Residents' perceptions of work environment during their postgraduate medical training in Pakistan

Bilal Iqbal Avan, S A Raza, S Khokhar, F Awan, N Sohail, S Rashid, H Hamza

Research output: Contribution to journalArticle

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Abstract

BACKGROUND: In Pakistan, there is a lack of information about the work environment of residency programs. This lack is a major impediment in their improvement. One of the approaches for improvement in these programs can be directed through the residents' own perception of their working conditions. Therefore, we collected data which would reflect working conditions of residents. AIM: To assess the perceived status of "work environment" in different specialities. MATERIALS AND METHODS: A cross-sectional survey was conducted in four teaching hospitals of Karachi from July 1999 to January 2000. Residents from selected programs were grouped into four broad groups: specialist, medical, surgical and multidisciplinary. Responses of residents were obtained on a Likert scale of 0 to 4. Indices were formed for two components of work environment: academic and mistreatment. STATISTICAL ANALYSIS: Differences between residents' groups were assessed through analysis of variance (ANOVA) at 5% significance. RESULTS: A total of 341 registered residents responded (response rate: 75%). Surgical residents were working more than 80 h/week and this was more than the other three groups. Medical residents were spending the highest actual time on research and teaching activities (10% and 14%, respectively). Academic index score was highest for surgical group (15.81, SD = 4.69) and lowest for multidisciplinary group (11.82, SD = 4.80). Medical group had the highest perceived mistreatment index score (5.56, SD = 4.57). CONCLUSIONS: In a study of work environment of residency programs, differential impact was found for the four groups on work environment perceptions. Most of the residents recognized undergraduate teaching, grand rounds, patient rounds and seminars or workshops as contributing to their academic learning. Reporting of sexual harassment was low, indicating either underreporting or cultural dynamics of our setting.
Original languageEnglish
Pages (from-to)17-18
Number of pages2
JournalJournal of Postgraduate Medicine
Volume52
Issue number1
Publication statusPublished - 2006

Fingerprint

Pakistan
Teaching Rounds
Internship and Residency
Sexual Harassment
Teaching Hospitals
Analysis of Variance
Teaching
Cross-Sectional Studies
Learning
Education
Research

Keywords

  • Adult
  • Analysis of Variance
  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Education, Medical, Graduate
  • Female
  • Humans
  • Internship and Residency
  • Job Satisfaction
  • Male
  • Pakistan
  • Questionnaires
  • Sexual Harassment
  • Social Environment
  • Work Schedule Tolerance
  • Workload

Cite this

Iqbal Avan, B., Raza, S. A., Khokhar, S., Awan, F., Sohail, N., Rashid, S., & Hamza, H. (2006). Residents' perceptions of work environment during their postgraduate medical training in Pakistan. Journal of Postgraduate Medicine, 52(1), 17-18.

Residents' perceptions of work environment during their postgraduate medical training in Pakistan. / Iqbal Avan, Bilal; Raza, S A; Khokhar, S; Awan, F; Sohail, N; Rashid, S; Hamza, H.

In: Journal of Postgraduate Medicine, Vol. 52, No. 1, 2006, p. 17-18.

Research output: Contribution to journalArticle

Iqbal Avan, B, Raza, SA, Khokhar, S, Awan, F, Sohail, N, Rashid, S & Hamza, H 2006, 'Residents' perceptions of work environment during their postgraduate medical training in Pakistan', Journal of Postgraduate Medicine, vol. 52, no. 1, pp. 17-18.
Iqbal Avan B, Raza SA, Khokhar S, Awan F, Sohail N, Rashid S et al. Residents' perceptions of work environment during their postgraduate medical training in Pakistan. Journal of Postgraduate Medicine. 2006;52(1):17-18.
Iqbal Avan, Bilal ; Raza, S A ; Khokhar, S ; Awan, F ; Sohail, N ; Rashid, S ; Hamza, H. / Residents' perceptions of work environment during their postgraduate medical training in Pakistan. In: Journal of Postgraduate Medicine. 2006 ; Vol. 52, No. 1. pp. 17-18.
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abstract = "BACKGROUND: In Pakistan, there is a lack of information about the work environment of residency programs. This lack is a major impediment in their improvement. One of the approaches for improvement in these programs can be directed through the residents' own perception of their working conditions. Therefore, we collected data which would reflect working conditions of residents. AIM: To assess the perceived status of {"}work environment{"} in different specialities. MATERIALS AND METHODS: A cross-sectional survey was conducted in four teaching hospitals of Karachi from July 1999 to January 2000. Residents from selected programs were grouped into four broad groups: specialist, medical, surgical and multidisciplinary. Responses of residents were obtained on a Likert scale of 0 to 4. Indices were formed for two components of work environment: academic and mistreatment. STATISTICAL ANALYSIS: Differences between residents' groups were assessed through analysis of variance (ANOVA) at 5{\%} significance. RESULTS: A total of 341 registered residents responded (response rate: 75{\%}). Surgical residents were working more than 80 h/week and this was more than the other three groups. Medical residents were spending the highest actual time on research and teaching activities (10{\%} and 14{\%}, respectively). Academic index score was highest for surgical group (15.81, SD = 4.69) and lowest for multidisciplinary group (11.82, SD = 4.80). Medical group had the highest perceived mistreatment index score (5.56, SD = 4.57). CONCLUSIONS: In a study of work environment of residency programs, differential impact was found for the four groups on work environment perceptions. Most of the residents recognized undergraduate teaching, grand rounds, patient rounds and seminars or workshops as contributing to their academic learning. Reporting of sexual harassment was low, indicating either underreporting or cultural dynamics of our setting.",
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AU - Iqbal Avan, Bilal

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AU - Khokhar, S

AU - Awan, F

AU - Sohail, N

AU - Rashid, S

AU - Hamza, H

PY - 2006

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N2 - BACKGROUND: In Pakistan, there is a lack of information about the work environment of residency programs. This lack is a major impediment in their improvement. One of the approaches for improvement in these programs can be directed through the residents' own perception of their working conditions. Therefore, we collected data which would reflect working conditions of residents. AIM: To assess the perceived status of "work environment" in different specialities. MATERIALS AND METHODS: A cross-sectional survey was conducted in four teaching hospitals of Karachi from July 1999 to January 2000. Residents from selected programs were grouped into four broad groups: specialist, medical, surgical and multidisciplinary. Responses of residents were obtained on a Likert scale of 0 to 4. Indices were formed for two components of work environment: academic and mistreatment. STATISTICAL ANALYSIS: Differences between residents' groups were assessed through analysis of variance (ANOVA) at 5% significance. RESULTS: A total of 341 registered residents responded (response rate: 75%). Surgical residents were working more than 80 h/week and this was more than the other three groups. Medical residents were spending the highest actual time on research and teaching activities (10% and 14%, respectively). Academic index score was highest for surgical group (15.81, SD = 4.69) and lowest for multidisciplinary group (11.82, SD = 4.80). Medical group had the highest perceived mistreatment index score (5.56, SD = 4.57). CONCLUSIONS: In a study of work environment of residency programs, differential impact was found for the four groups on work environment perceptions. Most of the residents recognized undergraduate teaching, grand rounds, patient rounds and seminars or workshops as contributing to their academic learning. Reporting of sexual harassment was low, indicating either underreporting or cultural dynamics of our setting.

AB - BACKGROUND: In Pakistan, there is a lack of information about the work environment of residency programs. This lack is a major impediment in their improvement. One of the approaches for improvement in these programs can be directed through the residents' own perception of their working conditions. Therefore, we collected data which would reflect working conditions of residents. AIM: To assess the perceived status of "work environment" in different specialities. MATERIALS AND METHODS: A cross-sectional survey was conducted in four teaching hospitals of Karachi from July 1999 to January 2000. Residents from selected programs were grouped into four broad groups: specialist, medical, surgical and multidisciplinary. Responses of residents were obtained on a Likert scale of 0 to 4. Indices were formed for two components of work environment: academic and mistreatment. STATISTICAL ANALYSIS: Differences between residents' groups were assessed through analysis of variance (ANOVA) at 5% significance. RESULTS: A total of 341 registered residents responded (response rate: 75%). Surgical residents were working more than 80 h/week and this was more than the other three groups. Medical residents were spending the highest actual time on research and teaching activities (10% and 14%, respectively). Academic index score was highest for surgical group (15.81, SD = 4.69) and lowest for multidisciplinary group (11.82, SD = 4.80). Medical group had the highest perceived mistreatment index score (5.56, SD = 4.57). CONCLUSIONS: In a study of work environment of residency programs, differential impact was found for the four groups on work environment perceptions. Most of the residents recognized undergraduate teaching, grand rounds, patient rounds and seminars or workshops as contributing to their academic learning. Reporting of sexual harassment was low, indicating either underreporting or cultural dynamics of our setting.

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KW - Analysis of Variance

KW - Attitude of Health Personnel

KW - Cross-Sectional Studies

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KW - Female

KW - Humans

KW - Internship and Residency

KW - Job Satisfaction

KW - Male

KW - Pakistan

KW - Questionnaires

KW - Sexual Harassment

KW - Social Environment

KW - Work Schedule Tolerance

KW - Workload

M3 - Article

C2 - 16534158

VL - 52

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EP - 18

JO - Journal of Postgraduate Medicine

JF - Journal of Postgraduate Medicine

SN - 0022-3859

IS - 1

ER -