Freed Gary L, Moran Lauren M, Van Kenton D, Leslie Laurel K
Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, Michigan;
Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, and.
Pediatrics. 2017 May;139(5). doi: 10.1542/peds.2016-3604.
Concerns exist regarding the adequacy of the pediatric subspecialty workforce in the United States. Data on practice patterns and job characteristics are necessary to help develop policies to ensure availability.
We performed survey data analysis of all pediatric subspecialists enrolled in Maintenance of Certification in 2013 and 2014, assessing demographic information, characteristics of current positions, plans for retirement, and satisfaction with allocation of professional and clinical responsibilities. Four logistic regression models examined the independent association of demographic variables collected along with variables of practice ownership and academic appointment with the outcome variables of pediatric subspecialists reporting match of desired with current actual professional duties, match of desired with current actual clinical responsibilities, current part-time employment, and expected age of retirement <65 years of age.
Data from 5100 subspecialists were analyzed (response rate 87.2%). Most (83%; = 4251) reported their current allocation of professional time was what they desired in their current position; similarly, 93% ( = 4755) reported likewise for clinical responsibilities. Differences by gender and years in subspecialty were evident, with women much more likely to work part time than men (odds ratio 6.22); those >20 years in practice were less likely to retire before the age of 65 compared with those <10 years in practice (odds ratio 0.33).
This study is the largest to date of practicing pediatric subspecialists. Variation in work patterns found between genders, with time in practice, and between subspecialties suggests that future research should focus on these issues.
美国儿科亚专业劳动力的充足性受到关注。实践模式和工作特征的数据对于制定确保其可用性的政策至关重要。
我们对2013年和2014年参加认证维持计划的所有儿科亚专科医生进行了调查数据分析，评估人口统计学信息、当前职位特征、退休计划以及对专业和临床职责分配的满意度。四个逻辑回归模型检验了所收集的人口统计学变量与实践所有权和学术任命变量与儿科亚专科医生报告的期望与当前实际专业职责匹配、期望与当前实际临床职责匹配、当前兼职工作以及预期退休年龄<65岁的结果变量之间的独立关联。
分析了5100名亚专科医生的数据（回复率87.2%）。大多数（83%；n = 4251）报告他们目前的专业时间分配是他们在当前职位上所期望的；同样，93%（n = 4755）报告临床职责也是如此。性别和亚专科从业年限存在差异，女性兼职工作的可能性比男性大得多（优势比6.22）；从业超过20年的人比从业不足10年的人在65岁之前退休的可能性小（优势比0.33）。
本研究是迄今为止关于执业儿科亚专科医生的最大规模研究。在性别、从业时间和亚专科之间发现的工作模式差异表明，未来的研究应关注这些问题。
