Shapiro E, Cooper Christopher S, Greenfield S
Department of Urology, New York University School of Medicine, New York, USA.
Division of Pediatric Urology, University of Iowa College of Medicine, Iowa City, IA, USA.
J Pediatr Urol. 2017 Feb;13(1):68-72. doi: 10.1016/j.jpurol.2016.09.002. Epub 2016 Oct 8.
In 2013, the American Academy of Pediatrics (AAP) Division of Workforce and Medical Education Policy assumed the task of organizing the updated AAP Workforce Survey, which was modeled after the Future of Pediatric Education II study.
The objective of the present study was to evaluate changes in practice patterns of all pediatric medical and surgical specialists over time, to facilitate advocacy work by the Academy at federal and state levels.
The survey was sent to members of the AAP Section on Urology and the Society for Pediatric Urology between June and November 2014. The survey included general and sub-specialty-specific questions. Data analysis was performed using SPSS 18.0. Descriptive statistics, including frequency distributions and measures of central tendency, were used to summarize all responses.
A total of 255 pediatric urologists returned the survey, giving a response rate of 56.4%. The specialty remained vibrant, and members remained content in their career choice. About two-thirds practiced in a full-time clinical setting, and had research, teaching, and/or administrative duties. About 75% reported no change in clinical volume or case complexity, although 50% reported an increase in their referral base. A 50% increase in minor cases and a 43.3% decrease in open cases were reported. Only 13% planned to retire within the next 3-6 years. The current job market for fellows was unrestricted for 51.3%, significantly restricted for location for 23.1%, and restricted with regard to practice type for 25.6%. Overall, 51%, 37%, and 13% of the respondents expressed the opinions that over the next 5 years, too many specialists in pediatric urology were currently being trained, just the right number, and too few, respectively. Medical student interest remained encouraging.
One of the primary objectives of the survey was to gain insights into whether there was concordance between the number of trainees and the current and future job opportunities. Unfortunately, the main limitations of the survey were the questions on retirement and adding a partner. Since the survey was anonymous, there was a missed opportunity to direct fellows to specific job openings. In addition, every member of a large group may have individually responded, inflating the responses or, in some cases, negating the responses if the partners did not agree.
Pediatric urologists have an overall sense of contentment of career choice, despite shifts in complex open surgical volume and increasing competition. Surveys that are not anonymous would provide specific geographical manpower needs.
2013年，美国儿科学会（AAP）劳动力与医学教育政策部门承担了组织更新后的AAP劳动力调查的任务，该调查以《儿科教育的未来II》研究为蓝本。
本研究的目的是评估所有儿科医学和外科专科医生的实践模式随时间的变化，以促进该学会在联邦和州层面的宣传工作。
2014年6月至11月期间，该调查问卷被发送给了AAP泌尿外科分会和儿科泌尿外科学会的成员。调查问卷包括一般性问题和特定亚专科问题。使用SPSS 18.0进行数据分析。描述性统计，包括频率分布和集中趋势测量，用于总结所有回复。
共有255名儿科泌尿科医生回复了调查问卷，回复率为56.4%。该专科依然充满活力，成员们对自己的职业选择仍感到满意。约三分之二的医生在全职临床环境中执业，并承担研究、教学和/或行政职责。约75%的医生报告临床工作量或病例复杂性没有变化，不过50%的医生报告转诊基数有所增加。报告称小手术病例增加了50%，开放性手术病例减少了43.3%。只有13%的医生计划在未来3至6年内退休。目前住院医生的就业市场中，51.3%不受限制，23.1%在地点方面受到显著限制，25.6%在执业类型方面受到限制。总体而言，51%、37%和13%的受访者分别认为，在未来5年里，儿科泌尿外科专科医生目前培养得太多、数量正好、太少。医学生的兴趣依然令人鼓舞。
该调查的主要目标之一是深入了解培训学员数量与当前及未来就业机会之间是否一致。不幸的是，该调查的主要局限性在于有关退休和增加合作伙伴的问题。由于调查是匿名的，因此错失了将住院医生引向具体职位空缺的机会。此外，一个大群体中的每个成员可能都单独做出了回复，这可能会夸大回复数量，或者在某些情况下，如果合作伙伴不同意，回复就会无效。
尽管复杂开放性手术量有所变化且竞争加剧，但儿科泌尿科医生对职业选择总体上感到满意。非匿名的调查将提供具体的地理人力需求。
