Patients' understanding of the roles of interns, residents, and attending physicians in the emergency department.
OBJECTIVE
To assess patients' knowledge of the responsibilities and roles of physician training in the ED.


METHODS
This was a prospective survey of a convenience sample of 345 adult patients and family members in an academic county ED. Thirty questions addressed the different roles, responsibilities, and hierarchies of physician levels of training. Four opinion-based questions assessed patients' willingness to have physicians-in-training care for them.


RESULTS
96.5% of the surveys were returned. Of the participants responding, 68% were Hispanic, 23% were non-Hispanic white, and 55% were women. Forty percent of the participants indicated that they had education greater than a high school diploma. Most participants answered fewer than 50% of the questions correctly, indicating that they did not understand the levels of physician training. Participants with higher education were more likely to know the correct answer. Seventy-nine percent of the participants believed that it is very important to know the level of training of their physicians. However, only 34% of the participants actually thought they knew the training level of their physicians when they were being treated. Twenty-nine percent of the participants did not want learning to take place on themselves by physicians-in-training.


CONCLUSIONS
Participants believe that it is important to know their physicians' level of training, but they do not understand the roles and responsibilities of physicians-intraining in the medical training system in which they receive care. In particular, patients who have less than a high school education seem to know least about this system.
Hemphill
R R
RR
San Antonio Uniformed Services Health Education Consortium, Emergency Medicine Residency, Brooke Army Medical Center, TX, USA.
Santen
S A
SA
Rountree
C B
CB
Szmit
A R
AR
D000328:Adult; D001294:Attitude to Health; D002983:Clinical Competence; D003253:Consultants; D004522:Educational Status; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration; D007587:Job Description; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education* / Q000458:organization & administration; D010819:Physician's Role; D011446:Prospective Studies; D013337:Students, Medical; D011795:Surveys and Questionnaires; D013781:Texas; D000078329:Workforce