PDF(Pubmed)
Abstract：
BACKGROUND: District Residency Programme (DRP) was introduced by National Medical Commission as mandatory three-months training program for postgraduate residents. The program was for the first time implemented in April 2023 in Rajasthan. However, it ran into several teething problems, especially for residents. With a lack of any precedence, this study was planned to explore experiences and challenges of residents posted in DRP.
METHODS: Cross-sectional study was conducted at 12 DRP sites attached to SMS Medical College, Jaipur between August-October 2023. A self-administered questionnaire was used to collect information from residents who had completed DRP. Questions were scored on a five-point Likert scale. Mann-Whitney U test and Kruskal-Wallis H test was used to show association.
RESULTS: Only around 17% residents felt that the learning objectives of DRP were fulfilled and nearly 60% residents felt isolated from academic activities and parent department. Over half of the residents were never posted with their concerned specialty services. Around four-fifth residents felt concerned about safety at least sometimes and more than three-fourth residents were dissatisfied with basic amenities. Kruskal-Wallis and Mann-Whitney tests showed significant association of gender and specialisation strata with multiple outcome variables.
CONCLUSIONS: The study finds high degree of dissatisfaction among residents towards learning objectives, academic learning, and basic amenities during DRP. There was also a clear lack of specialty-exposure and high concerns of safety, especially for female residents. The study findings should alarm and inform policymakers and administrators to improve DRP implementation so as to better achieve laid objectives.
METHODS: Cross-sectional study was conducted at 12 DRP sites attached to SMS Medical College, Jaipur between August-October 2023. A self-administered questionnaire was used to collect information from residents who had completed DRP. Questions were scored on a five-point Likert scale. Mann-Whitney U test and Kruskal-Wallis H test was used to show association.
RESULTS: Only around 17% residents felt that the learning objectives of DRP were fulfilled and nearly 60% residents felt isolated from academic activities and parent department. Over half of the residents were never posted with their concerned specialty services. Around four-fifth residents felt concerned about safety at least sometimes and more than three-fourth residents were dissatisfied with basic amenities. Kruskal-Wallis and Mann-Whitney tests showed significant association of gender and specialisation strata with multiple outcome variables.
CONCLUSIONS: The study finds high degree of dissatisfaction among residents towards learning objectives, academic learning, and basic amenities during DRP. There was also a clear lack of specialty-exposure and high concerns of safety, especially for female residents. The study findings should alarm and inform policymakers and administrators to improve DRP implementation so as to better achieve laid objectives.
摘要：
背景：地区住院医师计划（DRP）由国家医学委员会引入，作为研究生住院医师的强制性三个月培训计划。该计划于2023年4月在拉贾斯坦邦首次实施。然而,它遇到了几个牙齿问题，尤其是居民。缺乏任何优先权，本研究旨在探讨DRP中居民的经历和挑战.
方法：在SMS医学院附属的12个DRP站点进行了横断面研究，2023年8月至10月之间的斋浦尔。使用自我管理问卷从完成DRP的居民那里收集信息。问题以5分的李克特评分。使用Mann-WhitneyU检验和Kruskal-WallisH检验来显示关联。
结果：只有约17％的居民认为DRP的学习目标已实现，近60％的居民感到与学术活动和家长部门隔离。超过一半的居民从未被张贴过他们相关的专业服务。大约有五分之一的居民至少有时对安全感到担忧，超过四分之三的居民对基本设施不满意。Kruskal-Wallis和Mann-Whitney检验显示性别和专业化阶层与多个结果变量之间存在显着关联。
结论：研究发现，居民对学习目标的不满意程度很高，学术学习,以及DRP期间的基本设施。还明显缺乏专业接触和对安全的高度关注，尤其是女性居民。研究结果应发出警报，并告知决策者和管理人员改善DRP的实施，以更好地实现既定目标。
方法：在SMS医学院附属的12个DRP站点进行了横断面研究，2023年8月至10月之间的斋浦尔。使用自我管理问卷从完成DRP的居民那里收集信息。问题以5分的李克特评分。使用Mann-WhitneyU检验和Kruskal-WallisH检验来显示关联。
结果：只有约17％的居民认为DRP的学习目标已实现，近60％的居民感到与学术活动和家长部门隔离。超过一半的居民从未被张贴过他们相关的专业服务。大约有五分之一的居民至少有时对安全感到担忧，超过四分之三的居民对基本设施不满意。Kruskal-Wallis和Mann-Whitney检验显示性别和专业化阶层与多个结果变量之间存在显着关联。
结论：研究发现，居民对学习目标的不满意程度很高，学术学习,以及DRP期间的基本设施。还明显缺乏专业接触和对安全的高度关注，尤其是女性居民。研究结果应发出警报，并告知决策者和管理人员改善DRP的实施，以更好地实现既定目标。
