2011, Number 2
<< Back Next >>
Cir Cir 2011; 79 (2)
Assessment of educational satisfaction by medical residents
González-Martínez JF, García-García JA, Arnaud-Viñas MR, Arámbula-Morales EG, Uriega-González PS, Mendoza-Guerrero JA
Language: Spanish
References: 46
Page: 156-167
PDF size: 481.77 Kb.
ABSTRACT
Background: Modern medical education is focused on students, and it is necessary to assess its level of satisfaction. A questionnaire was validated and we then conducted a study about the educational satisfaction level of medical residents of the Hospital General of Mexico.
Methods: An observational, descriptive, cross-sectional and prospective study was conducted. A questionnaire of 21 items was validated and then applied to a representative sample of medical residents. Each item was evaluated with a scale from 0 to 10 and then gathered in groups: 0-5 = poor, 6-7 = average, 8 = good, 9 = very good, and 10 = excellent. Descriptive and inferential statistics were carried out using SPSS v.17.0.
Results: The questionnaire had internal validity with Cronbach’s alpha ›0.91 by item. Included in the study were 355 medical residents representing 37 different specialties. The performance perception of the ìheadî professors showed a wide heterogeneity: excellent (23.7%), very good (20.6%), good (16.9%), average (23.1%), poor (15.8%). Fourth-year residents and upward valued the educational performance higher (p = 0.001) as well as medical/surgical residents (p = 0.02). Intermediate-level residents valued the professor higher (p = 0.001), similar to students who were married or living with a partner (p ‹0.001). Upon contrasting the evaluation of the teacher’s performance with the overall course performance, a linear, direct and significant correlation was obtained with Spearman’s correlation coefficient = 0.78 and regression coefficient (p ‹0.001).
Conclusions: We found a wide range of heterogeneity of results. Performance of the professors was the basic component to judge the quality of the residents’ courses.
REFERENCES
García-García JA, González MJF. Entornos de la educación médica. En: Higuera RFJ, González MJF, García GJA, eds. El Nuevo Modelo Educativo del Hospital General de México. México: Qx Comunicación en Salud; 2007. pp. 23-45.
Harden RM. International medical education and future directions: a global perspective. Acad Med 2006;81(12suppl):S22-S29.
Snyder K, Acker-Hocevar M, Snyder K. Living on the Edge of Chaos: Leading Schools into the Global Age. 2nd ed. Milwaukee, WI: Quality Press Publications; 2008. pp. 14-27.
Baum KD, Axtel S. Trends in North American medical education. Keio J Med 2005;54:22-28.
Nogueira SM, Rivera MN, Blanco HF. Desarrollo de competencias para la gestión docente en la educación médica superior. Educ Med Superior 2003;17:1-4.
Enríquez CJO. Educación superior: tendencias y desafíos. Educ Med 2005;8:6-10.
Ponce M. Cómo Enseñar Mejor. México: Paidós; 2005. p. 167-195.
Gimeno SJ. Pérez GAI. Comprender y Transformar la Educación. Décima primera edición. Madrid: Ediciones Morata; 2005. pp. 38- 53.
Russell JP, Arter D. ISO Lesson Guide 2008: Pocket Guide to ISO 9001-2008. 3rd edition. Milwaukee: Quality Press Publications; 2009. pp. 19-34.
Instituto Mexicano de Normalización y Certificación Norma Mexicana NMX-CC-9000-INMC-2000, sistemas de gestión de la calidad. Fundamentos y vocabulario. México: Instituto Mexicano de Normalización y Certificación; 2000; p. 12. Disponible en http:// www.sectecnica.ipn.mx/contenidos/documentos/S00500/Norma- ISO-9000.pdf
Allen D. Customer Satisfaction Research Management. Milwaukee: Quality Press Publications; 2004. pp. 17-39.
Wilburn M. Managing the Custumer Experience: A Measurement-Based Approach. Milwaukee: Quality Press Publications; 2007; pp. 42-69.
Baldrige National Quality Program. Health Care Criteria for Performance Excellence. 2009-2010. Gaithersburg, MD: Baldrige National Quality Program; 3-11. Disponible en http://www.nist.gov/baldrige/ publications/upload/2009_2010_HealthCare_Criteria.pdf
Baldrige National Quality Program (2009). Education Criteria for Performance Excellence. 2009-2010. 3-10. Disponible en http:// www.nist.gov/baldrige/publications/upload/2009_2010_Education_ Criteria.pdf
World Federation for Medical Education. Postgraduate Medical Education. WFME Global Standard for Quality Improvement. WFME Office: University of Copenhagen Denmark; 2003. pp. 5-21. Disponible en http://www3.sund.ku.dk/Activities/WFME%20Postgraduate. pdf
Brown M. Baldrige Award Winning Quality: How to Interpret the Baldrige Criteria for Performance Excellence. 17th ed. Milwaukee: Quality Press Publications; 2008. pp. 7-23.
Scott G. The Voice of the Customer: Is Anyone Listening? J Healthcare Manage 2001;46:221-223.
Reuben B. Excellence in higher education guide: an integrated approach to assessment, planning and improvement in colleges and universities. Milwaukee: Quality Press Publications; 2007. pp. 18-32.
Lepeley MT. Gestión y Calidad en Educación, un Modelo de Evaluación. Santiago, Chile: McGraw-Hill; 2001. pp. 118-131.
Buela G, Castro A. Evaluación de la calidad en la educación superior. RUSC 2009;6:1-5.
Vroeijenstijn AI. Quality assurance in medical education. Acad Med 1995;70:S59-S67.
González SJ. Modelos, procedimientos e instrumentos de evaluación de la actividad docente. Educ Med 2003;6:20-21.
Allen D, Rao T. Analysis of Customer Satisfaction Data. Milwaukee: Quality Press Publications; 2000. pp. 14-43.
Vavra T. Customer Satisfaction Measurement Simplified: A Step-by- Step Guide for ISO 9001: 2000 Certification. Milwaukee: Quality Press Publications; 2002. pp. 9-27.
Haynes BE. Cómo medir la satisfacción del cliente. Diseño de encuestas, uso y métodos de análisis estadísticos. 2nd ed. México; Oxford University Press; 1999. pp. 31-47.
Hayes B. Measuring customer satisfaction and loyalty: survey design, use, and statistical analysis methods. 3th ed. Milwaukee: Quality Press Publications; 2009. pp. 13-22.
Kurtenbach J. Focusing on customer service. Health Forum J 2000;43:35-38.
Lockwood JH, Sabharwal RK, Danoff D, Whitcomb ME. Quality improvement in medical students’ education: the AAMC medical school graduation questionnaire. Med Educ 2004;38:234-236.
Wassermann AO, Harris MA, Demeco S, Bernabé JG. Un sistema para hallar oportunidades de mejora en la enseñanza basado en la percepción de los alumnos. Educ Med 2006;9:66-74.
Turner PD, Pol LG. Beyond patient satisfaction J Health Care Mark 1995;15:45.
Salovey P, Mayer JD. Emotional intelligence. Imagination Cognition Personality 1990;9:5-211.
García-García JA, García-García EG, Arnaud-Viñas MR, González-Martínez JF, Arámbula-Morales EG, Mendoza-Guerrero JA. Inteligencia emocional en médicos residentes del Hospital General de México. Rev Med Hosp Gen Mex 2009;72:178-186.
Borges NJ, Stratton TD, Wagner PJ, Elam CL. Emotional intelligence and medical specialty choice: findings from three empirical studies. Med Educ 2009;43:565-572.
Shaheen EL. Building emotional intelligence. Can Fam Physician 2009;55:351-352.
Ricarte DJ, Martínez CJM. Formación del residente desde su abordaje como adulto. Educ Med 2008;11:131-138.
Knowles MS. Andragogía. El Aprendizaje de los Adultos. Quinta edición. México: Oxford University Press; 2001. pp. 203-249.
Harden RM, Crosby J. AMEE Guide No 20: The good teacher is more than a lecturer – the twelve roles of the teacher. Med Teach 2000;22:334-347.
Berlanga E, Monteagudo M, Pineda V, Vidiella J, Jiménez PG, Artigas A. Experiencia en la evaluación de tutores de especialistas en formación. Educ Med 2004;7:65-69.
Rodríguez HJM, Gallegos CA, García-Arroba MJ. Docencia de postgrado. ¿Quién? ¿Dónde? ¿Cuándo? Educ Med 2004;7:52-53.
Pujol FR, Nogueras RA. La formación de los médicos residentes de medicina interna. A propósito de una encuesta de opinión. Med Clin 2002;118:545-550.
Veloski J, Boex JR, Grasberger MJ, Evans A, Wolfson DB. Systematic review of the literature on assessment, feedback and physicians’ clinical performance: BEME Guide No 7. Med Tech 2006;28:117-128.
Olivé A. La insoportable levedad de una relación: tutores y residentes. Rev Esp Reum 2002;29:321-322.
Yzaguirre PLE. Calidad educativa e ISO 9001:2000 en México. RINACE 2005;3:421-431.