Factors associated with resident satisfaction with their continuity experience

Janet Rose Serwint, Susan Feigelman, Marilyn Dumont-Driscoll, Rebecca Collins, Min Zhan, Diane Kittredge, Alan I. Meltzer, Jan Drutz, John M. Olsson, Karin Hillenbrand, Debra Bogen, Robert R. Tanz, Rachel Moon, Paul Algranti, Daniel Vijjeswarapu, William J. Riley, Lawrence Pasquinelli, Jill Mazurek, Claibourne I. Dungy, Sharon Reisen & 20 others Theodore Sectish, Henry A. Schaeffer, Keith Derco, Gregory Blaschke, Theresea Heitzler, Arthur Jaffe, Beth Volin, Joseph Loprieato, Thomas M. Ball, Lisa Campbell, Susan Fiegelman, John A. Walburn, Sharon Dabrow, Michelle S. Barrat, Laura E. Feguson, Wendy Davis, Ariane May, Gale Cantor, Catherine Kelly, Brian Forsyth

Research output: Contribution to journalArticle

Abstract

Objective. To identify factors associated with resident satisfaction concerning residents' continuity experience. Design and Methods. Continuity directors distributed questionnaires to residents at their respective institutions. Resident satisfaction was defined as satisfied or very satisfied on a Likert scale. The independent variables included 60 characteristics of the continuity experience from 7 domains: 1) patient attributes, 2) continuity and longitudinal issues, 3) responsibility as primary care provider, 4) preceptor characteristics, 5) educational opportunities, 6) exposure to practice management, and 7) interaction with other clinic and practice staff. A stepwise logistic regression model and the Generalized Estimating Equations approach were used. Results. Thirty-six programs participated. Of 1155 residents (71%) who provided complete data, 67% (n = 775) stated satisfaction with their continuity experience. The following characteristics (adjusted odds ratio [OR] and 95% confidence interval [CI]) were found to be most significant: preceptor as good role model, OR = 7.28 CI = 4.2, 12.5); appropriate amount of teaching, OR = 3.25 (CI - 2.1, 5.1); involvement during hospitalization, OR 2.61 (CI = 1.3, 5.2); exposure to practice management, OR = 2.39 (CI = 1.5, 3.8); good balance of general pediatric patients, OR = 2.34 (CI = 1.5, 3.6); resident as patient advocate, OR 1.74 (CI = 1.2, 2.4); and appropriate amount of nursing support, OR = 1.65 (CI = 1.1, 2.6). Future career choice, type of continuity site, and level of training were not found to be statistically significant. Conclusions. Pediatric resident satisfaction was significantly associated with 7 variables, the most important of which were the ability of the preceptor to serve as a role model and teacher. The type of continuity site was not significant. Residency programs may use these data to develop interventions to enhance resident satisfaction, which may lead to enhanced work performance and patient satisfaction.

Original languageEnglish (US)
Pages (from-to)4-10
Number of pages7
JournalAmbulatory Pediatrics
Volume4
Issue number1
DOIs
StatePublished - Jan 2004

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Odds Ratio
Confidence Intervals
Practice Management
Logistic Models
Pediatrics
Career Choice
Aptitude
Job Satisfaction
Internship and Residency
Patient Satisfaction
Primary Health Care
Teaching
Hospitalization
Nursing

Keywords

  • Continuity experience
  • CORNET research network
  • Medical education
  • Preceptor as role model
  • Residency Review Committee requirements
  • Resident satisfaction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Factors associated with resident satisfaction with their continuity experience. / Serwint, Janet Rose; Feigelman, Susan; Dumont-Driscoll, Marilyn; Collins, Rebecca; Zhan, Min; Kittredge, Diane; Meltzer, Alan I.; Drutz, Jan; Olsson, John M.; Hillenbrand, Karin; Bogen, Debra; Tanz, Robert R.; Moon, Rachel; Algranti, Paul; Vijjeswarapu, Daniel; Riley, William J.; Pasquinelli, Lawrence; Mazurek, Jill; Dungy, Claibourne I.; Reisen, Sharon; Sectish, Theodore; Schaeffer, Henry A.; Derco, Keith; Blaschke, Gregory; Heitzler, Theresea; Jaffe, Arthur; Volin, Beth; Loprieato, Joseph; Ball, Thomas M.; Campbell, Lisa; Fiegelman, Susan; Walburn, John A.; Dabrow, Sharon; Barrat, Michelle S.; Feguson, Laura E.; Davis, Wendy; May, Ariane; Cantor, Gale; Kelly, Catherine; Forsyth, Brian.

In: Ambulatory Pediatrics, Vol. 4, No. 1, 01.2004, p. 4-10.

Research output: Contribution to journalArticle

Serwint, JR, Feigelman, S, Dumont-Driscoll, M, Collins, R, Zhan, M, Kittredge, D, Meltzer, AI, Drutz, J, Olsson, JM, Hillenbrand, K, Bogen, D, Tanz, RR, Moon, R, Algranti, P, Vijjeswarapu, D, Riley, WJ, Pasquinelli, L, Mazurek, J, Dungy, CI, Reisen, S, Sectish, T, Schaeffer, HA, Derco, K, Blaschke, G, Heitzler, T, Jaffe, A, Volin, B, Loprieato, J, Ball, TM, Campbell, L, Fiegelman, S, Walburn, JA, Dabrow, S, Barrat, MS, Feguson, LE, Davis, W, May, A, Cantor, G, Kelly, C & Forsyth, B 2004, 'Factors associated with resident satisfaction with their continuity experience', Ambulatory Pediatrics, vol. 4, no. 1, pp. 4-10. https://doi.org/10.1367/1539-4409(2004)004<0004:FAWRSW>2.0.CO;2
Serwint, Janet Rose ; Feigelman, Susan ; Dumont-Driscoll, Marilyn ; Collins, Rebecca ; Zhan, Min ; Kittredge, Diane ; Meltzer, Alan I. ; Drutz, Jan ; Olsson, John M. ; Hillenbrand, Karin ; Bogen, Debra ; Tanz, Robert R. ; Moon, Rachel ; Algranti, Paul ; Vijjeswarapu, Daniel ; Riley, William J. ; Pasquinelli, Lawrence ; Mazurek, Jill ; Dungy, Claibourne I. ; Reisen, Sharon ; Sectish, Theodore ; Schaeffer, Henry A. ; Derco, Keith ; Blaschke, Gregory ; Heitzler, Theresea ; Jaffe, Arthur ; Volin, Beth ; Loprieato, Joseph ; Ball, Thomas M. ; Campbell, Lisa ; Fiegelman, Susan ; Walburn, John A. ; Dabrow, Sharon ; Barrat, Michelle S. ; Feguson, Laura E. ; Davis, Wendy ; May, Ariane ; Cantor, Gale ; Kelly, Catherine ; Forsyth, Brian. / Factors associated with resident satisfaction with their continuity experience. In: Ambulatory Pediatrics. 2004 ; Vol. 4, No. 1. pp. 4-10.
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abstract = "Objective. To identify factors associated with resident satisfaction concerning residents' continuity experience. Design and Methods. Continuity directors distributed questionnaires to residents at their respective institutions. Resident satisfaction was defined as satisfied or very satisfied on a Likert scale. The independent variables included 60 characteristics of the continuity experience from 7 domains: 1) patient attributes, 2) continuity and longitudinal issues, 3) responsibility as primary care provider, 4) preceptor characteristics, 5) educational opportunities, 6) exposure to practice management, and 7) interaction with other clinic and practice staff. A stepwise logistic regression model and the Generalized Estimating Equations approach were used. Results. Thirty-six programs participated. Of 1155 residents (71{\%}) who provided complete data, 67{\%} (n = 775) stated satisfaction with their continuity experience. The following characteristics (adjusted odds ratio [OR] and 95{\%} confidence interval [CI]) were found to be most significant: preceptor as good role model, OR = 7.28 CI = 4.2, 12.5); appropriate amount of teaching, OR = 3.25 (CI - 2.1, 5.1); involvement during hospitalization, OR 2.61 (CI = 1.3, 5.2); exposure to practice management, OR = 2.39 (CI = 1.5, 3.8); good balance of general pediatric patients, OR = 2.34 (CI = 1.5, 3.6); resident as patient advocate, OR 1.74 (CI = 1.2, 2.4); and appropriate amount of nursing support, OR = 1.65 (CI = 1.1, 2.6). Future career choice, type of continuity site, and level of training were not found to be statistically significant. Conclusions. Pediatric resident satisfaction was significantly associated with 7 variables, the most important of which were the ability of the preceptor to serve as a role model and teacher. The type of continuity site was not significant. Residency programs may use these data to develop interventions to enhance resident satisfaction, which may lead to enhanced work performance and patient satisfaction.",
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author = "Serwint, {Janet Rose} and Susan Feigelman and Marilyn Dumont-Driscoll and Rebecca Collins and Min Zhan and Diane Kittredge and Meltzer, {Alan I.} and Jan Drutz and Olsson, {John M.} and Karin Hillenbrand and Debra Bogen and Tanz, {Robert R.} and Rachel Moon and Paul Algranti and Daniel Vijjeswarapu and Riley, {William J.} and Lawrence Pasquinelli and Jill Mazurek and Dungy, {Claibourne I.} and Sharon Reisen and Theodore Sectish and Schaeffer, {Henry A.} and Keith Derco and Gregory Blaschke and Theresea Heitzler and Arthur Jaffe and Beth Volin and Joseph Loprieato and Ball, {Thomas M.} and Lisa Campbell and Susan Fiegelman and Walburn, {John A.} and Sharon Dabrow and Barrat, {Michelle S.} and Feguson, {Laura E.} and Wendy Davis and Ariane May and Gale Cantor and Catherine Kelly and Brian Forsyth",
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TY - JOUR

T1 - Factors associated with resident satisfaction with their continuity experience

AU - Serwint, Janet Rose

AU - Feigelman, Susan

AU - Dumont-Driscoll, Marilyn

AU - Collins, Rebecca

AU - Zhan, Min

AU - Kittredge, Diane

AU - Meltzer, Alan I.

AU - Drutz, Jan

AU - Olsson, John M.

AU - Hillenbrand, Karin

AU - Bogen, Debra

AU - Tanz, Robert R.

AU - Moon, Rachel

AU - Algranti, Paul

AU - Vijjeswarapu, Daniel

AU - Riley, William J.

AU - Pasquinelli, Lawrence

AU - Mazurek, Jill

AU - Dungy, Claibourne I.

AU - Reisen, Sharon

AU - Sectish, Theodore

AU - Schaeffer, Henry A.

AU - Derco, Keith

AU - Blaschke, Gregory

AU - Heitzler, Theresea

AU - Jaffe, Arthur

AU - Volin, Beth

AU - Loprieato, Joseph

AU - Ball, Thomas M.

AU - Campbell, Lisa

AU - Fiegelman, Susan

AU - Walburn, John A.

AU - Dabrow, Sharon

AU - Barrat, Michelle S.

AU - Feguson, Laura E.

AU - Davis, Wendy

AU - May, Ariane

AU - Cantor, Gale

AU - Kelly, Catherine

AU - Forsyth, Brian

PY - 2004/1

Y1 - 2004/1

N2 - Objective. To identify factors associated with resident satisfaction concerning residents' continuity experience. Design and Methods. Continuity directors distributed questionnaires to residents at their respective institutions. Resident satisfaction was defined as satisfied or very satisfied on a Likert scale. The independent variables included 60 characteristics of the continuity experience from 7 domains: 1) patient attributes, 2) continuity and longitudinal issues, 3) responsibility as primary care provider, 4) preceptor characteristics, 5) educational opportunities, 6) exposure to practice management, and 7) interaction with other clinic and practice staff. A stepwise logistic regression model and the Generalized Estimating Equations approach were used. Results. Thirty-six programs participated. Of 1155 residents (71%) who provided complete data, 67% (n = 775) stated satisfaction with their continuity experience. The following characteristics (adjusted odds ratio [OR] and 95% confidence interval [CI]) were found to be most significant: preceptor as good role model, OR = 7.28 CI = 4.2, 12.5); appropriate amount of teaching, OR = 3.25 (CI - 2.1, 5.1); involvement during hospitalization, OR 2.61 (CI = 1.3, 5.2); exposure to practice management, OR = 2.39 (CI = 1.5, 3.8); good balance of general pediatric patients, OR = 2.34 (CI = 1.5, 3.6); resident as patient advocate, OR 1.74 (CI = 1.2, 2.4); and appropriate amount of nursing support, OR = 1.65 (CI = 1.1, 2.6). Future career choice, type of continuity site, and level of training were not found to be statistically significant. Conclusions. Pediatric resident satisfaction was significantly associated with 7 variables, the most important of which were the ability of the preceptor to serve as a role model and teacher. The type of continuity site was not significant. Residency programs may use these data to develop interventions to enhance resident satisfaction, which may lead to enhanced work performance and patient satisfaction.

AB - Objective. To identify factors associated with resident satisfaction concerning residents' continuity experience. Design and Methods. Continuity directors distributed questionnaires to residents at their respective institutions. Resident satisfaction was defined as satisfied or very satisfied on a Likert scale. The independent variables included 60 characteristics of the continuity experience from 7 domains: 1) patient attributes, 2) continuity and longitudinal issues, 3) responsibility as primary care provider, 4) preceptor characteristics, 5) educational opportunities, 6) exposure to practice management, and 7) interaction with other clinic and practice staff. A stepwise logistic regression model and the Generalized Estimating Equations approach were used. Results. Thirty-six programs participated. Of 1155 residents (71%) who provided complete data, 67% (n = 775) stated satisfaction with their continuity experience. The following characteristics (adjusted odds ratio [OR] and 95% confidence interval [CI]) were found to be most significant: preceptor as good role model, OR = 7.28 CI = 4.2, 12.5); appropriate amount of teaching, OR = 3.25 (CI - 2.1, 5.1); involvement during hospitalization, OR 2.61 (CI = 1.3, 5.2); exposure to practice management, OR = 2.39 (CI = 1.5, 3.8); good balance of general pediatric patients, OR = 2.34 (CI = 1.5, 3.6); resident as patient advocate, OR 1.74 (CI = 1.2, 2.4); and appropriate amount of nursing support, OR = 1.65 (CI = 1.1, 2.6). Future career choice, type of continuity site, and level of training were not found to be statistically significant. Conclusions. Pediatric resident satisfaction was significantly associated with 7 variables, the most important of which were the ability of the preceptor to serve as a role model and teacher. The type of continuity site was not significant. Residency programs may use these data to develop interventions to enhance resident satisfaction, which may lead to enhanced work performance and patient satisfaction.

KW - Continuity experience

KW - CORNET research network

KW - Medical education

KW - Preceptor as role model

KW - Residency Review Committee requirements

KW - Resident satisfaction

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