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吸引澳大利亚医生从事研究工作的因素和阻碍因素。

Attractions and barriers to Australian physician-researcher careers.

机构信息

Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

NHMRC Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.

出版信息

Intern Med J. 2019 Feb;49(2):171-181. doi: 10.1111/imj.14086.

Abstract

BACKGROUND

There is a global concern that physician-researchers are 'a dying breed'. Recent studies of clinical career choices of Australian medical students and doctors have signalled the rising age of medical graduates, generational shifts in work-life attitudes and increased proportion of female graduates. There are scant data regarding Australian physician-researchers.

AIMS

To develop and utilise a questionnaire determining respondent characteristics and 'push' and 'pull' factors for medical graduates to incorporate research into their careers.

METHODS

We developed and administered an 88-item online survey, including quantitative and qualitative questions, to medical students, faculty and alumni of Sydney Medical School, The University of Sydney, asking about their medical career, research experience and interest and reasons for doing or not doing medical research. Responses to all 74 quantitative questions are reported here.

RESULTS

Data from 427 respondents (44% female; mean ± standard deviation age 38 ± 13 years; 56% completed or undertaking a PhD) were analysed. Attractions of research included a desire to improve human health, intellectual stimulation and career diversity. Barriers included low funding rates, job insecurity and low salaries. Although few were prepared to undertake or recommend full-time research, 71% would recommend part-time research. Respondents perceived a smaller-than-actual gap between clinical and research salaries, and if comparable (75-100% of a clinician's) salaries were available, 89% would like to spend 21-60% of their work time undertaking research.

CONCLUSION

Many Australian medical students and doctors are interested in research, especially part time. Perceived obstacles include job insecurity, low funding rates and salary. Respondents underestimated clinical and research salary differences.

摘要

背景

全球范围内存在着一种担忧,即医师研究者正“日渐式微”。最近对澳大利亚医学生和医生临床职业选择的研究表明,医学毕业生的年龄越来越大,工作与生活态度的代际转变,以及女性毕业生的比例增加。关于澳大利亚医师研究者的数据很少。

目的

开发并使用一份调查问卷,以确定促使医学毕业生将研究纳入其职业生涯的因素。

方法

我们开发并管理了一份 88 项的在线调查,包括定量和定性问题,面向悉尼医学院的医学生、教师和校友,询问他们的医学职业、研究经验和兴趣,以及从事或不从事医学研究的原因。此处报告了对所有 74 个定量问题的回应。

结果

共分析了 427 名受访者(44%为女性;平均年龄为 38 ± 13 岁;56%已完成或正在攻读博士学位)的数据。研究的吸引力包括改善人类健康、智力刺激和职业多样性。障碍包括低资助率、工作不稳定和低工资。尽管很少有人准备从事或推荐全职研究,但 71%的人会推荐兼职研究。受访者认为临床和研究工资之间的差距比实际要小,如果提供类似(临床医生工资的 75-100%)的工资,89%的人希望将 21-60%的工作时间用于研究。

结论

许多澳大利亚医学生和医生对研究感兴趣,尤其是兼职研究。认为的障碍包括工作不稳定、低资助率和工资低。受访者低估了临床和研究工资的差异。

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