时间花得其所：临床教员的时间与精力分配和离职意愿之间的关联

Time well spent: the association between time and effort allocation and intent to leave among clinical faculty.

作者信息

Pollart Susan M, Novielli Karen D, Brubaker Linda, Fox Shannon, Dandar Valerie, Radosevich David M, Misfeldt Michael L

机构信息

Dr. Pollart is Ruth E. Murdaugh Professor of Family Medicine and senior associate dean for faculty affairs and faculty development, University of Virginia School of Medicine, Charlottesville, Virginia. Dr. Novielli is professor of family and community medicine and vice dean for faculty affairs and professional development, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania. Dr. Brubaker is professor of obstetrics and gynecology and dean, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois. Dr. Fox is senior director of research, American Academy of Physician Assistants, Alexandria, Virginia. Ms. Dandar is senior research and member services specialist, Faculty Forward, Association of American Medical Colleges, Washington, DC. Dr. Radosevich is assistant professor of surgery and health services research and policy, University of Minnesota Medical School and School of Public Health, Minneapolis, Minnesota. Dr. Misfeldt is professor of molecular microbiology and immunology and senior associate dean for faculty affairs, University of Missouri-Columbia School of Medicine, Columbia, Missouri.

出版信息

Acad Med. 2015 Mar;90(3):365-71. doi: 10.1097/ACM.0000000000000458.

DOI:10.1097/ACM.0000000000000458

PMID:25119554

Abstract

PURPOSE

To explore the relationship between clinical faculty members' time/effort in four mission areas, their assessment of the distribution of that time/effort, and their intent to leave the institution and academic medicine.

METHOD

Faculty from 14 U.S. medical schools participated in the 2011-2012 Faculty Forward Engagement Survey. The authors conducted multivariate logistic regression analyses to evaluate relationships between clinical faculty members' self-reported time/effort in each mission area, assessment of time/effort, and intent to leave the institution and academic medicine.

RESULTS

Of the 13,722 clinical faculty surveyed, 8,349 (60.8%) responded. Respondents reported an average of 54.5% time/effort in patient care. The authors found no relationship between time/effort in patient care and intent to leave one's institution. Respondents who described spending "far too much/too much" time in patient care were more likely to report intent to leave their institution (odds ratio 2.12, P<.001). Those who assessed their time/effort in all mission areas as "about right" were less likely to report intent to leave their institution (64/1,135; 5.6%) than those who reported "far too little/too little" or "far too much/too much" time/effort in one or more mission areas (535/3,671; 14.6%; P<.001).

CONCLUSIONS

Although the authors found no relationship between reported time/effort in patient care and intent to leave, the perception of "far too much/too much" time/effort spent in that mission area was correlated with intent to leave the institution. Efforts to align time/effort spent in each mission area with faculty expectations may improve retention.

摘要

目的

探讨临床教员在四个使命领域投入的时间/精力、他们对该时间/精力分配的评估，以及他们离开机构和学术医学领域的意愿之间的关系。

方法

来自美国14所医学院的教员参与了2011 - 2012年教员前瞻参与度调查。作者进行了多变量逻辑回归分析，以评估临床教员在每个使命领域自我报告的时间/精力、时间/精力评估，以及离开机构和学术医学领域的意愿之间的关系。

结果

在接受调查的13722名临床教员中，8349名（60.8%）进行了回复。受访者报告称，平均有54.5%的时间/精力用于患者护理。作者发现，在患者护理方面投入的时间/精力与离开所在机构的意愿之间没有关系。那些表示在患者护理上花费“太多/过多”时间的受访者更有可能报告有离开所在机构的意愿（优势比为2.12，P <.001）。那些认为自己在所有使命领域投入的时间/精力“恰到好处”的人，比起那些在一个或多个使命领域投入“太少/过少”或“太多/过多”时间/精力的人，报告有离开所在机构意愿的可能性更低（64/1135；5.6%对比535/3671；14.6%；P <.001）。