臺中榮民總醫院實習醫師對工作、學習及生活滿意度之探討

The Study of Interns' Satisfaction on Working, Learning, and Living in TCVGH

實習醫師是醫學教育的最後一年，也就是學士學制的第七年，這整年都 在醫院各部分科輪流實習，目的在於將學校所學的知識實地操作於病人的身 上。臨床實習的經驗對未來專科選擇有深遠的影響。因此，本文以問卷填 答，調查實習醫師在醫院訓練過程中關於工作、學習及生活等各項的建議反 應。作為該院訓練實習醫師並協助其適應生活的參考依據。 結果顯示，來到台中榮總實習的各校實習醫師，中部學校是以「學長姐 口碑」為首要參考，其整體滿意較低於其他地區學校之實習醫師。在各項滿 意度中普遍是以實習第一年的實習醫師滿意度高於第二年的實習醫師，但在 生活狀況的滿意度中，是以第二年的實習醫師滿意度高於第一年的實習醫 師。從實習醫師對外科課程排定方式、內容安排、及溝通的滿意評估， 顯示 外科在教學計劃系統方面有加強及改進的空間。 實習醫師認為工作、報告過多、值班過多、及教學過少，這一點與先前 王崇禮與候勝茂（ 1998 ）對台大醫院之實習醫師的研究結果一致。同時，實 習醫師認為親切的醫師擔任導師，提供面對面談話的機會，使一些臨床上的 學習與適應問題能得到解答。整體上， 各校的實習醫師對於台中榮總工作、 學習及生活現況的滿意度多為普通和滿意。

Most of the interns of medical schools from middle Taiwan apply to TCVGH as the training hospital for their internship based on the recommendation of their senior schoolmates. The entire satisfaction by these interns is lower than that by interns from medical schools in other areas in Taiwan. With regards to learning and living, there is no significant difference between first-year interns and second-year interns, although first-year interns overall mean score in satisfaction is better than second-year interns. Where as, the satisfaction of living in second-year interns is more satisfied than first-year interns. On the other hand, our study shows that the satisfaction in teaching schedule, contents of training programs, and communication in surgical teaching system has to be further enhanced. Most interns responded about too much paper work and work loading, too long on-duty hours, but not enough teaching in their internship training. This is consistent with the findings about interns of Taiwan University Hospital. Furthermore, interns preferred to have nice attending doctors to be the tutor and offer more opportunities to discussion. It is the best way to response questions arisen from clinical training and their adoption into the environment. Overall, the study reveals that the satisfaction of working, learning, and living for interns in TCVGH ranged from moderate satisfaction to satisfaction.