McDonald Andrea, Paterson Helen, Herbison Peter
Department of Public Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Aust N Z J Obstet Gynaecol. 2012 Oct;52(5):476-82. doi: 10.1111/j.1479-828X.2012.01468.x. Epub 2012 Aug 2.
New Zealand has an urgent need to train and retain obstetrics and gynaecology academics, and postgraduate training pathways are being considered.
To gauge registrar interest in an academic training position and an academic career; analyse the importance of various encouraging factors; and investigate how demographics, experience and encouragers may be associated with academic interest.
All obstetric and gynaecology registrars working in New Zealand were invited by their clinical directors to participate in an online survey in March-June 2011. Statistical analysis, using Fisher's Exact and chi-squared tests, was used to investigate how demographic, experience and encourager variables were associated with academic interest.
Of the 58 participants, 46 were women, 32 were New Zealand medical graduates and 43 were on the training program. Over half (54%) indicated they would consider a 1-year rotating research/teaching position and 45% an academic career. The most important encouraging factors for academic work were interest, opportunity to balance clinical and academic roles, job flexibility (lifestyle and family) and a supportive academic environment. Women were nearly nine times more likely to consider academic training (OR 8.75, P = 0.007), and trainees were one-third as likely to consider it compared to non-trainees (OR 0.31, P = 0.073).
New Zealand has the unique ability to approach retention and training issues in a flexible and innovative manner which utilises international links. Clinical academic training positions should be set-up with quality supervision and support similar pay scales and the opportunity for simultaneous part-time clinical practice.
新西兰迫切需要培养并留住妇产科专业学者,目前正在考虑研究生培训途径。
评估住院医生对学术培训职位和学术生涯的兴趣;分析各种激励因素的重要性;调查人口统计学特征、经验和激励因素与学术兴趣之间的关联。
2011年3月至6月,新西兰所有妇产科住院医生均被其临床主任邀请参加一项在线调查。采用Fisher精确检验和卡方检验进行统计分析,以研究人口统计学特征、经验和激励因素变量与学术兴趣之间的关联。
58名参与者中,46名为女性,32名是新西兰医学毕业生,43名参加了培训项目。超过半数(54%)表示会考虑为期1年的轮转研究/教学职位,45%表示会考虑学术生涯。学术工作最重要的激励因素是兴趣、平衡临床和学术角色的机会、工作灵活性(生活方式和家庭方面)以及支持性的学术环境。女性考虑学术培训的可能性几乎是男性的9倍(比值比8.75,P = 0.007),与非培训人员相比,培训人员考虑学术培训的可能性只有三分之一(比值比0.31,P = 0.073)。
新西兰有独特的能力以灵活创新的方式解决留住人才和培训问题,利用国际联系。应设立临床学术培训职位,提供高质量的监督和支持、类似的薪资标准以及同时进行兼职临床实践的机会。