ASSESSMENT OF RESIDENTS’ LEVEL OF SATISFACTION AND ASSOCIATED FACTORS WITH THE CURRENT MEDICAL EDUCATION AT SAINT PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE

Abstract

Abstract Introduction: Medical resident satisfaction is the predictors for institutional outcome with regard to how best is the educational activities in line with fulfilling the trainees need. Satisfied resident are crucial to deliver compassionate medical care for patients, having good knowledge, skill and attitudes, making the trainees competent in market, and communities activities, which is one of the expectation they have in future, career. Developed country have trend to evaluate their medical education and trainees satisfaction by doing resident survey. In contrary, in Ethiopia medical residency programs are in expansion to fulfil the heath demand on the existing constraint of the health system. Assessment of resident level of satisfaction is crucial for SPHMMC to see level of their achievement and solve the identified gaps having role in residents’ satisfaction. Method: A cross-sectional analytic study wasconducted from May2019G.C –June 2019G.C to assess residents’ level of satisfaction with current medical education at Saint Paul’s Hospital Millennium Medical College. Structured questionnaire having, sociodemographicvariables, freetext answer, multiple choice, and 5-point Likert scale were used to collect data from eligible residents. Data analyzed with Statistical Package for Social Sciences (SPSS) version 25.Mean, median, standard deviation, frequency and proportion used for descriptive statistics. Odds ratio, chi square, confidence interval of 95% and P<0.05 was used to see significance of association. Result: From 265-surveyed resident, 238 residentsresponded from 13 field of specialty with 89.8% response rate. The overall resident satisfaction with the current training at SPHMMC was 22.7%. The variable significantly associated with overall satisfaction were satisfaction with monthly income (AOR=3; 95%CI=1.54-5.9), educational presentation (AOR=8.3; 95%, CI=3.3, 21). Workingenvironment (AOR=17; 95%CI=3.5-84), peer relation (AOR=6; 95%CI=1.5-32), personal study hour availability (AOR=5.8; 95%CI=1.6-21), research opportunities (AOR=8; 95%CI=3-23) and resident evaluation methods (AOR=4; 95%CI=1.5- 11.5). Conclusion and recommendation: The overall level of resident satisfaction is low at SPHMMC. Academic activities, working environment, and balance of work and clinical activities are important for residents’ satisfaction. Revision of the teaching methods, improving resident role in teaching activities and corrective measure in educational environment is critical issue to be taken by the responsible body. Keywords: Ethiopia, Saint Paul’s Hospital Millennium Medical College, resident satisfaction