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普通儿科高级专科培训学员的未来职业意向。

Future career intentions of higher specialist trainees in general Paediatrics.

作者信息

Butler Grainne, Breatnach Colm, Harty Sinead, Gavin Patrick, O'Donnell Colm, O'Grady Michael J

机构信息

Our Lady's Childrens Hospital Crumlin, Dublin 12, Ireland.

Children's University Hospital, Temple St., Dublin 1, Ireland.

出版信息

Ir J Med Sci. 2019 Feb;188(1):189-192. doi: 10.1007/s11845-018-1799-9. Epub 2018 Mar 27.

DOI:10.1007/s11845-018-1799-9
PMID:29589337
Abstract

BACKGROUND

A survey of paediatric higher specialist trainees was carried out in 2002 assessing career intentions and perception of training. Fourteen years later, with increased numbers of trainees and a national model of care and a tertiary paediatric hospital on the horizon, we re-evaluated the career intentions of the current trainee workforce.

AIMS

To assess the career intentions of the current paediatric higher specialist trainees.

METHODS

A 28-item questionnaire was developed based on a previously validated instrument and distributed online using the Royal College of Physicians of Ireland trainee database.

RESULTS

We distributed the questionnaire to 118 eligible trainees and received responses from 92 (78%). Seventy-nine (86%) respondents desire a consultant post in Ireland. Seventy-five (82%) indicated that their preferred consultant post location was in a tertiary paediatric centre. Sixty-two trainees (67%) intend to become subspecialists with 25 (27%) planning a career in general paediatrics. This contrasts with the 2002 survey when 76% wished to work in urban centres and 61% of trainees planned a career in general paediatrics.

CONCLUSION

There appears to be a mismatch between the career goals of the future paediatric consultant workforce and the requirements for staffing paediatric units nationally. This has the potential to complicate the proposed expansion of general paediatricians in regional centres and result in a significant proportion of current trainees failing to secure a post in their desired location.

摘要

背景

2002年对儿科高级专科受训人员进行了一项调查,评估其职业意向和对培训的看法。十四年后,随着受训人员数量的增加以及全国性护理模式和一家三级儿科医院即将出现,我们重新评估了当前受训人员队伍的职业意向。

目的

评估当前儿科高级专科受训人员的职业意向。

方法

基于先前经过验证的工具编制了一份包含28个条目的问卷,并通过爱尔兰皇家内科医师学院受训人员数据库在线分发。

结果

我们向118名符合条件的受训人员发放了问卷,收到了92份回复(78%)。79名(86%)受访者希望在爱尔兰担任顾问职位。75名(82%)表示他们首选的顾问职位地点是在三级儿科中心。62名受训人员(67%)打算成为亚专科医生,25名(27%)计划从事普通儿科职业。这与2002年的调查形成对比,当时76%的人希望在城市中心工作,61%的受训人员计划从事普通儿科职业。

结论

未来儿科顾问人员的职业目标与全国儿科单位的人员配备要求之间似乎存在不匹配。这有可能使拟议的在地区中心扩大普通儿科医生队伍的计划复杂化,并导致相当比例的当前受训人员无法在其期望的地点获得职位。

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本文引用的文献

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Career intentions and choices of paediatricians entering training in the UK.英国儿科医师培训生的职业意向和选择。
Arch Dis Child. 2015 Jun;100(6):537-41. doi: 10.1136/archdischild-2014-306160. Epub 2014 Dec 23.
2
Exodus? The training paths and plans of postgraduate medical trainees, under the Royal College of Physicians of Ireland.《出埃及记》?爱尔兰皇家内科医学院旗下研究生医学培训生的培训路径与计划
Ir J Med Sci. 2015 Mar;184(1):237-48. doi: 10.1007/s11845-014-1093-4. Epub 2014 Mar 9.
3
Training and manpower issues for specialist registrars in paediatrics. How are we doing and where are we going?
儿科专科住院医师的培训与人力问题。我们目前的情况如何,又将走向何方?
Ir Med J. 2005 Jan;98(1):13-5.
4
Making sense of ambiguity: evaluation in internal reliability and face validity of the SF 36 questionnaire in women presenting with menorrhagia.理解模糊性:对月经过多女性中SF-36问卷的内部信度和表面效度进行评估。
Qual Health Care. 1996 Mar;5(1):9-12. doi: 10.1136/qshc.5.1.9.