Ranz Jules
New york State Psychiatric Institute, New York, NY 10032, USA.
Community Ment Health J. 2004 Oct;40(5):487-94. doi: 10.1023/b:comh.0000040661.51094.74.
This study examines which issues public psychiatrists perceive as having most impacted their careers over the past five years and whether this impact was differentially experienced by staff psychiatrists and medical directors. The authors sent a questionnaire to all members of the American Association of Community Psychiatrists (AACP) in clinical practice for at least 5 years. Surprisingly, public psychiatrists report that the impact of recent changes have been primarily positive, except in the domain of economic developments. Both program and agency medical directors report experiencing about the same amount of change, though significantly more positive overall impact, compared to staff psychiatrists. This finding should encourage psychiatrists to become program medical directors, a feasible next step for many staff psychiatrists.
本研究调查了在过去五年中，哪些问题被公共精神科医生认为对其职业影响最大，以及这种影响在员工精神科医生和医疗主任之间的体验是否存在差异。作者向美国社区精神科医生协会（AACP）所有从事临床工作至少5年的成员发放了一份调查问卷。令人惊讶的是，公共精神科医生报告称，近期变化的影响主要是积极的，经济发展领域除外。项目和机构医疗主任报告称经历的变化量大致相同，不过与员工精神科医生相比，总体上积极影响显著更多。这一发现应鼓励精神科医生成为项目医疗主任，这对许多员工精神科医生来说是可行的下一步。
