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Program Director Satisfaction Revisited: An Alternate View

      Your February 2009 issue included a landmark contribution from Hinchey and colleagues
      • Hinchey K.
      • MacDonald F.
      • Beasley B.
      Sources of satisfaction for Residency Program Directors.
      regarding the second administration of the internal medicine program director satisfaction survey. It is important to recognize that among the variables measured, the program director salary, balance of time on service, and number of support staff were important factors in the satisfaction of the cohort. I must confess that I too scanned Table 3 to view the spectrum of salary responses—that is only human nature. But I realized that maybe we missed the point here and that an alternate perspective needed to be shared.
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      Reference

        • Hinchey K.
        • MacDonald F.
        • Beasley B.
        Sources of satisfaction for Residency Program Directors.
        Am J Med. 2009; 122: 196-201

      Linked Article

      • Sources of Satisfaction: A Second Administration of the Program Director Satisfaction Survey
        The American Journal of MedicineVol. 122Issue 2
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          In the past decade, the short half-life of leaders in academic medicine has been an important issue,1-4 but residency program directors have been of particular interest because of their roles in developing and maintaining a high-quality academic environment, ensuring continuous cycles of program and process improvement, and monitoring the development and well-being of physicians-in-training from the time of recruitment to graduation.5 Program directors have short job durations and high burnout associated with administrative “hassles,” long work hours, dissatisfaction with promotion opportunities, and concerns about resources.
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      • The Reply
        The American Journal of MedicineVol. 123Issue 3
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          Kane thoughtfully and correctly recognizes factors that contribute to program director satisfaction. The important landmark events in the lives and training of the young physicians in our programs triggered happy memories and general assent from all of us. In fact, the data we presented are concordant with Kane's statements. To understand the components of the Program Director Satisfaction Survey (PD-Sat) instrument, the reader is referred to Table 2 of our article,1 where it is clear that the facets of “work with residents” and “work with colleagues” make up the near majority of total satisfaction compared with the other 5 facets combined.
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