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Table 5 Residents’ needs (Times chosen (%))

From: Medical residents’ perceptions of their competencies and training needs in health care management: an international comparison

Country   Denmark Canada Australia Netherlands
(n = 632) (n = 170) (n = 181) (n = 170)
Sufficient attention* Totally disagree 26 (4.1) 27 (15.9) 21 (11.6) 17 (10.0)
Disagree 335 (53.0) 66 (38.8) 73 (40.3) 69 (40.6)
Neutral 174 (27.5) 41 (24.1) 54 (29.8) 43 (25.3)
Agree 79 (12.5) 33 (19.4) 28 (15.5) 39 (22.9)
Totally agree 18 (2.8) 3 (1.8) 5 (2.8) 2 (1.2)
Needs training Yes 535 (84.7) 142 (83.5) 139 (76.8) 145 (85.3)
No 97 (15.3) 28 (16.5) 42 (23.2) 25 (14.7)
Top three preferred topics Leadership skills 413 (65.3)    
Negotiation skills 358 (56.6) 107 (62.9) 113 (62.4) 119 (70.0)
Cost-effectiveness 284 (44.9)   92 (50.8)  
Career   128 (75.3) 109 (60.2)  
Financial planning   111 (65.3) 92 (50.8)  
Specialist department     108 (63.5)
Healthcare system     97 (57.1)
Top three least preferred topics Computer systems 91 (14.4) 33 (19.4) 21 (11.6) 13 (7.6)
Private practice 134 (21.2)    
Electronic database 154 (24.4) 35 (20.6) 19 (10.5) 21 (12.4)
Communication skills   30 (17.6) 34 (18.8)  
Cost-effectiveness     18 (10.6)
Top three method of instruction Case based 402 (63.6)    56 (32.9)
Interactive 355 (56.2) 85 (50.0) 107 (59.1) 64 (37.6)
Workshop 350 (55.4) 120 (70.6) 124 (68.5) 144 (84.7)
Lecture   83 (48.8) 102 (56.4)  
Preferred Instructor Physician 534 (84.5) 148 (87.1) 153 (84.5) 140 (82.4)
Expert** 404 (63.9) 115 (67.6) 108 (59.7) 140 (82.4)
Manager 184 (29.1) 43 (25.3) 53 (29.3) 36 (21.2)
Top two preferred length each teaching One hour    86 (47.5)
Two hours   54 (31.8) 59 (32.6)  
One day 322 (50.9)    
Half day 129 (20.4) 68 (40.0)   
Top two teaching sessions every. Month 220 (34.8) 56 (32.9) 72 (39.8)
Half year 200 (31.6) 68 (40.0) 39 (21.5)  
Training should occur during. Medical school 201 (31.8) 51 (30.0) 92 (50.8) 42 (24.7)
Postgraduate training 552 (87.3) 145 (85.3) 137 (75.7) 162 (95.3)
As a specialist 341 (54.0) 30 (17.6) 43 (23.8) 32 (18.8)
  1. *Sufficient attention is given to management training in my residency program.
  2. **Expert: extramural expert, e.g. a lawyer.
  3. † This was an open question in the Dutch questionnaire, for the answer see section “needs assessment”.