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急诊超声:一项关于专科培训毕业生特征和职业道路的调查研究。

Emergency Ultrasound: A Survey Study of Fellowship Graduate Characteristics and Career Paths.

作者信息

Goldflam Katja, Papanagnou Dimitrios, Lewiss Resa E

机构信息

Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

Department of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

出版信息

J Ultrasound Med. 2018 Feb;37(2):487-492. doi: 10.1002/jum.14364. Epub 2017 Oct 9.

Abstract

OBJECTIVES

There are sparse data on the career pathways of graduates of emergency ultrasound fellowships. The authors sought to define the characteristics of graduates and their reported career paths after training through this survey study.

METHODS

A 26-question anonymous survey was emailed to 597 graduates of 70 fellowships over a 4-week period. No incentives were provided for completion of the questionnaire. Descriptive statistics are reported. For qualitative data, open- and axial-coding methods were used.

RESULTS

A total of 336 participants completed the study for a response rate of 56%. The average age of respondents was 36.4 years, and 58% were male. Most graduates had MD degrees (89%) or DO degrees (10%). Sixty percent of graduates attended a 3-year emergency medicine residency, and 29% attended a 4-year residency. Only 11% pursued additional fellowship training, most commonly pediatric emergency medicine (n = 14). After fellowship, 63% (95% confidence interval [CI], 62.9, 63.1) of graduates began working full-time in an academic setting, whereas 24% (95% CI, 23.9, 24.1) worked full-time in a community setting. Thirty-three percent (95% CI, 32.7, 33.3) took an immediate position as ultrasound division director, whereas 4% (95% CI, 3.7, 4.3) became fellowship directors and 3% (95% CI, 2.7, 3.3) became ultrasound medical student directors. Currently, 67% (95% CI, 66-68%) identify ultrasound as their leading academic focus.

CONCLUSIONS

Although not all fellowship graduates pursue academic positions, most note the impact of fellowship on their career paths. Graduates hold a variety of leadership positions. Approximately two thirds still consider ultrasound as their academic focus.

摘要

目的

关于急诊超声专科培训毕业生的职业发展路径的数据较少。作者试图通过这项调查研究来确定毕业生的特征以及他们在培训后的职业发展路径。

方法

在4周时间内,向70个专科培训项目的597名毕业生发送了一份包含26个问题的匿名调查问卷。完成问卷没有提供奖励。报告了描述性统计数据。对于定性数据,使用了开放编码和轴心编码方法。

结果

共有336名参与者完成了研究,回复率为56%。受访者的平均年龄为36.4岁,58%为男性。大多数毕业生拥有医学博士学位(89%)或 osteopathic 医学博士学位(10%)。60%的毕业生参加了为期3年的急诊医学住院医师培训,29%参加了为期4年的住院医师培训。只有11%的人继续接受专科培训,最常见的是儿科急诊医学(n = 14)。专科培训结束后,63%(95%置信区间[CI],62.9,63.1)的毕业生开始在学术机构全职工作,而24%(95%CI,23.9,24.1)在社区机构全职工作。33%(95%CI,32.7,33.3)的人立即担任超声科主任,而4%(95%CI,3.7,4.3)成为专科培训主任,3%(95%CI,2.7,3.3)成为超声医学学生主任。目前,67%(95%CI,66 - 68%)的人将超声作为其主要学术重点。

结论

虽然并非所有专科培训毕业生都追求学术职位,但大多数人都指出专科培训对他们职业发展路径的影响。毕业生担任各种领导职务。大约三分之二的人仍然将超声作为其学术重点。

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