Hosier Gregory W, Touma Naji J
Queen's University, Kingston, ON, Canada.
Can Urol Assoc J. 2018 Apr;12(4):104-109. doi: 10.5489/cuaj.4765. Epub 2017 Dec 22.
There has been increasing awareness of employment difficulties for physicians, especially surgeons, in Canada over the past few years. Our objective was to elucidate the attitudes and experiences of graduating Canadian urology residents in obtaining employment.
We surveyed four separate cohorts of graduating urology residents in 2010, 2011, 2016, and 2017. Responses from the 2010 and 2011 cohorts were combined and compared to the combined results of the 2016 and 2017 cohorts. Mean Likert responses were compared using unpaired t-tests. An agreement score was created for those responding with "strongly agree" and "agree" on the Likert scale.
A total of 126 surveys were administered with a 100% response rate. The job market was rated as poor or very poor by 64.9% and 58.4% of graduates in 2010/2011 and 2016/2017, respectively (p=0.67). Lack of resources was identified as the biggest barrier to improved employment in both cohorts. Networking at meetings and staff urologists at their institution were the most important factors aiding employment identified by both cohorts. The ideal practice was academic or academically associated community practices in a large urban area, with 5-10 partners for both cohorts.
The majority of graduating urology residents viewed the job market as poor or very poor and this did not change over a six-year period. It is unclear how much personal preference for location and practice type drove the somewhat negative outlook of employment opportunities, as the majority of residents were seeking large urban, academic, or academically associated community practices in competitive locations.
在过去几年中，加拿大医生，尤其是外科医生面临就业困难的情况日益受到关注。我们的目标是阐明即将毕业的加拿大泌尿外科住院医师在就业方面的态度和经历。
我们对2010年、2011年、2016年和2017年四个不同批次即将毕业的泌尿外科住院医师进行了调查。将2010年和2011年批次的回复合并，并与2016年和2017年批次的合并结果进行比较。使用不成对t检验比较平均李克特量表回复。为在李克特量表上回答“强烈同意”和“同意”的人创建了一个一致得分。
共发放了126份调查问卷，回复率为100%。2010/2011年和2016/2017年分别有64.9%和58.4%的毕业生将就业市场评为差或非常差（p = 0.67）。资源匮乏被确定为两个批次中就业改善的最大障碍。在会议上建立人际关系以及所在机构的泌尿外科 staff 被两个批次确定为有助于就业的最重要因素。理想的执业环境是大城市地区的学术性或与学术相关的社区执业，两个批次都希望有5 - 10名合作伙伴。
大多数即将毕业的泌尿外科住院医师认为就业市场差或非常差，并且在六年期间没有变化。尚不清楚对地点和执业类型的个人偏好对就业机会的负面看法有多大影响，因为大多数住院医师都在竞争激烈的地区寻求大城市、学术性或与学术相关的社区执业。
