O'Gurek David T, Pugno Perry A, Talley Molly
Department of Family and Community Medicine, Lancaster General Health, Lancaster, PA 17604, USA.
Fam Med. 2012 Sep;44(8):545-9.
This study determined the demographic and practice characteristics of current Pennsylvania family medicine residency faculty.
Surveys were sent electronically to program directors to distribute to their faculty members. Participants were surveyed for age, race, gender, current and completed residency training program, fellowship completion, practice track, and current practice characteristics.
Survey response rate represented 35.3% of residency faculty in Pennsylvania. The majority represented full-time faculty (83.7%), were male (53.8%), were Caucasian (84.8%), did not enter their faculty position following residency (65.9%), had completed their residency training in Pennsylvania (57.9%), and did not complete a fellowship. While most faculty have continued inpatient and outpatient care, less than half participate in other surveyed elements of comprehensive family medicine care.
The environment within academic family medicine and changing cultures have created a shift that the future of academic practice may need to depend on new graduates. Current demographics suggest a poorly diverse faculty with private practice experience and limited full-spectrum mentors that may have contributed to family medicine's difficulties within the academic marketplace. Creating a strong primary care workforce demands ensuring a sustainable faculty.
本研究确定了宾夕法尼亚州当前家庭医学住院医师培训项目教员的人口统计学特征和执业特点。
通过电子邮件向项目主任发送调查问卷,以便分发给他们的教员。对参与者进行了年龄、种族、性别、当前和已完成的住院医师培训项目、专科 fellowship 完成情况、执业方向以及当前执业特点等方面的调查。
调查回复率占宾夕法尼亚州住院医师培训项目教员的35.3%。大多数为全职教员(83.7%),男性(53.8%),白人(84.8%),住院医师培训结束后未进入教员岗位(65.9%),在宾夕法尼亚州完成住院医师培训(57.9%),且未完成专科 fellowship。虽然大多数教员继续从事住院和门诊护理工作,但参与其他综合家庭医学护理调查项目的不到一半。
学术性家庭医学环境和不断变化的文化已经造成了一种转变,学术实践的未来可能需要依赖新毕业生。目前的人口统计学数据表明,教员群体多样性差,缺乏私人执业经验,全谱指导教师有限,这可能导致了家庭医学在学术市场中面临困难。建立一支强大的初级保健劳动力队伍需要确保有一支可持续的教员队伍。