Abstract
Background
Surgical residency training is a complex and costly task. Hospital economic health is dependent on different variables, but it is especially linked to the country macroeconomics that may be extremely fluctuating, especially in underdeveloped countries. This study analyzed the correlation between a single-center university hospital financial status and subjective perception of general surgery residents on program support and adequacy.
Methods
We surveyed former residents that started general surgery residency program in a tertiary university hospital between 1999 and 2017. Individuals answered a questionnaire about the perception of the influence of the hospital´s financial status on training. Hospital´s financial status was estimated yearly by the current liquidity ratio (CLR) that measures whether or not a company has enough resources to meet its short-term obligations.
Results
Two hundred and fifty-seven (96%) were still in surgical practice; 242 (93%) were satisfied with their residency training; 210 (78%) believed training was affected by financial status; 183 (68%) believed they were prepared for independent practice; 180 (67%) practiced in an academic environment; 146 (54%) felt the need to complete specialty training beyond residency; and 56 (21%) believed hospital financial status was adequate. The rate of positive or negative answers did not correlate with the current liquidity ratio, except for the need to complete specialty training that was indirectly related to CLR.
Conclusions
University hospital financial status did not influence subjective perception of general surgery residents on training, program support and adequacy.
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Appendix
Appendix
Questionnaire model applied to former residents
Questions | |
|---|---|
Sex | |
Age | |
Year of residence | |
At your point of view, was your residency training in general surgery satisfactory? | (A) Yes (B) No |
Do you still working as a surgeon today? | (A) Yes (B) No Occupation area |
Did you need to complete specialty training after the residence of general surgery? | (A) Yes (B) No Which? |
Did you practice in academic environment? | (A) Yes B) No |
When you finished the residence of general surgery, were you prepared to work as a general surgery? | (A) Yes (B) No |
Do you believe that the financial situation of Hospital São Paulo when you were surgery resident affected your training? | (A) Yes (B) No |
In your opinion was the economic condition od Hospital São Paulo good when you were surgery resident? | (A) Yes (B) No |
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Cassão, B.D., Herbella, F.A.M., dos Santos, M.C.E. et al. University Hospital Financial Status Does Not Influence Subjective Perception of General Surgery Residents on Training Adequacy. World J Surg 44, 2495–2500 (2020). https://doi.org/10.1007/s00268-020-05500-7
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DOI: https://doi.org/10.1007/s00268-020-05500-7