Kibbe Melina R, Troppmann Christoph, Barnett Carlton C, Nwomeh Benedict C, Olutoye Oluyinka O, Doria Cataldo, Kim Robin D, Mankani Mahesh H, Corbett Siobhan A, Biffl Walter L, Schwarze Margaret L
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.
Ann Surg. 2009 Feb;249(2):342-8. doi: 10.1097/SLA.0b013e318195e5c8.
The purpose of this study was to assess indebtedness among academic surgeons and its repercussions on personal finances, quality of life, and career choices.
The influence of educational debt on academic surgical career choices and quality of life is unknown. We hypothesized that educational debt affects professional choices and quality of life.
A web-based survey was designed to assess respondent demographics, educational and consumer indebtedness, and the influence of educational debt on career choices and quality of life among academic surgeons.
Five hundred fifty-five surgeons responded (20.6% response rate). Two hundred seventy-four (66%) respondents finished postgraduate training with educational debt, 139 (34%) reported no debt, and 142 (26%) did not respond. Among those with educational debt, mean educational debt was $90,801 and mean noneducational consumer debt was $32,319. Individuals without educational debt reported a mean of $15,104 of noneducational consumer debt (P < 0.001) and had higher mean salaries (P = 0.017) versus those with educational debt. Eighty-seven percent of respondents with educational debt would make the same career choice again. However, 35% acknowledged it placed a strain on their relationship with their significant other, 48% felt it influenced the type of living accommodations they could afford, and 29% reported it forced their significant other to work. Alarmingly, 32% of academic surgeons would not recommend their career choice to their children or medical students.
Many academic surgeons reported that their educational debt affected their academic productivity, career choices, and quality of life. Consequently, efforts to mitigate the impact of educational debt on academic surgeons are required to ensure medical students continue to pursue academic surgical careers.
本研究旨在评估学术外科医生的债务情况及其对个人财务、生活质量和职业选择的影响。
教育债务对学术外科职业选择和生活质量的影响尚不清楚。我们假设教育债务会影响职业选择和生活质量。
设计了一项基于网络的调查，以评估受访者的人口统计学特征、教育和消费债务，以及教育债务对学术外科医生职业选择和生活质量的影响。
555名外科医生回复（回复率为20.6%）。274名（66%）受访者完成研究生培训时背负教育债务，139名（34%）报告无债务，142名（26%）未回复。在背负教育债务的人中，平均教育债务为90,801美元，平均非教育消费债务为32,319美元。与背负教育债务的人相比，没有教育债务的人报告的平均非教育消费债务为15,104美元（P < 0.001），且平均工资更高（P = 0.017）。87%背负教育债务的受访者会再次做出相同的职业选择。然而，35%承认这给他们与重要他人的关系带来了压力，48%觉得这影响了他们能负担得起的居住类型，29%报告这迫使他们的重要他人去工作。令人担忧的是，32%的学术外科医生不会向他们的孩子或医学生推荐他们的职业选择。
许多学术外科医生报告称，他们的教育债务影响了他们的学术生产力、职业选择和生活质量。因此，需要努力减轻教育债务对学术外科医生的影响，以确保医学生继续追求学术外科职业。
