Department of Emergency Medicine, St. Thomas-Elgin General Hospital, St. Thomas, Ontario, Canada.
CJEM. 2005 Sep;7(5):315-20. doi: 10.1017/s1481803500014500.
Our primary objective was to survey the graduates of one residency program with respect to anticipated versus actual medical practice.
Using a modified Dillman technique, we surveyed all 83 physicians who had completed one year of residency training that led to certification of special competency in Emergency Medicine (CCFP-EM) at the University of Western Ontario (UWO) from 1982-2004. Respondents were asked what type of medicine they had thought they would practise before beginning their emergency medicine training. They were then asked to describe their employment from graduation to present time. Additional demographic information was collected. Correlation between demographic factors and other selected factors of influence upon career decisions was analyzed.
Our response rate was 87% (72/83), with 71% (51/72) respondents being male. At the start of their CCFP-EM residency training, 50% of respondents intended to practise emergency medicine exclusively and 47% intended to blend family and emergency medicine. For each of the respondents' first 4 positions of employment, the greatest percentage were practising emergency medicine only (ranging from 72% in position 1 to 53% in position 4), while the number engaging in a blended family/emergency medicine practice never exceeded 20%. No demographic factors surveyed had significant correlation with intended or actual practice. In all positions of employment, "type of practice" was ranked as the most influential factor in choosing that position.
Most graduates of the UWO CCFP-EM program practise in emergency medicine only positions. Less than 20% are engaged in a blended family/emergency medicine practice. At training onset, one-half of the residents intended to practise emergency medicine exclusively. None of the demographic factors surveyed significantly correlated with intended or actual practice. Further examination of the practice patterns of all emergency medicine residency program graduates is an essential part of future planning for the specialty of Emergency Medicine in Canada.
我们的主要目的是调查一个住院医师培训项目的毕业生，了解他们预期的和实际的医疗实践情况。
我们使用经过改良的 Dillman 技术，对所有在安大略西部大学（UWO）完成了一年住院医师培训并获得急诊医学专业资格认证（CCFP-EM）的 83 名医生进行了调查。这些医生的培训时间从 1982 年到 2004 年。在开始急诊医学培训之前，我们要求受访者回答他们希望从事哪种类型的医学工作。然后，我们要求他们描述毕业后到现在的就业情况。我们还收集了其他人口统计学信息。分析了人口统计学因素与其他对职业决策有影响的因素之间的相关性。
我们的回复率为 87%（72/83），其中 71%（51/72）的受访者为男性。在开始 CCFP-EM 住院医师培训时，50%的受访者希望专门从事急诊医学工作，47%的受访者希望将家庭医学和急诊医学结合起来。对于每位受访者的前 4 个工作职位，从事急诊医学工作的比例最高（从第 1 个职位的 72%到第 4 个职位的 53%），而从事家庭/急诊医学混合实践的比例从未超过 20%。没有调查到的人口统计学因素与预期或实际实践有显著相关性。在所有工作职位中，“工作类型”被评为选择该职位的最具影响力因素。
UWO CCFP-EM 项目的大多数毕业生只从事急诊医学工作。不到 20%的人从事家庭/急诊医学混合实践。在培训开始时，一半的住院医师希望专门从事急诊医学工作。没有调查到的人口统计学因素与预期或实际实践有显著相关性。进一步研究所有急诊医学住院医师培训项目毕业生的实践模式是加拿大急诊医学专业未来规划的重要组成部分。
