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泌尿外科住院医师的期望与执业泌尿外科医生的经验之间的一致性和差异

Consistencies and Discrepancies Between the Expectations of Urology Trainees and the Experience of Practicing Urologists.

作者信息

Cheng Julie W, Wagner Hillary, Hernandez Barbara Couden, Ruckle Herbert C

机构信息

Department of Urology, Loma Linda University Health, Loma Linda, CA.

Department of Urology, Loma Linda University Health, Loma Linda, CA.

出版信息

Urology. 2019 May;127:42-48. doi: 10.1016/j.urology.2018.12.047. Epub 2019 Feb 8.

DOI:10.1016/j.urology.2018.12.047
PMID:30742865
Abstract

OBJECTIVE

To compare the expectations of urology trainees with the experience of practicing urologists.

METHODS

Residents, fellows, and practicing urologists were surveyed in 2018 regarding weekly work hours, number of hospitals covered, call nights per week, administrative workload relative to residency, annual net income, and time to pursue personal interests and hobbies. Urology trainees, defined as residents and fellows, were also surveyed regarding their expectations for clinical practice. The expectations of trainees were compared with the reported experience of practicing urologists using 1-tailed t test and chi-square analysis. Trainee expectations were also stratified by age, gender, training level, relationship status, and whether trainees had dependent children.

RESULTS

The expectations of 99 trainees were compared with the reported experience of 377 practicing urologists. Trainees expect to work more hours but less call nights per week than reported by practicing urologists while annual net income was either consistent or underestimated. Compared to practicing urologists, however, trainees appear to underestimate the administrative workload relative to residency and overestimate time to pursue personal interests and hobbies. Junior residents were more likely to underestimate administrative workload than senior residents and fellows.

CONCLUSION

While the expectations of urology trainees for work hours and annual net income were fairly consistent with those reported by practicing urologists, trainees may underestimate administrative workload and overestimate time to pursue personal interests and hobbies.

摘要

目的

比较泌尿外科住院医师培训学员的期望与执业泌尿外科医生的经历。

方法

2018年对住院医师、专科培训学员和执业泌尿外科医生进行了调查,内容包括每周工作时长、覆盖的医院数量、每周值夜班次数、相对于住院医师培训阶段的行政工作量、年净收入以及用于追求个人兴趣爱好的时间。将住院医师和专科培训学员定义为泌尿外科培训学员,并就他们对临床实践的期望进行了调查。使用单尾t检验和卡方分析,将培训学员的期望与执业泌尿外科医生报告的经历进行比较。培训学员的期望还按年龄、性别、培训水平、恋爱状况以及培训学员是否有受抚养子女进行了分层。

结果

将99名培训学员的期望与377名执业泌尿外科医生报告的经历进行了比较。培训学员期望每周工作时长更多,但值夜班次数比执业泌尿外科医生报告的少,而年净收入要么一致,要么被低估。然而,与执业泌尿外科医生相比,培训学员似乎低估了相对于住院医师培训阶段的行政工作量,高估了用于追求个人兴趣爱好的时间。初级住院医师比高级住院医师和专科培训学员更有可能低估行政工作量。

结论

虽然泌尿外科培训学员对工作时长和年净收入的期望与执业泌尿外科医生报告的期望相当一致,但培训学员可能低估了行政工作量,高估了用于追求个人兴趣爱好的时间。

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