Resident Experience Research Articles

Lockdown through a Chinese lens: A qualitative study.

COVID-19-related lockdowns resulted in strict visiting restrictions in care homes, placing a vulnerable population at further risk of functional and cognitive decline, and psychological difficulties due to isolation. Experiences of vulnerable minority groups of older persons who reside in care homes are not well researched. In New Zealand, the Chinese community is a fast-growing ethnic group that faces challenges such as language barriers, differing cultural beliefs and COVID-19-related discrimination. The aim of this study was to explore the experiences of Chinese care home residents in New Zealand during COVID-19 lockdowns. In this qualitative study, we interviewed residents (n = 6), family members (n = 6) and facility staff (n = 6) across two Chinese-run care homes in Auckland, New Zealand. Resident and family member participants were exclusively Chinese. Interviews were conducted and transcribed in either English or Mandarin Chinese. Transcripts were coded and analysed to synthesise themes. We identified five themes: (a) acceptance and pragmatism; (b) attitudes towards authority; (c) the concept of máfan: (to trouble); (d) challenges to fulfilling filial duties; and (e) responding to pandemic challenges. This research reframes the narrative of older Chinese care home residents during COVID-19-related restrictions. We recommend integrating the findings and philosophical values identified in this study to develop future protocols that consider the cultural and language needs of Chinese care home residents.

Resident Experiences at a Community Hospital Caring for Patients Who Are Incarcerated.

There is no standardized curriculum that teaches medical residents to navigate the ethical and logistical complexities of bedside care delivery to patients who are incarcerated. In this article, we describe resident physician bedside experiences at a community teaching hospital caring for patients who are incarcerated. From 2022 to 2023, residents in emergency medicine, general surgery, internal medicine, and obstetrics and gynecology were offered an anonymous survey, self-administered via REDCap software, to explore their experiences caring for this patient population. Of 168 resident physicians, 78 (46.4%) completed the survey. The majority were cisgender women (62.3%), 20 to 30 years old (78.2%), and White (70.5%). Of these residents, 98.7% had cared for a patient who was incarcerated or in custody, yet only 15.4% reported receiving formal education regarding caring for this patient population, and only 24.4% were aware of relevant institutional policies. Qualitative analysis revealed themes including barriers to care, permission and authorization, conditional treatment, inconsistency, and conflict. Resident curricula that target knowledge gaps related to procedure and policy and address ethical concerns at the bedside may improve the clinical learning environment and lead to more consistent, equitable care delivery for patients who are incarcerated.

Place-pedagogies of water stress

This article explores the pedagogical affect of water in a place of water stress and illustrates its entanglement with dynamics of power and control. The current climate crisis is rendering already drought-prone regions ever drier, and it is often the already socially and economically disadvantaged who experience the most immediate impacts. In this article, we describe the experiences of residents in one township in South Africa’s Cape Flats to explore how water literacies have developed and been reinforced by a prolonged period of water scarcity. By analysing assemblages of images and accompanying texts produced through a PhotoVoice process undertaken by co-researchers in this settlement, we show how water’s presence as an always imminent absence has profound pedagogical impact. We also explore how water manages to escape and flow outside of attempts to control and constrain it. Finally, we speculate on the implications for place-based water literacies and the pedagogies at work in other places of water stress.

Co-Actors and Inequities in Digital Health from a Nursing Home Perspective

How are digital media used among older people at nursing homes? This qualitative study investigates the use of digital media in healthcare among individuals aged 75 and over who reside in nursing homes in Denmark. Focusing on the essential role of relatives and care takers, the research analyses the challenges faced by older individuals, particularly those without immediate relatives, in accessing and utilising digital health solutions and health communication. Through in-depth interviews and observations, we explore how digital health technologies often fall short of meeting the need for joint use among the older individual, relatives and nursing home staff, which leads to a digital divide that intensifies existing inequities in healthcare access. Our findings underscore the critical need for personalised assistance and support mechanisms to bridge the gap between older individuals and digital health technologies. By highlighting the importance of warm experts, co-actors in health and proxy users, this study offers insight into effective strategies for improving the digital health experiences for residents in nursing homes with the ultimate aim of contributing to more inclusive and equitable healthcare solutions.

Evaluation of Landscapes and Soundscapes in Traditional Villages in the Hakka Region of Guangdong Province Based on Audio-Visual Interactions

Traditional villages in the Hakka region of Guangdong Province have attracted significant attention for their unique cultural heritage and traditional lifestyles. Their favourable audio-visual environments offer immersive and realistic experiences for both residents and visitors. Thus, we selected four representative villages and used semantic segmentation to extract the core visual elements (sky, vegetation, construction, and dynamic) from visual landscape images. Audio-visual interaction experiments and subjective surveys were conducted to investigate the participants’ evaluations of the visual landscape and soundscape to explore the mechanisms of audio-visual interaction. The results revealed that different audio-visual combinations significantly influenced the participants’ visual landscape satisfaction, acoustic comfort, and audio-visual harmony evaluations. Specifically, visual images of natural spaces with a high proportion of sky (24.54%) and vegetation (72.56%), matched with natural sounds (with a sound pressure level of approximately 55 dB) such as birdsong, wind, and flowing water, received excellent ratings for both visual landscape satisfaction and acoustic comfort evaluations. Moreover, the findings further revealed that coordination between visual and audio materials was crucial for enhancing the participants’ perceptions and assessments, highlighting the importance of audio-visual coordination in creating harmonious environments. These findings provide recommendations for spatial planning, landscape design, and soundscape optimisation in traditional villages.

Utilizing objective performance indicators to assess resident autonomy during robotic cholecystectomy.

The current evaluation of surgical resident operative autonomy consists primarily of self-report and is prone to bias. Objective performance indicators (OPIs) generated from the da Vinci Surgical System capture objective intraoperative data providing an opportunity to evaluate the intraoperative resident experience more accurately. This study investigates the ability of OPIs to describe resident autonomy during robotic cholecystectomy. The Intuitive Data Recorder captured OPI data during 82 robotic cholecystectomies performed at a single high-volume academic center between July 1st, 2020, and April 30th, 2023. Autonomy was characterized by evaluating surgeon-specific OPIs: instrument active time (AT) and path length (PL). OPIs were evaluated for the overall procedure, the hepatocystic triangle dissection, and the gallbladder fossa dissection. Analysis was stratified by trainee level and case complexity as defined by the Parkland Grading Scale. Of the 82 cholecystectomies, surgical trainees participated in 77 cases, 59.7% (n = 46) involved senior trainees (PGY 4-7), and 40.3% (n = 31) involved junior trainees (PGY 2-3). By median AT, senior trainees performed 60% of the cholecystectomy (median AT 0.6 [IQR, 0.5 - 0.8]), significantly more compared to junior trainees at 40% (AT 0.4 [IQR 0.3 - 0.5]; P < 0.001). Junior residents had the least autonomy during the hepatocystic triangle dissection (P < 0.05) whereas no significant difference was present between annotated steps for senior trainees (P > 0.05). Resident autonomy did not vary significantly based on case complexity (P > 0.05). Overall, 76.1% of senior residents performed at least half of the cholecystectomy, significantly more compared to 32.3% of junior trainees (P < 0.001). OPIs differentiated the surgical trainee experience during a robotic cholecystectomy. While senior trainees performed more of the procedure, there was significant within-group heterogeneity regarding the level of autonomy allotted. Moving forward, OPIs can be a valuable tool for characterizing resident autonomy and objectively informing surgical training curricula.

Impact of trauma center status on radiology resident performance in detecting non-accidental trauma on the WIDI SIM exam.

To evaluate whether adult and pediatric trauma center status, as well as the presence of dedicated child protection teams, influences radiology resident performance in detecting non-accidental trauma on the Emergent/Critical Care Imaging Simulation (WIDI SIM) exam. We retrospectively analyzed 639 WIDI SIM exam scores for four pediatric non-accidental trauma cases completed by radiology residents across 33 programs. Residents were stratified by level (R1-R4) and institutional factors, including adult trauma center status, pediatric trauma center status, and child protection team presence. Additionally, 2022 pediatric physical abuse counts per state were obtained from the National Child Abuse and Neglect Data System and normalized between 0 and 1. We employed a negative binomial generalized linear model (GLM). The outcome was regressed on resident level, trauma center status variables, child protection team presence, and normalized abuse counts. Higher resident training level was significantly associated with better performance (R1=3.6, R2=5, R3=6.1, R4=7.9; P<0.001). Adult trauma center accreditation was also associated with higher scores (4.6 vs. 3.3; P<0.001). In contrast, pediatric trauma center status, child protection team presence, and normalized state-level abuse counts were not significantly associated with resident performance (all P>0.05). Resident experience and adult trauma center accreditation were significantly associated with better radiology resident performance in detecting non-accidental trauma in a simulated call environment. Pediatric trauma center status, child protection team presence, and statewide abuse prevalence were not associated with detection performance. These findings suggest the need for targeted educational interventions at non-adult trauma centers and emphasize the importance of experience in developing diagnostic proficiency for non-accidental trauma.

Design and Development of A WeChat Mini Program for assisting Chinese Tourists in identifying Thai Vegetables

Background and Aims: This study aims to bridge the gap in knowledge about Thai vegetables among Chinese tourists visiting Thailand. Through a combination of questionnaires and literature reviews, the researcher identified a lack of familiarity with Thai vegetables among Chinese tourists, potentially influenced by regional cultural differences and eating habits. To address this issue, the study proposes the development of a WeChat mini program as an educational tool to assist Chinese tourists in identifying and understanding Thai vegetables. Materials and Methods: Data was collected through questionnaires administered to Chinese tourists to determine their level of knowledge and familiarity with Thai vegetables. The findings were complemented by a comprehensive literature review on the types, nutritional values, and promotion status of Thai vegetables in the Chinese market. The questionnaire survey revealed specific Thai vegetables that were unfamiliar to Chinese tourists. This information was then incorporated into a database to develop the "Identifying Thai Vegetables" WeChat mini program. Results: The "Identifying Thai Vegetables" WeChat mini program is a well-designed and effective tool that facilitates the identification of Thai vegetables and enhances users' understanding of Thai cuisine and culture. By continuously innovating and expanding its features, the mini program has the potential to become an indispensable resource for individuals interested in exploring the rich culinary landscape of Thailand, promoting awareness and increasing the consumption of Thai vegetables among Chinese tourists. Conclusion: The mini program features a bilingual interface in both Chinese and Thai, facilitating accurate identification and comprehensive information retrieval. By leveraging machine learning and image recognition technologies, the mini program allows users to upload or take photos of vegetables, which are then analyzed to provide names, descriptions, and pronunciation guides in both languages. This tool aims to bridge the language barrier and enhance the culinary experience for Chinese residents and tourists in Thailand, contributing to a deeper appreciation and knowledge of local produce.

Doing Less Later: Seniorization of General Surgery Resident Operative Experience in the Entrustable Professional Activities at Veterans Affairs Hospitals.

Identify changes in general surgery resident autonomy and resident postgraduate year (PGY) level in Entrustable Professional Activity (EPA) cases over time. Retrospective cohort study. United States Veterans Affairs (VA) hospital system, 2004 to 2020. All patients undergoing operations in any of the 12 general surgery EPAs with identifiable operative components captured by the VA Surgical Quality Improvement Project database from 2004 to 2020. 452,549 cases were identified. Between 2004 and 2020, there was a 61.4% decrease in resident-performed cases and a 14.3% decrease in attending-assisted cases, with a concomitant 51.8% increase in attending-performed cases. All EPAs experienced a statistically significant decrease in resident autonomy over the study period, and a net transfer of cases from resident-performed to attending-performed. About 7 of 12 EPAs had significant increases in the resident PGY level of attending-assisted cases over the study period: abdominal wall hernia, benign/malignant breast, benign/malignant colon, cutaneous/subcutaneous neoplasm, gallbladder disease, inguinal hernia, and soft tissue infection. About 3 EPAs had significant increases in the resident PGY of resident-performed cases: abdominal wall hernia, benign/malignant breast, and inguinal hernia. Many of these changes represented seniorization of the operative experience by 3 to 12 months. There has been a continual decrease in resident operative autonomy across all general surgery EPAs at the VA. Furthermore, many EPA cases have shifted to more senior residents over time, delaying or deferring autonomous completion of these cases during training. Although these data were drawn from the VA system, the results likely reflect a continued decrease in autonomy for resident surgeons in other settings as well. As general surgery adapts to a competency-based educational model, action is needed to stabilize these changes for sustainable graduate surgical education.

COVID-19 vaccine anxieties: exploring social and political drivers of vaccine attitudes in Kono District, Sierra Leone.

As COVID-19 spread rapidly during the early months of the pandemic, many communities around the globe anxiously waited for a vaccine. At the start of the pandemic, it was widely believed that Africa would be a significant source of infection, and thus, vaccinating African communities became a primary goal among local and global health authorities. However, when the COVID-19 vaccine became available in March 2021 in Sierra Leone, many people viewed it with scepticism and hesitation. While much literature has focused on access and distribution-related challenges for vaccination in the region, a growing number of studies discuss vaccine hesitancy as driving low vaccine uptake. Shifting attention to understanding the determinants of vaccine hesitancy remains fundamental to increasing vaccination rates, as negative vaccine perceptions tend to delay or prevent vaccination. This study sought to do this by assessing, through semi-structured qualitative interviews, vaccine-related attitudes and experiences of residents of Sierra Leone's Kono District. In contrast to studies that utilise "knowledge-deficit" models of belief, however, this study drew upon the vaccine anxieties framework (Leach and Fairhead, 2007), which views vaccines as being imbued with personal, historical, and political meaning. Findings suggest that important bodily, social, and political factors, including fear of side effects, the spread of misinformation prompted by poor messaging strategies, and distrust of government and international actors, influenced people's COVID-19 vaccine attitudes and behaviours. It is hoped that the study's findings will inform future policies and interventions related to vaccine uptake in Africa and globally.

Digital (Dis)connection, Agency, and Imagination in a French Rural Community

Common to scholarly analyses of the “digital revolution” is their inclination to deploy technology—the platforms, their affordances, the virtual spaces they create—as the main entry into evaluations of digital media’s impact on socio-cultural organization. While certainly useful in helping us understand the dynamics of digital practices and spaces, these narratives often fail to provide a fuller portrait of individuals’ broader relationship to the technological world shaped not (only) by their digital media use (or lack thereof) but also by their mere awareness of the existence of digital tools. Drawing from 14 months of ethnographic fieldwork in as small rural community in France, this project starts sketching such a portrait. Inspired by theories of mediation that encourage us to “rediscover” people as a methodological starting point by moving our focus from object (media) to process (mediation), it explores how residents experience, enjoy, resist, and negotiate the impact of digital and social media on the community’s culture, identity, and social organization.

Using Soft-Preserved Body Donors to Improve the Anatomy Learning Experience for Orthopedic Residents

Working with deceased human bodies to advance anatomical knowledge as part of orthopedic residency programs is critical to improving clinical skills. Formalin-preserved donors are routinely used but don't retain similar features to patients. This study compares Imperial College London- soft preserved (ICL-SP) donors to standard formalin-preserved donors in teaching anatomy to orthopedic residents. Orthopedic Residents were invited to fill out a dissection survey after they had completed different dissections over a 6-week period. At the end of the study, residents and observers then comprehensively analyzed the experience between the donors. The surveys used a Likert scale format from 1 to 5. These survey questions include assessments of tendons, muscles, ligaments, nerves, vessel quality, fascia, ease of dissection, similarity to in vivo tissue, finding specific structures, and more. Descriptive statistics were used to describe the resident opinion/experience differences between the 2 types of donors. A total of 24 residents participated in the dissector surveys, and 30 residents completed the observer surveys. In completing the Likert scale questionnaires, 88.3% of residents in the dissections and 86% of residents in the observer surveys stated that they favored learning from ICL-SP donors. When residents were asked to evaluate the differences in the donor preservations, residents favored ICL-SP donors. Orthopedic Residents ultimately agreed that dissecting and identifying structures is more effective when working with ICL-SP. The results suggest that orthopedic residency programs should consider preservation techniques when teaching their students anatomy from human donors. ICL-SP donors can encourage residents to transfer the skills learned to their clinical experiences and improve patient care.

Community responses to a novel house design: A qualitative study of "Star Homes" in Mtwara, southeastern Tanzania.

To evaluate the impact of a novel design "Star Home" on the incidence of malaria, respiratory tract infections and diarrheal diseases among children, randomly selected households in Mtwara, Tanzania were offered a free, new Star Home. Drawing on longitudinal qualitative research that accompanied the Star Homes study, this article describes the experiences of residents and the wider community of living with these buildings. A total of four rounds of face-to-face interviews were undertaken with residents of Star Homes (n = 37), control (wattle/daub) homes (n = 21), neighboring households n = 6), community members (n = 17) and community leaders (n = 6). The use of Star Homes was also observed over these four time periods between 2021 and 2023. Interviews were conducted in Swahili, transcribed, and translated into English for thematic analysis. Star Homes residents appreciated several aspects of the Star Homes, including overall comfort, access to water and electricity, and clean toilets. There were concerns about some design elements, such as poorly closing doors, stoves perceived as inefficient, and the façade, which was susceptible to rainwater ingress. The houses were not always used as intended by their developers, for example, residents were sleeping downstairs instead of upstairs because of cold floors or difficulties using the stairs. Star Homes residents described how the structures triggered praise but also envy from other community members. The findings highlight the need for close attention to the use of novel design houses and careful sensitization around the potential benefits of dwellings to ensure that the intended health impacts of interventions are achieved.

Unveiling the Impact: How Malaysia's Low-Income Housing Programs Shape Resident Experiences and Quality of Life

Unveiling the Impact: How Malaysia's Low-Income Housing Programs Shape Resident Experiences and Quality of Life

The influence of hierarchy as an Implicit curriculum on medical trainees during the COVID-19 pandemic

ABSTRACT Background Understanding the hierarchy in medical education is considered one of the hidden curriculum agendas that help to guide the medical trainees throughout their careers in healthcare. However, many negative aspects to the hierarchy and a few positive aspects have been uncovered in recent years. The COVID-19 pandemic had a tremendous impact on the healthcare system, deploying healthcare workers, including trainees from their primary speciality training to help caring for COVID-19 patients. The effect of hierarchy on medical trainees in such situations has not been discussed before. This study aims to uncover whether the COVID-19 pandemic emergency had any impact on the hierarchical system among healthcare workers. Methods Individual semi-structured virtual interviews were conducted with six residents from different residency programs who were redeployed from their primary subspeciality to work with COVID-19 patients in different healthcare facilities across the country. The interviews aimed to uncover the resident’s experience with the hierarchical structure while working in a diverse COVID-19 team. Responses were analysed qualitatively using an interpretive approach. Result Interviews yielded data broadly covered the aspects of 1. The impact of hierarchy during the pandemic on the resident’s training in the absence of academic and clinical teaching and the limited exposure to clinical cases where the primary focus was treating COVID-19 patients. 2. The functional and dysfunctional impact of hierarchy on team dynamic before the COVID-19 pandemic from the residents ‘perspective when they worked with different teams before the pandemic. 3. The functional and dysfunctional impact of hierarchy on team dynamic during the COVID-19 pandemic where some aspects of hierarchy, like mentorship, were prominent among teams. 4. The resident personal experience with the COVID-19 team during the pandemic in terms of team diversity and the war zone experience. The trainees described in a narrative approach the hierarchy impact on their experience during the COVID-19 pandemic. Conclusions The COVID-19 pandemic impacted the hidden curriculum of medical hierarchy in both functional and dysfunctional ways. This period underscored positive hierarchical elements, such as role clarity and team leadership, which were often overlooked pre-pandemic, while also exposing limitations that hindered flexibility and inclusivity.

WHO IS “OLD” IN AN AFFLUENT RETIREMENT COMMUNITY: QUALIFYING STIGMA THROUGH OUTLIER DATA

Abstract The purpose of this study has been to compare and potentially reconcile professional constructs defining who is an older adult with lived experience of aging into 80+ decades. In this anthropological field research project, the study site is an affluent, Midwestern retirement community in which the average age is 85. Data were primarily collected through participant observation and semi-structured interviews during several data collection periods from 1 week to 2 months between July 2021 and December 2023. Despite optimal access to resources and identities of privilege, findings show how residents confronted “deep old age” as a highly stigmatized experience and social identity. Demographic and other quantitative data were collected from administrative data. These data helped qualify normative responses from research participants, such as a perceived “rash of deaths,” during the Covid-19 pandemic. In addition, qualitative data provided richness of detail and contextualization that numbers could not. In the objective concerns of a facility caring for older adults and the subjective experiences of residents confronting fears of aging, outlier data included examples of coping and social interactions that did not fit professional nor peer expectations of aging as stigmatizing or debilitating. Such examples inspired hope of alternative constructs that transformed ageist fears of age-related change. Residents who inspired included those who were unusually able to accept frailty, falls, and disability without resignation. In dialogue with research participants, “old” age was redefined as risk at any age of “giving up.”

“...a Brick is already Building a Temple”: Survival Experience of Residents of Lukashivka Village during the Russian Occupation (record and publication by K. Lytvyn)

“...a Brick is already Building a Temple”: Survival Experience of Residents of Lukashivka Village during the Russian Occupation (record and publication by K. Lytvyn)

Perceptions of a faculty-trainee group mentorship program, the mentorship families program, in a residency training program: results from a cross-sectional survey

BackgroundIn residency programs, the availability of faculty mentors for traditional dyadic mentorship relationships may be limited. Few frameworks exist for mentorship programs with a combined faculty and peer mentorship approach. The authors developed the Mentorship Families Program (MFP), a faculty-resident group mentorship program within a psychiatry residency program to meet the need for mentorship for a large cohort of residents. A cross-sectional survey was used to evaluate the impact of the MFP after its first implementation year.MethodsEleven mentorship families were created with 11 faculty members and 45 residents; each mentorship family consisted of one faculty member and 4–5 residents. A cross-sectional survey characterized the one-year perceived impact (2021–2022) of the MFP on resident and faculty mentoring experiences, with questions about the content, frequency, and quality of the MFP meetings and the strengths and areas of improvement for the MFP. Descriptive statistics were used to summarize quantitative feedback; directed content analysis was performed on open-ended feedback.ResultsTwenty-seven residents (60%) and 8 faculty members (73%) responded to the survey. 70% of mentorship families met at least once. The MFP helped foster resident-faculty connections and provided an environment to gain career advice. However, residents and faculty reported challenges with scheduling meetings and a lack of meeting structure as barriers to effective engagement with the MFP. Most residents recommended that other training programs implement a program like the MFP as it offered multidimensional opportunities for connections between residents and faculty.ConclusionsA faculty-resident group mentorship program like the MFP can be implemented in residency training programs when traditional one-to-one faculty mentorship is often limited.

The impact of scarcity promotions in live streaming e-commerce on purchase intention: the mediating effect of emotional experience

PurposeThis article investigates the impact mechanism of scarcity promotions in live streaming e-commerce on consumer purchase intention in the context of urban-rural and male-female divides in China, with emotional experience as the mediating variable.Design/methodology/approachA total of 687 online questionnaires are collected, and the model is empirically analyzed by partial least squares structural equation model.FindingsScarcity promotions in live streaming e-commerce positively influence purchase intention, with emotional experience mediating the impact. Furthermore, the influence of scarcity promotions in live streaming e-commerce on the emotional experience of urban residents is greater than that of rural residents. The effect of scarcity promotions on the purchase intention of urban residents is lower than that of rural residents. Scarcity promotions in live streaming e-commerce have a greater impact on the emotional experience of female consumers compared to male consumers. The influence of scarcity promotions on the purchase intention of female consumers is lower than that of male consumers.Originality/valueThis article extends the scarcity promotion theory to the context of live streaming e-commerce. Furthermore, it is the first to explore the mediating role of emotional experience in this process. Lastly, it is the first to investigate the moderating effects of urban-rural and male-female factors in this process.

A Survey on Quality of Services, Training, and Attitude of Dermatology Trainee Residents About Sexually Transmitted Infections in Teaching Hospitals Across India.

The incidence of sexually transmitted infections (STIs) has increased disproportionately to STI services. It is uncertain how many residents trained in STI services continue them. This study assessed the self-rated quality of training and attitudes about STI services amongst residents of Indian teaching hospitals. In this descriptive cross-sectional survey study, opinions from Indian postgraduate trainee residents were sought in three domains of STIs- institutional STI management practices, quality and satisfaction with training, and attitude towards STI services. A total of 225 responses were included. There was no separate area for STI services at centers of 51.6% of residents, and among those with separate STI posting, the duration was ≤2 months for 34.7%, with 59.6% wishing for its increase. Easily available bedside tests were used regularly when indicated by only 41.8%. Only 58.2% of respondents strictly ensured contact tracing and partner treatment. Only 65.8% of centers had provision of benzathine penicillin. Under-confidence in managing STIs independently was reported by 19.6%. Inadequate training was the second reason for wishing to discontinue STI services upon completion of training; with 71.5% wishing to continue STI practice. In univariate analysis, frequent point-of-care testing (P < 0.001), and >2 months of separate STI posting (P = 0.018) were associated with good satisfaction with STI training. Frequent point-of-care testing (P < 0.001), and male gender (P < 0.001) were associated with good confidence in independently managing STIs. Male gender (P = 0.038), having less reluctance in dealing with STI patients (P = 0.003), and good confidence in independently managing STIs (P = 0.008), was associated with willingness to continue STI practice. STI care is associated with reluctance. Current STI training in Indian teaching hospitals is less than desired and can lead to unwillingness amongst residents to practice STI services in the future. Having >2 months of separate STI posting, frequent point-of-care tests, and efforts to reduce reluctance when dealing with STI patients are steps that can improve the STI training experience of residents.