加拿大胃肠病学住院医师的就业前景与趋势：一项全国性调查。
Employment prospects and trends for gastroenterology trainees in Canada: a nationwide survey.
作者信息
Razik Roshan, Cino Maria, Nguyen Geoffrey C
出版信息
Can J Gastroenterol. 2013 Nov;27(11):647-52. doi: 10.1155/2013/950649.
BACKGROUND
Many gastroenterology (GI) trainees face a variety of barriers to stable employment and are finding it increasingly difficult to secure employment in their chosen field.
OBJECTIVE
To elucidate factors that contribute to the burden of unemployment and underemployment, and to examine solutions that may remedy this growing problem in the field of GI.
METHODS
A nationwide survey of current, incoming and recently graduated individuals of GI training programs in Canada was conducted. Trainees in pediatric GI programs and those enrolled in subspecialty programs within GI were also included.
RESULTS
The response rate was 62%, with 93% of respondents enrolled in an adult GI training program. Many (73%) respondents planned to pursue further subspecialty training and the majority (53%) reported concerns regarding job security after graduation as contributory factors. Only 35% of respondents were confident that they would secure employment within six months of completing their training. Regarding barriers to employment, the most cited perceived reasons were lack of funding (both from hospitals and provincial governments) and senior physicians who continue to practice beyond retirement years. Sixty-nine per cent perceived a greater need for career guidance and 49% believed there were too many GI trainees relative to the current job market in their area. Most residents had a contingency plan if they remained unemployed >18 months, which often included moving to another province or to the United States.
CONCLUSION
GI trainees throughout Canada reported substantial concerns about securing employment, citing national retirement trends and lack of funding as primary barriers to employment. Although these issues are not easily modifiable, certain problems should be targeted including optimizing training quotas, tailoring career guidance to the needs of the population, and emphasizing credentialing and quality control in endoscopy.
背景
许多胃肠病学（GI）实习生在获得稳定就业方面面临各种障碍，并且发现越来越难以在他们选择的领域获得工作。
目的
阐明导致失业和就业不足负担的因素，并研究可能解决胃肠病学领域这一日益严重问题的解决方案。
方法
对加拿大胃肠病学培训项目的现任、即将入学和最近毕业的人员进行了全国性调查。儿科胃肠病学项目的实习生以及胃肠病学亚专科项目的学员也包括在内。
结果
回复率为62%，93%的受访者参加了成人胃肠病学培训项目。许多（73%）受访者计划进一步接受亚专科培训，大多数（53%）报告称毕业后对工作保障的担忧是促成因素。只有35%的受访者相信他们在完成培训后的六个月内能够找到工作。关于就业障碍，最常被提及的原因是缺乏资金（来自医院和省政府）以及资深医生在退休年龄后仍继续执业。69%的人认为更需要职业指导，49%的人认为相对于他们所在地区目前的就业市场，胃肠病学实习生太多。大多数住院医生如果失业超过18个月会有应急计划，这通常包括搬到另一个省份或美国。
结论
加拿大各地的胃肠病学实习生对获得工作表示了极大的担忧，将全国退休趋势和缺乏资金列为就业的主要障碍。虽然这些问题不容易改变，但应针对某些问题，包括优化培训名额、根据人群需求定制职业指导，以及强调内镜检查的资质认证和质量控制。
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