与普通外科住院医师的 fellowship 和亚专科选择相关的因素，按倦怠和生活质量分层。
Factors associated with general surgery residents' decisions regarding fellowship and subspecialty stratified by burnout and quality of life.
机构信息
Harbor-UCLA Medical Center, 1000 W. Carson St, Torrance, CA, 90509, USA.
University of California San Francisco at Fresno, 2823 Fresno St, Fresno, CA, 93721, USA.
出版信息
Am J Surg. 2019 Dec;218(6):1090-1095. doi: 10.1016/j.amjsurg.2019.08.003. Epub 2019 Aug 8.
BACKGROUND
Although most surgery residents pursue fellowships, data regarding those decisions are limited. This study describes associations with interest in fellowship and specific subspecialties.
METHODS
Anonymous surveys were distributed to 607 surgery residents at 19 US programs. Subspecialties were stratified by levels of burnout and quality of life using data from recent studies.
RESULTS
407 (67%) residents responded. 372 (91.4%) planned to pursue fellowship. Fellowship interest was lower among residents who attended independent or small programs, were married, or had children. Residents who received AOA honors or were married were less likely to choose high burnout subspecialties (trauma/vascular). Residents with children were less likely to choose low quality of life subspecialties (trauma/transplant/cardiothoracic).
CONCLUSIONS
Surgery residents' interest in fellowship and specific subspecialties are associated with program type and size, AOA status, marital status, and having children. Variability in burnout and quality of life between subspecialties may affect residents' decisions.
背景
尽管大多数外科住院医师都追求专科医师培训，但关于这些决定的数据有限。本研究描述了与对专科医师培训和特定亚专业的兴趣相关的因素。
方法
向 19 个美国项目的 607 名外科住院医师分发了匿名调查。根据最近研究中的数据，根据职业倦怠和生活质量水平对亚专业进行分层。
结果
407 名（67%）住院医师做出了回应。372 名（91.4%）计划从事专科医师培训。在独立或小型项目就读、已婚或有子女的住院医师对专科医师培训的兴趣较低。获得 AOA 荣誉或已婚的住院医师不太可能选择高职业倦怠亚专业（创伤/血管）。有子女的住院医师不太可能选择生活质量较低的亚专业（创伤/移植/心胸外科）。
结论
外科住院医师对专科医师培训和特定亚专业的兴趣与项目类型和规模、AOA 地位、婚姻状况以及是否有子女有关。亚专业之间的职业倦怠和生活质量的差异可能会影响住院医师的决策。
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