The impact of the implementation of work hour requirements on residents' career satisfaction, attitudes and emotions

Choi, Dongseok; Dickey, Jamie; Wessel, Kristen; Girard, Donald E

doi:10.1186/1472-6920-6-53

Table 2 The changes in residents' experience in positive and negative aspects of training.

From: The impact of the implementation of work hour requirements on residents' career satisfaction, attitudes and emotions

	The entire cohort			Selected group comparison
	p-value	Proportion		p-value			Proportion
	Post:Pre	Post	Pre	PostV:PreM	PostNV:PreM	PostV:PostNV	PostV	PostNV	PreM
Seeing sick people get better because of my action	0.26	0.84	0.87	0.22	0.36	0.52	0.84	0.87	0.91
Interacting with practicing physicians	0.52	0.71	0.69	0.34	0.84	0.27	0.74	0.65	0.66
Feeling the camaraderie of my peers	0.40	0.80	0.83	1.00	0.05	0.28	0.84	0.77	0.85
Earning a salary for practicing medicine	0.88	0.50	0.49	0.88	0.34	0.77	0.47	0.44	0.49
Being responsible for decisions regarding patients	0.16	0.71	0.75	0.38	0.57	0.61	0.72	0.75	0.78
Feeling competent about patient care	*0.00*	0.83	0.91	0.28	*0.04*	1.00	0.88	0.87	0.93
Contributing to the teaching program of students	0.88	0.63	0.62	0.27	0.76	0.36	0.58	0.65	0.66
Being legally responsible for patient care	0.78	0.08	0.07	0.28	0.31	0.06	0.12	0.05	0.07
Being finished with classroom duties	0.92	0.18	0.18	1.00	0.80	0.85	0.16	0.18	0.17
Knowing people look up to me	0.14	0.20	0.25	1.00	0.25	0.46	0.25	0.20	0.24
Establishing good communication with patients	0.74	0.74	0.75	0.49	0.56	0.29	0.72	0.79	0.76
Exercising good clinical judgment	0.19	0.83	0.87	*0.03*	0.89	*0.04*	0.75	0.87	0.88
Learning from interesting clinical cases	0.53	0.79	0.81	1.00	0.81	0.71	0.79	0.81	0.80
Having one less year to train	0.36	0.27	0.24	1.00	0.75	0.87	0.26	0.28	0.26
Meeting unrealistic expectations of faculty	0.94	0.33	0.33	*0.01*	0.92	*0.02*	0.51	0.33	0.33
Having no free time	0.25	0.63	0.67	0.72	0.13	0.19	0.79	0.69	0.76
Seeing patients die	*0.00*	0.31	0.21	0.12	*0.02*	1.00	0.33	0.33	0.23
Coping with patients who have self-destructive diseases	*0.02*	0.50	0.41	0.76	0.10	0.55	0.53	0.58	0.50
Worrying about money decisions	0.51	0.50	0.47	0.18	0.63	0.30	0.56	0.48	0.46
Being required to make decisions beyond my competence	0.35	0.24	0.27	0.87	0.23	0.60	0.26	0.23	0.28
Getting too little sleep	*0.01*	0.55	0.65	0.61	*0.02*	0.44	0.70	0.63	0.74
Having to see too many patients in too little time	0.88	0.43	0.44	*0.01*	1.00	*0.01*	0.68	0.48	0.49
Dealing with angry, unresponsive, disrespectful patients	0.83	0.46	0.47	0.45	0.63	0.24	0.60	0.50	0.53
Missing my family/spouse	0.46	0.56	0.59	0.05	0.27	*0.01*	0.79	0.60	0.65
Feeling uncertain about my medical decisions	0.77	0.41	0.39	1.00	0.92	0.88	0.40	0.39	0.40
Endless gray clouds; never seeing the sun rise or set	0.40	0.24	0.27	0.20	0.19	*0.03*	0.39	0.24	0.30
Coping with different advice/opinion/instructions of consulting staff	*0.03*	0.31	0.39	0.36	0.27	0.88	0.32	0.33	0.39
Feeling anxious about my ability to perform physician skills	0.06	0.32	0.39	0.45	*0.03*	0.53	0.37	0.32	0.43
Being criticized or put down by consulting staff	0.86	0.22	0.23	*0.03*	0.82	*0.02*	0.39	0.23	0.24
Seeing the same kinds of patients over and over	1.00	0.08	0.08	0.64	0.40	0.30	0.12	0.08	0.10
Spending too much time with paperwork	0.24	0.60	0.56	0.12	0.92	0.06	0.72	0.60	0.60

The p-values were computed by the Fisher's exact test followed by the corresponding proportions of "yes" responses to each question. The p-values in italics are significant at 5% level. For details of the column headings, see Figure 1 caption.

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