Goldenberg Gary, Patel Manisha J, Sangueza Omar P, Camacho Fabian, Khanna Vishal C, Feldman Steven R
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Cutan Pathol. 2007 Jun;34(6):487-9. doi: 10.1111/j.1600-0560.2006.00643.x.
Graduates of a dermatopathology fellowship may choose an academic career or a career in private practice.
To assess career plans of 2004-2005 dermatopathology fellows and to correlate an academic career choice with factors identified in a national survey of US dermatopathology fellowship programs.
Surveys were mailed to 60 trainees at 45 dermatopathology fellowship programs across the United States. Pearson correlation analysis was used to interpret the data.
Thirty-five surveys (58% response rate) were returned. Top five factors that correlated positively with an academic career choice were graduating from a non-US medical school, performing research during fellowship, importance of research in a career decision, completing a dermatology residency and publication requirement in fellowship. Top five factors that correlated positively with choosing a career in private practice were loan debt, importance of salary/earning potential, importance of job availability, being married and having an employed spouse.
Study limitations are a small sample size and potential response bias.
Supporting research during fellowship, supporting applicants who completed a dermatology residency or graduated from a foreign medical school, providing loan forgiveness/repayment and increasing earning/salary potential in academic practice may encourage more young physicians to join the academic workforce.
皮肤病理学 fellowship 项目的毕业生可选择学术生涯或私人执业生涯。
评估 2004 - 2005 年皮肤病理学 fellows 的职业规划，并将学术职业选择与美国皮肤病理学 fellowship 项目全国性调查中确定的因素相关联。
向美国 45 个皮肤病理学 fellowship 项目的 60 名学员邮寄调查问卷。采用 Pearson 相关分析来解释数据。
共收回 35 份调查问卷（回复率为 58%）。与学术职业选择呈正相关的前五个因素是毕业于非美国医学院校、在 fellowship 期间进行研究、研究在职业决策中的重要性、完成皮肤科住院医师培训以及 fellowship 期间的发表要求。与选择私人执业生涯呈正相关的前五个因素是贷款债务、薪资/收入潜力的重要性、工作可得性的重要性、已婚以及配偶有工作。
研究局限性在于样本量小和潜在的回复偏差。
在 fellowship 期间支持研究、支持完成皮肤科住院医师培训或毕业于外国医学院校的申请人、提供贷款减免/偿还以及提高学术实践中的收入/薪资潜力，可能会鼓励更多年轻医生加入学术队伍。
