Table 4.
Comparison of resident views across all residents
| Resident views | Mean percent of time allocated to domain | p value* | |||
|---|---|---|---|---|---|
| Interns (SD) (n = 57) | Juniors (SD) (n = 86) | Seniors (SD) (n = 88) | |||
| Current resident responsibilities | |||||
| 1 | Operating or performing procedures | 17.9 (6.2) | 27.4 (10.2) | 33.7 (8.3) | < 0.001† |
| 2 | Evaluating patients in a clinical setting | 19.4 (7.9) | 23.6 (7.5) | 25.5 (7.2) | < 0.001† |
| 3 | Caring for inpatients in the hospital | 26.1 (13.9) | 11.2 (5.1) | 9.0 (3.9) | < 0.001† |
| 4 | Evaluating patients in an acute care/emergency department setting | 9.4 (5.1) | 10.4 (5.0) | 4.9 (3.3) | < 0.001† |
| 5 | Independent studying or preparing for surgery/clinic/lectures | 7.6 (4.0) | 8.1 (4.5) | 8.4 (5.1) | 0.602 |
| 6 | Attending formal lectures/courses | 5.4 (3.4) | 5.6 (2.7) | 5.1 (2.8) | 0.602 |
| 7 | Answering patient phone calls/messages/questions/etc outside of clinical setting | 2.5 (2.4) | 3.5 (3.5) | 3.3 (3.3) | 0.122 |
| 8 | Completing paperwork (prescriptions, disability, insurance forms, duty hours, etc) | 4.8 (4.1) | 4.6 (5.0) | 4.0 (3.2) | 0.481 |
| 9 | Conducting clinical or basic science research | 3.1 (2.4) | 3.4 (2.5) | 4.3 (3.5) | 0.043 |
| 10 | Deliberate practice of surgical skills outside of the operating room setting | 2.3 (2.2) | 1.6 (2.1) | 1.6 (2.0) | 0.077 |
| 11 | Other | 1.3 (3.8) | 0.7 (2.8) | 0.3 (1.7) | 0.073 |
| Current resident roles in the operating room | |||||
| 1 | Primary surgeon (making surgical decisions and performing the operation) | 1.5 (3.6) | 19.9 (19.2) | 38.0 (18.8) | < 0.001† |
| 2 | First assistant | 28.2 (17.0) | 58.2 (20.5) | 52.6 (18.4) | < 0.001† |
| 3 | Second assistant | 65.4 (18.2) | 20.3 (20.5) | 8.2 (9.5) | < 0.001† |
| 4 | Observation only (not scrubbed in) | 4.9 (9.7) | 1.6 (3.0) | 1.3 (2.7) | < 0.001† |
| Ideal resident responsibilities | |||||
| 1 | Operating or performing procedures | 33.9 (10.2) | 41.3 (10.9) | 43.4 (9.9) | < 0.001† |
| 2 | Evaluating patients in a clinical setting | 18.4 (6.8) | 19.6 (7.2) | 21.9 (6.8) | 0.008 |
| 3 | Caring for inpatients in the hospital | 12.3 (7.5) | 7.6 (3.4) | 6.8 (3.5) | < 0.001† |
| 4 | Evaluating patients in an acute care/emergency department setting | 10.6 (5.1) | 8.3 (3.6) | 5.8 (3.6) | < 0.001† |
| 5 | Independent studying or preparing for surgery/clinic/lectures | 8.0 (4.0) | 8.3 (4.4) | 7.7 (3.9) | 0.673 |
| 6 | Attending formal lectures/courses | 5.5 (2.7) | 5.2 (2.7) | 4.7 (2.6) | 0.194 |
| 7 | Answering patient phone calls/messages/questions/etc outside of clinical setting | 1.0 (1.92) | 0.7 (1.6) | 0.6 (1.0) | 0.232 |
| 8 | Completing paperwork (prescriptions, disability, insurance forms, duty hours, etc) | 1.1 (1.8) | 0.7 (1.6) | 0.9 (1.5) | 0.352 |
| 9 | Conducting clinical or basic science research | 4.9 (2.8) | 4.6 (3.7) | 4.9 (3.6) | 0.792 |
| 10 | Deliberate practice of surgical skills outside of the operating room setting | 4.4 (3.5) | 3.6 (3.2) | 3.3 (3.0) | 0.105 |
| 11 | Other | 0.1 (0.7) | 0.1 (0.7) | 0.0 (0.0) | 0.292 |
| Ideal resident roles in the operating room | |||||
| 1 | Primary surgeon (making surgical decisions and performing the operation) | 29.0 (22.1) | 48.0(22.2) | 58.1 (17.5) | < 0.001† |
| 2 | First assistant | 52.5 (21.0) | 46.0 (21.2) | 36.6 (17.1) | < 0.001† |
| 3 | Second assistant | 17.5 (19.7) | 4.9 (8.4) | 4.2 (6.8) | < 0.001† |
| 4 | Observation only (not scrubbed in) | 1.1 (4.0) | 1.1 (6.2) | 1.0 (2.7) | 1.000 |
* Comparisons made across all groups using analysis of variance; †only p values < 0.001 are considered to represent statistical significance.