Clem Kathleen J, Promes Susan B, Glickman Seth W, Shah Anand, Finkel Michelle A, Pietrobon Ricardo, Cairns Charles B
Division of Emergency Medicine, Duke University Medical Center, Durham, NC, USA.
Ann Emerg Med. 2008 Jun;51(6):723-728.e8. doi: 10.1016/j.annemergmed.2008.01.011. Epub 2008 Mar 17.
Attrition rates in emergency medicine have been reported as high as 25% in 10 years. The number of women entering emergency medicine has been increasing, as has the number of female medical school graduates. No studies have identified factors that increase female emergency physician career satisfaction. We assess career satisfaction in women emergency physicians in the American College of Emergency Physicians (ACEP) and identify factors associated with career satisfaction.
The survey questionnaire was developed by querying 3 groups: (1) ACEP women in the American Association of Women Emergency Physicians, the (2) Society for Academic Emergency Medicine Mentoring Women Interest Group, and (3) nonaffiliated female emergency physicians. Their responses were categorized into 6 main areas: schedule, relationships with colleagues, administrative support and mentoring, patient/work-related issues, career advancement opportunities, and financial. The study cohort for the survey included all female members of ACEP with a known e-mail address. All contact with survey recipients was exclusively through the e-mail that contained a uniform resource locator link to the survey itself.
Two thousand five hundred two ACEP female members were sent the uniform resource locator link. The Web survey was accessed a total of 1,851 times, with a total of 1,380 surveys completed, an overall response rate of 56%. Most women were satisfied with their career as an emergency physician, 492 (35.5%) very satisfied, 610 (44.0%) satisfied, 154 (11.1%) neutral, 99 (7.1%) not satisfied, and 31 (2.3%) very unsatisfied. Significant factors for career satisfaction included amount of recognition at work, career advancement, schedule flexibility, and the fairness of financial compensation. Workplace factors associated with high satisfaction included academic practice setting and sex-equal opportunity for advancement and sex-equal financial compensation.
Most of the ACEP female physicians surveyed were satisfied with their career choice of emergency medicine. Opportunities for career advancement, fairness in financial compensation, and schedule flexibility were key factors in career satisfaction among female emergency physicians.
据报道，急诊医学领域的人员流失率在10年内高达25%。进入急诊医学领域的女性人数一直在增加，医学院校女性毕业生的数量也在增加。尚无研究确定能提高女性急诊医生职业满意度的因素。我们评估了美国急诊医师学会（ACEP）中女性急诊医生的职业满意度，并确定与职业满意度相关的因素。
通过向3组人员询问来制定调查问卷：（1）美国急诊女医师协会中的ACEP女性；（2）学术急诊医学学会女性导师兴趣小组；（3）非附属女性急诊医生。她们的回答被分为6个主要领域：工作安排、与同事的关系、行政支持与指导、患者/工作相关问题、职业发展机会和财务状况。该调查的研究队列包括所有已知电子邮件地址的ACEP女性成员。与调查对象的所有联系均仅通过包含调查统一资源定位器链接的电子邮件进行。
向2502名ACEP女性成员发送了统一资源定位器链接。网络调查共被访问1851次，共完成1380份调查问卷，总体回复率为56%。大多数女性对其急诊医生职业感到满意，492人（35.5%）非常满意，610人（44.0%）满意，154人（11.1%）中立，99人（7.1%）不满意，31人（2.3%）非常不满意。职业满意度的重要因素包括工作中的认可程度、职业发展、工作安排灵活性以及财务补偿的公平性。与高满意度相关的工作场所因素包括学术实践环境以及晋升机会和财务补偿方面的性别平等。
接受调查的大多数ACEP女性医生对其急诊医学的职业选择感到满意。职业发展机会、财务补偿的公平性以及工作安排灵活性是女性急诊医生职业满意度的关键因素。
