Noble Jason, Schendel Steven, Daniel Shannon, Baerlocher Mark O
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON.
Can J Ophthalmol. 2007 Dec;42(6):821-5. doi: 10.3129/i07-156.
There has been little investigation into the attitudes and aspirations of current ophthalmology residents. The object of this study was to investigate the factors influencing career choice and to identify the future plans of Canadian ophthalmology residents.
All ophthalmology residents in English Canadian ophthalmology residency training programs were invited to complete an anonymous survey in June 2006. Data were categorized by demographic variables and basic statistics; chi2 comparative analyses were performed.
Of 128 residents surveyed, 49 (38%) responded to the survey. Having the ability to combine medicine and surgery was the most common factor influencing the decision to pursue ophthalmology (98% of respondents), with intellectual stimulation (76%) and mentorship (50%) also emerging as important factors. The majority of residents (62%) plan on pursuing fellowship training, with medical retina, anterior segment/cataract, and cornea being the most popular choices (36%, 34%, and 32%, respectively). Most residents expressed plans of pursuing fellowships abroad, and only 22% planned on training within Canada. Fourteen percent indicated an interest in performing laser refractive surgery, female residents being significantly less likely than males to express such an interest (0% vs. 21%; p < 0.02). Most residents (71%) expressed the wish to practice in an urban or suburban setting, with only 6% intending to work in a rural community.
The appeal of the dual medical and surgical nature of ophthalmology is the most common motivating factor for pursuing an ophthalmology residency. The trends identified, including the high level of interest in subspecialty training and the desire to work in an urban setting, have important implications for the future of ophthalmology in Canada.
目前对于眼科住院医师的态度和抱负的调查较少。本研究的目的是调查影响职业选择的因素，并确定加拿大眼科住院医师的未来计划。
2006年6月，邀请了加拿大所有英语眼科住院医师培训项目中的住院医师完成一项匿名调查。数据按人口统计学变量和基本统计进行分类；进行了卡方比较分析。
在接受调查的128名住院医师中，49名（38%）回复了调查。能够将医学与外科相结合是影响选择眼科的最常见因素（98%的受访者），智力刺激（76%）和导师指导（50%）也成为重要因素。大多数住院医师（62%）计划进行专科培训，医学视网膜、眼前段/白内障和角膜是最受欢迎的选择（分别为36%、34%和32%）。大多数住院医师表示计划在国外进行专科培训，只有22%计划在加拿大国内培训。14%表示对进行激光屈光手术感兴趣，女性住院医师表达这种兴趣的可能性明显低于男性（0%对21%；p< 0.02）。大多数住院医师（71%）表示希望在城市或郊区工作，只有6%打算在农村社区工作。
眼科兼具医学和外科的双重性质的吸引力是追求眼科住院医师培训的最常见动机因素。所确定的趋势，包括对专科培训的高度兴趣以及在城市环境中工作的愿望，对加拿大眼科的未来具有重要意义。
