriage, working time, income level, the doctor-patient relationship, family members working as doctors, the time proportion spent on writing medical documents during clinical work, and the frequency of attending academic meetings. Improvement was observed in both performing and reporting clinical examinations in the last year of training in comparison to the first year. Finally, 82.8% of the residents acknowledged this training was helpful for future clinical work. The first five career preferences for residents were cataract (67.1%), refractive surgery (42.3%), vitreo-retina (36.5%), optometry (28.7%), and oculoplastic (27.2%). Conclusion Ophthalmology residents in Guangdong Province expressed comparable satisfaction with the STRD program. To further improve satisfaction, factors such as resident subsidy, harmonious marriage, the patient-doctor relationship, and chances of attending academic conferences should be emphasized.
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spelling doaj.art-7183a3f1201f43dbac43d309491ef4852023-11-20T09:48:05ZengBMCBMC Medical Education1472-69202023-08-012311910.1186/s12909-023-04527-3Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong ProvinceXiaonan Yang0Danying Zheng1Pengxia Wan2Xiaoling Luo3Mingzhi Zhang4Liang Zhang5Shaochong Zhang6Jingjing Huang7Yehong Zhuo8Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen UniversityZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen UniversityDepartment of Ophthalmology, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Ophthalmology, Shenzhen People’s Hospital Second Clinical Medical College of Jinan UniversityJoint Shantou International Eye Center, Shantou University & the Chinese University of Hong KongDepartment of Ophthalmology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical SciencesShenzhen Eye Hospital affiliated to Jinan UniversityZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen UniversityZhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen UniversityAbstract Background National standardized training for resident doctors (STRD) in mainland China has been formally established since 2014 as a kind of postgraduate education. The purpose of this survey was to assess the satisfaction of the training residents in Guangdong Province on the ophthalmology STRD program after a duration of 5 years. Method A 48-item survey was sent to all postgraduate ophthalmology residents from bases in Guangdong Province to inquire about their attitude towards the program. The survey contained questions about demographic and work-related information, job satisfaction, psychological resilience, and job performance. All responses were verified, and invalid questionnaires were excluded. Statistical analyses were performed using SPSS software version 22.0 (SPSS, Inc., Chicago, IL). Multiple logistic regression analysis was used to evaluate the factors (demographic information, working environment, clinical exposure, supervision and hands-on training opportunities, and involvement in academic activities) impacting the overall satisfaction. P < 0.05 was considered statistically significant. Results A total of 471/635 (74.17%) valid questionnaires were returned from all the STRD bases of Guangdong Province, which included 38 hospitals. 60.3% of the respondents reported overall satisfaction with their training. The satisfaction with operative teaching (60.7%) was slightly lower than the other settings of teaching experience (above 65%). Meanwhile, the satisfaction on different secessions of operative experience was all below 70%, of which in the areas of cornea and orbit were 55.42% and 57.53%, respectively. Some potential factors were found to affect general satisfaction, including the training grade, marriage, working time, income level, the doctor-patient relationship, family members working as doctors, the time proportion spent on writing medical documents during clinical work, and the frequency of attending academic meetings. Improvement was observed in both performing and reporting clinical examinations in the last year of training in comparison to the first year. Finally, 82.8% of the residents acknowledged this training was helpful for future clinical work. The first five career preferences for residents were cataract (67.1%), refractive surgery (42.3%), vitreo-retina (36.5%), optometry (28.7%), and oculoplastic (27.2%). Conclusion Ophthalmology residents in Guangdong Province expressed comparable satisfaction with the STRD program. To further improve satisfaction, factors such as resident subsidy, harmonious marriage, the patient-doctor relationship, and chances of attending academic conferences should be emphasized.https://doi.org/10.1186/s12909-023-04527-3Ophthalmology trainingPerformanceResidentsStandardized residency training
spellingShingle Xiaonan Yang
Danying Zheng
Pengxia Wan
Xiaoling Luo
Mingzhi Zhang
Liang Zhang
Shaochong Zhang
Jingjing Huang
Yehong Zhuo
Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong Province
BMC Medical Education
Ophthalmology training
Performance
Residents
Standardized residency training
title Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong Province
title_full Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong Province
title_fullStr Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong Province
title_full_unstemmed Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong Province
title_short Standard ophthalmology residency training in China: an evaluation of resident satisfaction on training program in Guangdong Province
title_sort standard ophthalmology residency training in china an evaluation of resident satisfaction on training program in guangdong province
topic Ophthalmology training
Performance
Residents
Standardized residency training
url https://doi.org/10.1186/s12909-023-04527-3
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