英国学术基础课程对从事学术职业的志向的影响。

Impact of UK academic foundation programmes on aspirations to pursue a career in academia.

机构信息

Academic Department of Surgery, St Thomas' Hospital, London, UK.

出版信息

Med Educ. 2010 Oct;44(10):996-1005. doi: 10.1111/j.1365-2923.2010.03787.x.

DOI:10.1111/j.1365-2923.2010.03787.x

PMID:20880369

Abstract

OBJECTIVES

This study aimed to determine the role played by academic foundation programmes in influencing junior doctors' desire to pursue a career in academic medicine.

METHODS

We conducted an online questionnaire-based study of doctors who were enrolled on or had completed academic foundation programmes in the UK. There were 92 respondents (44 men, 48 women). Of these, 32 (35%) possessed a higher degree and 73 (79%) had undertaken a 4-month academic placement during Foundation Year 2. Outcomes were measured using Likert scale-based ordinal response data.

RESULTS

From a cohort of 115 academic foundation trainees directly contacted, 46 replies were obtained (40% response rate). A further 46 responses were obtained via indirect notification through local programme directors. From the combined responses, the majority (77%) wished to pursue a career in academia at the end of the academic Foundation Year (acFY) programme. Feeling well informed about academic careers (odds ratio [OR] 16.9, p=0.005) and possessing a higher degree (OR 31.1, p=0.013) were independently associated with an increased desire to continue in academia. Concern about reduced clinical experience whilst in academic training dissuaded from continuing in academia (OR 0.15, p=0.026). Many respondents expressed concerns about autonomy, the organisation of the programme and the quantity and quality of academic teaching received. However, choice of work carried out during the academic block was the only variable independently associated with increasing the desire of respondents to pursue a career in academia following their experiences in the acFY programme (OR 6.3, p=0.007).

CONCLUSIONS

The results support the provision of well-organised academic training programmes that assist junior clinical academics in achieving clinical competencies whilst providing protected academic time, information about further academic training pathways and autonomy in their choice of academic work.

摘要

目的

本研究旨在确定学术基础计划在影响初级医生从事学术医学职业的愿望方面所起的作用。

方法

我们对在英国参加或完成学术基础计划的医生进行了一项基于在线问卷的研究。共有 92 名受访者（44 名男性，48 名女性）。其中 32 人（35%）拥有更高的学位，73 人（79%）在基础 2 年级期间完成了为期 4 个月的学术实习。结果使用基于李克特量表的有序反应数据进行衡量。

结果

在直接联系的 115 名学术基础培训生中，有 46 人回复（40%的回复率）。通过当地项目主任的间接通知，又收到了 46 个回复。从综合回复中，大多数（77%）人希望在学术基础学年（acFY）课程结束后从事学术职业。对学术职业有充分了解（优势比[OR]16.9，p=0.005）和拥有更高学位（OR 31.1，p=0.013）与继续从事学术职业的愿望增加独立相关。对学术培训期间临床经验减少的担忧（OR 0.15，p=0.026）劝阻了他们继续从事学术职业。许多受访者对自主性、项目组织以及所接受的学术教学的数量和质量表示担忧。然而，在学术阶段进行的工作选择是唯一与受访者在 acFY 课程结束后希望从事学术职业的愿望增加相关的变量（OR 6.3，p=0.007）。