///2009 Abstract Details
2009 Abstract Details2018-05-01T17:45:11+00:00

Attitudes toward anesthesia residents involvement in patient care.

Abstract Number: 187
Abstract Type: Original Research

Erin K MacQuarrie MD1 ; Heather Morrow BA MSc Candidate2; Ronald B George MD FRCPC3; Dolores M McKeen MD MSc FRCPC4; Sonya Melnyk Stevens PhD Candidate5; Arla Day PhD6

Purpose - The attitudes of patients toward resident involvement in their care has been explored in the ophthalmologic and ER populations indicating good acceptance. The purpose of our study was to explore the attitudes of parturients to the involvement of anesthesia residents in their care. Secondarily, we were interested in how attitudes toward resident involvement were influenced by the parturients demographic information and their knowledge of medical education.

Methods - With REB approval surveys were distributed to parturients presenting to the Birth Unit (BU) for delivery and requiring anesthesia care at the IWK Health Centre. Agreeable parturients returned surveys anonymously. Data analysis was conducted using SPSS. Data was described with means +/- sd, percentages and / or medians where appropriate.

Results - Of 530 women who received anesthesia care on the BU during July-Aug 2008, 482 women received the survey (91%). There were 234 responses (49%). Mean age was 30 years, 62% had an education level of postsecondary degree or higher. 96% were aware that the IWK was a teaching hospital yet only 49% anticipated that an anesthesia resident may be involved in their care. Approximately 26% of parturients felt that they were knowledgeable/very knowledgeable regarding medical specialist training in Canada. On average, 62% of parturients knew that a resident was a "doctor". Approximately 71% knew that a staff anesthesiologist was responsible for care provided by residents, however only 24% knew that residents can perform procedures without direct supervision. There was a significant weak positive correlation between participants medical knowledge and their education level. However, there was no significant relationship between number of babies delivered and medical knowledge and between individuals own perceptions of their medical knowledge and their actual knowledge about residents. For those who had residents involved in their care (27%), most agreed or strongly agreed (74%) that they wanted to know the identity (staff or resident) of their physician yet only 8% inquired about the level of training of their resident. Forty percent felt they had a choice as to whether an anesthesia resident was involved. A majority of parturients (59%) felt that the quality of their care would not have been negatively affected had they objected to care from an anesthesia resident. There was a high degree of satisfaction with the overall delivery experience, the care received by anesthesia staff or residents, and from all health care providers.

Conclusions - Our sample population was a highly educated group of women who had a relatively poor knowledge of medical training. Respondents wanted to know the identity of their physician yet few asked about their level of training. Many respondents underestimated the responsibilities of resident. Overall, there was a very high degree of satisfaction with the care parturients received.

SOAP 2009