Center for Research in Medical Education and Health Care, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA 190107, USA.
Med Educ. 2010 Oct;44(10):969-76. doi: 10.1111/j.1365-2923.2010.03735.x.
Research on doctor career satisfaction has often focused on factors such as income, specialty, gender, work hours, autonomy, patient load, lifestyle preferences, work environment, and insurance regulations. Other educational, personal and professional factors have not received sufficient empirical attention.
This study was designed to test the following five hypotheses that doctors' career satisfaction is associated with: (i) Higher satisfaction with their undergraduate medical education; (ii) Greater academic and clinical competence; (iii) More involvement in teaching and research activities; (iv) Higher orientation toward lifelong learning; and (v) Increased professional accomplishments.
A survey was mailed in 2006 to a national sample of 5349 doctors in the United States who graduated from Jefferson Medical College between 1975 and 2000; 3170 (59%) returned completed surveys. Based on responses to a career satisfaction question, doctors were classified into three groups: Highly satisfied (top third, n=1078); moderately satisfied (middle third, n=1031); and least satisfied (bottom third, n=1061). These groups were compared on a number of variables.
All five research hypotheses were confirmed. Additionally, no significant association was observed between career satisfaction, age, years in practice, gender, or ethnicity; however, career satisfaction was associated with doctors' specialties.
The findings suggest that factors such as satisfaction with medical education, medical school class rank, assessments of clinical competence, teaching, and research activities, orientation toward lifelong learning, and professional accomplishments should be considered for a more comprehensive understanding of doctors' career satisfaction.
对医生职业满意度的研究通常集中在收入、专业、性别、工作时间、自主权、患者量、生活方式偏好、工作环境和保险法规等因素上。其他教育、个人和专业因素没有得到足够的实证关注。
本研究旨在检验以下五个假设，即医生的职业满意度与以下因素相关：（i）对本科医学教育的满意度更高；（ii）更高的学术和临床能力；（iii）更多地参与教学和研究活动；（iv）更高的终身学习倾向；以及（v）更多的专业成就。
2006 年，向美国杰斐逊医学院 1975 年至 2000 年毕业的全国范围内的 5349 名医生邮寄了一份调查，其中 3170 名（59%）医生完成了调查问卷。根据对职业满意度问题的回答，医生被分为三组：非常满意（前 1/3，n=1078）；中度满意（中间 1/3，n=1031）；最不满意（后 1/3，n=1061）。对这些组进行了多项变量比较。
所有五个研究假设均得到证实。此外，职业满意度与年龄、行医年限、性别或种族之间没有显著关联；然而，职业满意度与医生的专业领域有关。
这些发现表明，应考虑满意度、医学院班级排名、临床能力评估、教学和研究活动、终身学习倾向以及专业成就等因素，以更全面地了解医生的职业满意度。
