From the Department of Neurology (A.M.), Henry Ford Hospital, Detroit, MI; Insights Department (C.C.), American Academy of Neurology, Minneapolis; Department of Neurology (E.S.), Mayo Clinic, Rochester, MN; Department of Neurology (S.G.), University of Alabama at Birmingham; Department of Pediatrics (S.A.), Nationwide Children's Hospital, Columbus, OH; Department of Neurology (E.J.), University of Southern California, Los Angeles; Department of Psychiatry and Behavioral Sciences (L.S.), Stanford Center for Sleep Sciences and Medicine, Palo Alto, CA.
Neurology. 2019 Jan 8;92(2):76-83. doi: 10.1212/WNL.0000000000006739. Epub 2018 Dec 5.
To survey graduating US neurology residents on the topics of debt, fellowship interview process, future plans, and their readiness for practice and business management tasks.
An electronic survey was sent to all US American Academy of Neurology member adult and child neurology residents graduating in June 2017.
The response rate was 23.4% (n = 159). Of the 143 residents who provided information about student loans, 57% reported having debt (median $180,000). Ninety percent of respondents reported plans to pursue a fellowship after residency; 57% intended to stay at their home institution for additional training. Among respondents from adult neurology programs, 87% preferred to begin the fellowship application process after the first 6 months of the third postgraduate year. Almost half (46%) of adult neurology program residents felt they did not have enough outpatient exposure prior to making fellowship decisions compared to 14% of child neurology trainees. Although reported readiness to perform specific tasks (coding and office management) increased since 2007 ( < 0.05), only 36% of all respondents reported receiving business management training during residency.
Trainees completing residency report considerable educational debt. A large majority of residents feel the fellowship application process occurs too early. Despite improvements over recent years, the majority of residents continue to feel ill-prepared for specific practice management tasks. These results suggest a need to better understand the effect of educational debt on career choices, an examination of the timing of the fellowship application process, and the incorporation of additional business management training during residency.
调查即将毕业的美国神经病学住院医师在债务、奖学金面试流程、未来计划以及他们对实践和商业管理任务的准备情况等方面的情况。
向所有 2017 年 6 月毕业的美国神经病学学会成员成人和儿童神经病学住院医师发送了一份电子调查。
回复率为 23.4%（n = 159）。在 143 名提供学生贷款信息的住院医师中，57%报告有债务（中位数为 18 万美元）。90%的受访者表示计划在住院医师后继续攻读奖学金；57%的人打算留在自己的机构接受额外培训。在成人神经病学项目的受访者中，87%的人希望在第三年研究生学习的头 6 个月后开始奖学金申请流程。近一半（46%）的成人神经病学项目住院医师表示，与儿童神经病学受训者的 14%相比，他们在做出奖学金决定之前没有足够的门诊接触。尽管自 2007 年以来，报告的执行特定任务（编码和办公室管理）的准备情况有所增加（<0.05），但只有 36%的受访者报告在住院医师期间接受过商业管理培训。
完成住院医师培训的住院医师报告了相当大的教育债务。绝大多数住院医师认为奖学金申请流程开始得太早。尽管近年来有所改善，但大多数住院医师仍觉得自己对特定的实践管理任务准备不足。这些结果表明，需要更好地了解教育债务对职业选择的影响，检查奖学金申请流程的时间安排，并在住院医师期间增加额外的商业管理培训。
