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重症监护培训学员的职业目标与需求:一项加拿大的调查。

Critical care trainees' career goals and needs: A Canadian survey.

作者信息

St-Onge Maude, Mandelzweig Keren, Marshall John C, Scales Damon C, Granton John

出版信息

Can Respir J. 2014 Mar-Apr;21(2):93-5. doi: 10.1155/2014/520237.

DOI:10.1155/2014/520237
PMID:24724149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4128527/
Abstract

BACKGROUND

For training programs to meet the needs of trainees, an understanding of their career goals and expectations is required.

OBJECTIVES

Canadian critical care medicine (CCM) trainees were surveyed to understand their career goals in terms of clinical work, research, teaching, administration and management; and to identify their perceptions regarding the support they need to achieve their goals.

METHODS

The online survey was sent to all trainees registered in a Canadian adult or pediatric CCM program. It documented the participants' demographics; their career expectations; the perceived barriers and enablers to achieve their career goals; and their perceptions relating to their chances of developing a career in different areas.

RESULTS

A response rate of 85% (66 of 78) was obtained. The majority expected to work in an academic centre. Only approximately one-third (31%) estimated their chances of obtaining a position in CCM as >75%. The majority planned to devote 25% to 75% of their time performing clinical work and <25% in education, research or administration. The trainees perceived that there were limited employment opportunities. Networking and having specialized expertise were mentioned as being facilitators for obtaining employment. They expressed a need for more protected time, resources and mentorship for nonclinical tasks during training.

CONCLUSION

CCM trainees perceived having only limited support to help them to achieve their career goals and anticipate difficulties in obtaining successful employment. They identified several gaps that could be addressed by training programs, including more mentoring in the areas of research, education and administration.

摘要

背景

为使培训项目满足学员需求,需要了解他们的职业目标和期望。

目的

对加拿大重症医学(CCM)学员进行调查,以了解他们在临床工作、研究、教学、行政和管理方面的职业目标;并确定他们对实现目标所需支持的看法。

方法

在线调查发送给所有注册参加加拿大成人或儿科CCM项目的学员。调查记录了参与者的人口统计学信息;他们的职业期望;实现职业目标的感知障碍和促进因素;以及他们对在不同领域发展职业机会的看法。

结果

获得了85%(78人中的66人)的回复率。大多数人期望在学术中心工作。只有大约三分之一(31%)的人估计他们获得CCM职位的机会大于75%。大多数人计划将25%至75%的时间用于临床工作,将不到25%的时间用于教育、研究或行政工作。学员们认为就业机会有限。人际关系网络和拥有专业知识被认为是获得就业的促进因素。他们表示在培训期间需要更多用于非临床任务的受保护时间、资源和指导。

结论

CCM学员认为在实现职业目标方面仅获得有限的支持,并预计在获得成功就业方面会遇到困难。他们指出了培训项目可以解决的几个差距,包括在研究、教育和行政领域提供更多指导。

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World J Emerg Surg. 2012 Aug 22;7 Suppl 1(Suppl 1):S12. doi: 10.1186/1749-7922-7-S1-S12.
2
Restricting resident work hours: the good, the bad, and the ugly.限制住院医师工作时间:有利有弊。
Crit Care Med. 2012 Mar;40(3):960-6. doi: 10.1097/CCM.0b013e3182413bc5.
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Standards for education and credentialing in critical care medicine.重症医学教育与资质认证标准。
JAMA. 2011 Jan 19;305(3):296-7. doi: 10.1001/jama.2010.1997. Epub 2011 Jan 16.
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Physician career satisfaction within specialties.医学专业领域的医生职业满意度。
BMC Health Serv Res. 2009 Sep 16;9:166. doi: 10.1186/1472-6963-9-166.
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Academic and career development of pulmonary and critical care physician-scientists.肺科与重症医学医师科学家的学术与职业发展。
Am J Respir Crit Care Med. 2006 Jan 1;173(1):23-31. doi: 10.1164/rccm.200503-325OC. Epub 2005 Sep 22.