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妇产科医生临床执业退休的相关考量。

Considerations about retirement from clinical practice by obstetrician-gynecologists.

作者信息

Rayburn William F, Strunk Albert L, Petterson Stephen M

机构信息

Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, NM; American College of Obstetricians and Gynecologists, Washington, DC.

American College of Obstetricians and Gynecologists, Washington, DC.

出版信息

Am J Obstet Gynecol. 2015 Sep;213(3):335.e1-4. doi: 10.1016/j.ajog.2015.03.027. Epub 2015 Mar 17.

DOI:10.1016/j.ajog.2015.03.027
PMID:25794630
Abstract

Retirement of obstetrician-gynecologists is becoming a matter of increasing concern in light of an expected shortage of practicing physicians. Determining a retirement age is often complex. We address what constitutes a usual retirement age range from general clinical practice for an obstetrician-gynecologist, compare this with practitioners in other specialties, and suggest factors of importance to obstetrician-gynecologists before retirement. Although the proportion of obstetrician-gynecologists ≥55 years old is similar to other specialists, obstetrician-gynecologists retire at younger ages than male or female physicians in other specialties. A customary age range of retirement from obstetrician-gynecologist practice would be 59-69 years (median, 64 years). Women, who constitute a growing proportion of obstetrician-gynecologists in practice, retire earlier than men. The large cohort of "baby boomer" physicians who are approaching retirement (approximately 15,000 obstetrician-gynecologists) deserves tracking while an investigation of integrated women's health care delivery models is conducted. Relevant considerations would include strategies to extend the work longevity of those who are considering early retirement or desiring part-time employment. Likewise volunteer work in underserved community clinics or teaching medical students and residents offers continuing personal satisfaction for many retirees and preservation of self-esteem and medical knowledge.

摘要

鉴于执业医生预计短缺,妇产科医生的退休问题日益受到关注。确定退休年龄往往很复杂。我们探讨了妇产科医生在一般临床实践中的通常退休年龄范围,将其与其他专科医生进行比较,并提出了妇产科医生退休前的重要影响因素。尽管55岁及以上的妇产科医生比例与其他专科医生相似,但妇产科医生的退休年龄比其他专科的男性或女性医生要小。妇产科医生的习惯退休年龄范围为59 - 69岁(中位数为64岁)。在实际从业的妇产科医生中,女性比例不断增加,她们比男性退休更早。大量即将退休的“婴儿潮一代”医生(约15000名妇产科医生)在对综合妇女医疗服务模式进行调查时值得追踪。相关考虑因素包括延长那些考虑提前退休或希望兼职工作的医生工作年限的策略。同样,在服务不足的社区诊所做志愿者工作或教授医学生和住院医生,能为许多退休人员带来持续的个人满足感,并有助于维护自尊和医学知识。

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