Perceptions of current and recent military internal medicine residents on operational medicine, managed care, graduate medical education, and continued military service.
Current and recent internal medicine residents were surveyed on their level of confidence in practicing operational medicine, satisfaction with graduate medical education, the impact of TRICARE, the military managed care plan, on their patients and education, and intentions on remaining in uniformed service.
Their sentiments were recorded on a five-point Likert scale (1=strongly agree, 3=neutral, 5=strongly disagree).
Two hundred twenty-one of the 294 surveys were returned (75.2%). Most physicians felt unprepared to perform duties in a nuclear, biological, or chemical warfare environment, or handle administrative aspects of operational medicine (mean scores, 3.2-3.7).
A majority of respondents felt satisfied with the quality of their residency experience (mean score, 1.9).
Although more than half of those surveyed (53.6%) listed the opportunity to teach residents as a top factor influencing their retention decision, most felt skeptical that graduate medical education would remain important in the future (mean score, 3.6).
Most physicians agreed that restriction of TRICARE to patients less than 65 years old may degrade the quality of military internal medicine residencies (mean score, 1.6).
Previous service, Reserve Officer Training Corps experience, and graduation from the Uniformed Services University of the Health Sciences were factors associated with increased physician intention to remain beyond their obligated service. (...)
Mots-clés Pascal : Médecine, Militaire, Enquête par correspondance, Interne(étudiant), Evaluation, Enseignement programmé, Homme, Etats Unis, Amérique du Nord, Amérique, Enseignement
Mots-clés Pascal anglais : Medicine, Military, Mail inquiry, Resident(student), Evaluation, Programmed education, Human, United States, North America, America, Teaching
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0310251
Code Inist : 002B30A09. Création : 27/11/1998.