Anderson Michael R, Jewett Ethan Alexander, Cull William L, Jardine David S, Outwater Kristan M, Mulvey Holly J
Division of Pediatric Pharmacology and Critical Care, Rainbow Babies and Children's Hospital, Cleveland, OH 44106, USA.
Pediatr Crit Care Med. 2003 Oct;4(4):412-7. doi: 10.1097/01.PCC.0000090288.43781.23.
To summarize the demographics and practice patterns of the current pediatric critical care workforce and to identify the key workforce issues that may affect the delivery of pediatric critical care services in the future.
A questionnaire designed to analyze current pediatric critical care workforce demographics and future workforce trends.
Pediatric critical care physicians from the United States were identified from the American Academy of Pediatrics Critical Care Section, from a list of physicians certified in pediatric critical care medicine (PCCM) by the American Board of Pediatrics, and from a list of pediatrician members of the Society for Critical Care Medicine.
None.
PCCM physicians were polled regarding board certification, practice characteristics, professional activities, referral patterns, patient profiles, competition, job satisfaction, and projected retirement age.
A total of 805 PCCM physicians completed the survey. When grouped by age, 40% of the responding PCCM physicians were younger than 40 yrs, 49% were 40 to 49 yrs old, and only 11% were 50 yrs of age or older. The younger group had a higher percentage of female pediatricians than the older groups. For all age groups, the largest proportion of time was devoted to direct patient care time in pediatric critical care. This was especially true for the youngest age group that had the largest amount of patient care time devoted to critical care (43%). Time devoted to research was also significantly higher for the younger age group, although very few respondents reported that they have >50% of their time protected for research. For all age groups, those reporting increases in referral volume and referral complexity over the previous 12 months far outnumbered those reporting decreases. The majority of respondents reported being satisfied with their career choice. In general, respondents were more likely to report that too many rather than too few PCCM physicians were currently being trained. Approximately one third of respondents (34%) planned on leaving the field of critical care medicine before retiring from medicine completely.
PCCM physicians were increasingly women and working for >65 hrs/wk, with a good level of job satisfaction. Competition from a variety of sources seems to affect the work of PCCM physicians. The relatively small percentage of time devoted to research, however, is a finding of great concern.
总结当前儿科重症监护医护人员的人口统计学特征和执业模式，并确定未来可能影响儿科重症监护服务提供的关键劳动力问题。
一份旨在分析当前儿科重症监护医护人员人口统计学特征和未来劳动力趋势的调查问卷。
从美国儿科学会重症监护分会、美国儿科学会认证的儿科重症医学（PCCM）医生名单以及危重病医学会儿科医生成员名单中确定来自美国的儿科重症监护医生。
无。
就委员会认证、执业特征、专业活动、转诊模式、患者资料、竞争、工作满意度和预计退休年龄等方面对PCCM医生进行调查。
共有805名PCCM医生完成了调查。按年龄分组时，40%的受访PCCM医生年龄小于40岁，49%的医生年龄在40至49岁之间，只有11%的医生年龄在50岁及以上。较年轻组的女性儿科医生比例高于较年长组。对于所有年龄组，在儿科重症监护中，直接用于患者护理的时间占比最大。最年轻的年龄组尤其如此，该组用于重症监护的患者护理时间最多（43%）。较年轻组用于研究的时间也显著更高，尽管很少有受访者表示他们有超过50%的时间用于研究。对于所有年龄组，报告在过去12个月中转诊量和转诊复杂性增加的人数远远超过报告减少的人数。大多数受访者表示对自己的职业选择感到满意。总体而言，受访者更有可能报告目前接受培训的PCCM医生太多而非太少。约三分之一的受访者（34%）计划在完全从医退休前离开重症医学领域。
PCCM医生中女性越来越多，每周工作超过65小时，工作满意度较高。来自各种来源的竞争似乎影响了PCCM医生的工作。然而，用于研究的时间比例相对较小，这是一个令人高度关注的发现。
