Matalon Shanna A, Guenette Jeffrey P, Smith Stacy E, Uyeda Jennifer W, Chua Alicia S, Gaviola Glenn C, Durfee Sara M
Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA.
Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA.
Curr Probl Diagn Radiol. 2019 Jul-Aug;48(4):333-341. doi: 10.1067/j.cpradiol.2018.03.008. Epub 2018 Mar 20.
Identify when current radiology residents initially became interested in radiology, which factors influenced their decision to pursue a career in radiology, and which factors correlate with job satisfaction.
An online survey was distributed to United States radiology residents between December 7, 2016 and March 31, 2017. Respondents identified the most appealing aspects of radiology during medical school, identified experiences most influential in choosing radiology, and scored job satisfaction on visual analog scales. Relative importance was compared with descriptive statistics. Satisfaction scores were compared across factors with analysis of variance and post-hoc Tukey tests.
488 radiology residents responded (age 30.8 ± 3.2 years; 358 male, 129 female, 1 unknown; 144 PGY2, 123 PGY3, 103 PGY4, 118 PGY5). The most influential aspects in choosing radiology were the intellectual (n=187, 38%), imaging (n=100, 20%), and procedural (n=96, 20%) components and potential lifestyle (n=69, 14%). Radiology clerkship reading room shadowing (n=143, 29%), radiologist mentor (n=98, 20%), non-radiology clerkship imaging exposure (n=77, 16%), and radiology clerkship interventions exposure (n=75, 15%) were most influential. Choosing radiology because of potential lifestyle correlated with less job satisfaction than choosing radiology for intellectual (p=0.0004) and imaging (p=0.0003) components.
Recruitment of medical students into radiology may be most effective when radiology clerkships emphasize the intellectual and imaging components of radiology through reading room shadowing and exposure to interventions. Choosing radiology for lifestyle correlates with less job satisfaction, at least during residency.
确定当前放射科住院医师最初对放射学产生兴趣的时间、影响他们选择放射科职业的因素以及与工作满意度相关的因素。
于2016年12月7日至2017年3月31日向美国放射科住院医师发放在线调查问卷。受访者指出医学院期间放射学最具吸引力的方面，确定对选择放射科影响最大的经历，并通过视觉模拟量表对工作满意度进行评分。通过描述性统计比较相对重要性。使用方差分析和事后Tukey检验比较各因素的满意度得分。
488名放射科住院医师做出回应（年龄30.8±3.2岁；男性358名，女性129名，1名情况不明；PGY2级144名，PGY3级123名，PGY4级103名，PGY5级118名）。选择放射科最具影响力的方面是智力因素（n = 187，38%）、成像因素（n = 100，20%）、操作因素（n = 96，20%）以及潜在的生活方式因素（n = 69，14%）。放射科实习阅片室见习（n = 143，29%）、放射科导师（n = 98，20%）、非放射科实习的成像接触（n = 77，16%）以及放射科实习的介入接触（n = 75，15%）影响最大。因潜在生活方式而选择放射科与因智力因素（p = 0.0004）和成像因素（p = 0.0003）而选择放射科相比，工作满意度较低。
当放射科实习通过阅片室见习和介入接触强调放射学的智力和成像因素时，吸引医学生投身放射科可能最为有效。因生活方式而选择放射科与较低的工作满意度相关，至少在住院医师阶段如此。
