科研之友
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摘要
BACKGROUND: Often anesthesia care is provided by nonfaculty anesthesia providers (e.g., anesthesiology residents and certified registered nurse anesthetists [CRNAs]) under the guidance of faculty anesthesiologists. Performance appraisal of faculty anesthesiologists should therefore include evaluation of this guidance. %26lt;br%26gt;METHODS: Residents and CRNAs from 3 teaching hospitals gave their %26quot;impression of 9 attributes of the hypothetical supervising anesthesiologist who meets ... expectations ... not ... who exceeds expectations or whose activity is below ... expectations.%26quot; Scores were based on the anesthesiologist working with the respondent, not others. A 4-point scale (e.g., 1 = never, 2 = rarely, 3 = frequently, and 4 = always) was used, and the mean was calculated. %26lt;br%26gt;RESULTS: The participation rate was 51% among CRNAs (N = 153) and 58% among resident physicians (N = 47). There was no association between years since the start of training and supervision scores that met expectations among CRNAs (Kendall tau(b) = 0.01; 95% confidence interval [CI], -0.13 to +0.10; P = 0.90) or residents (tau(b) = 0.03; 95% CI, -0.16 to +0.23; P = 0.77). Most CRNAs (67%) and residents (94%) perceived that supervision that met their expectations was at least %26quot;frequent%26quot; (score %26gt;= 3.0) (both P %26lt; 0.0001). The mean +/- SD of supervision scores that met expectations was 3.14 +/- 0.42 for CRNAs versus 3.40 +/- 0.30 for residents. The CRNAs%26apos; score mean was 0.26 less than that of residents (P %26lt; 0.0001; 95% Cl, 0.15 to 0.37 less). There were 30% of CRNAs with scores larger than the residents%26apos; mean. %26lt;br%26gt;CONCLUSIONS: Most CRNAs and residents at 3 teaching hospitals considered faculty guidance that meets expectations to be at least %26quot;frequent,%26quot; regardless of years in practice.
- 出版日期2013-6
