title: Transition to a semiclosed surgical intensive care unit (SICU) leads to improved resident job satisfaction: a prospective, longitudinal analysis.
abstract: OBJECTIVE
  Patients, family members and ICU nurses have a higher level of satisfaction with the semiclosed ICU model. Whether or not resident physicians have this same reaction has not yet been investigated. We hypothesized that surgical residents would have improved job satisfaction with the transition from a mandatory consultation SICU to a semiclosed SICU model.
  
  
  METHODS
  Prospective, longitudinal survey.
  
  
  METHODS
  Tertiary-care University Hospital.
  
  
  METHODS
  Categorical general surgery residents.
  
  
  METHODS
  Change from mandatory consultation SICU to semiclosed SICU.
  
  
  RESULTS
  Categorical surgery residents at a tertiary-care university hospital were surveyed at 3 time points during and after the transition from a mandatory consultation SICU to a semiclosed SICU. The survey consisted of 12 questions designed to gauge the residents' overall job satisfaction as related to the SICU. All questions were on a 5-point Likert scale. Analysis of variance for trend and Fisher exact test were performed to compare the responses. 97 surveys were received. The response rates for the 3 periods were 66, 62 and 72%. Residents were less likely to feel "out of the loop" regarding the care of their ICU patients in the later periods (p = 0.046). There was significant improvement over time in scores for the statement "there is often confusion about placing orders for the care of my patients in the ICU" (p = 0.001). The critical care team's management of all orders in the SICU significantly improved resident job satisfaction over the 3-year period (p = 0.027). There were no significant differences between the responses of junior and senior residents.
  
  
  CONCLUSIONS
  Resident satisfaction improved significantly over time with the transition from a mandatory consultation SICU to a semiclosed SICU.
authors.affiliation: Division of Trauma and Critical Care, Department of Surgery, UMDNJ- Robert Wood Johnson University Hospital, New Brunswick, New Jersey 08816, USA.
authors.forename: Meredith S
authors.initials: MS
authors.lastname: Tinti
authors.forename: Elliott R
authors.initials: ER
authors.lastname: Haut
authors.forename: Annamarie D
authors.initials: AD
authors.lastname: Horan
authors.forename: Seema
authors.initials: S
authors.lastname: Sonnad
authors.forename: Patrick M
authors.initials: PM
authors.lastname: Reilly
authors.forename: C William
authors.initials: CW
authors.lastname: Schwab
authors.forename: Vicente H
authors.initials: VH
authors.lastname: Gracias
mesh_terms: D003422:Critical Care / Q000458:organization & administration*; D003625:Data Collection; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D007588:Job Satisfaction