Ros Simon P, Scheper Ryan
Department of Surgery, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153, USA.
Pediatr Emerg Care. 2009 Aug;25(8):487-8. doi: 10.1097/PEC.0b013e3181b09d19.
Pediatric emergency medicine (PEM) is more than a quarter of a century old; yet, very little is known about the career longevity of its practitioners. The purpose of our survey was to examine different aspects of career longevity in the clinical practice of PEM.
An electronic survey was mailed in November 2008 to all members of the section on pediatric emergency medicine at the American Academy of Pediatrics who were older than 50 years. The survey consisted of 10 questions concerning demographic data, years of practice, clinical load, and retirement expectations.
One hundred three of the 408 mailed surveys were returned (response rate, 25.2%). The survey participants were 55.25 +/- 5.15 years old (range, 50-81 years) 70% were male, 84.5% were PEM board certified, and they had been in practice for 20.20 +/- 6.16 years (range, 3-32 years). Fifteen of the study participants had retired from clinical practice of PEM. Those clinically active work on 21.82 +/- 10.95 clinical hours per week, 50% work overnight shifts, 97% work on weekends, 94% work on holidays, and 70% work on shifts longer than 8 hours. Study participants expect to retire from clinical PEM practice at the age of 62.27 +/- 6.04 years and from practice of all aspects of medicine at the age of 66.43 +/- 5.23 years. Sixty-four percent of those surveyed are concerned about their career longevity in clinical PEM practice.
Most senior PEM physicians participating in our survey continue to carry a significant clinical load and are concerned about their career longevity in clinical practice of PEM.
儿科急诊医学（PEM）已有超过25年的历史；然而，对于其从业者的职业寿命却知之甚少。我们此次调查的目的是研究儿科急诊医学临床实践中职业寿命的不同方面。
2008年11月，我们向美国儿科学会儿科急诊医学分会中年龄超过50岁的所有成员发送了电子调查问卷。该问卷包含10个问题，涉及人口统计学数据、从业年限、临床工作量和退休期望。
在寄出的408份调查问卷中，有103份被退回（回复率为25.2%）。参与调查者的年龄为55.25±5.15岁（范围为50 - 81岁），70%为男性，84.5%获得了儿科急诊医学委员会认证，他们的从业时间为20.20±6.16年（范围为3 - 32年）。15名研究参与者已从儿科急诊医学临床实践中退休。那些仍在临床工作的人员每周工作21.82±10.95个临床小时，50%上夜班，97%在周末工作，94%在节假日工作，70%工作时长超过8小时。研究参与者预计将在62.27±6.04岁时从儿科急诊医学临床实践中退休，在66.43±5.23岁时从所有医学领域的实践中退休。64%的受访者担心自己在儿科急诊医学临床实践中的职业寿命。
参与我们调查的大多数资深儿科急诊医学医生仍承担着繁重的临床工作量，并担心自己在儿科急诊医学临床实践中的职业寿命。
