Menger Richard, LeFever Devon C, Zuckerman Scott L, Robbins J Will, Bell Randy
Department of Neurosurgery, University of South Alabama, CCCRP, 722 Doughten Street, Fort Detrick, MD 21702.
Department of Political Science, University of South Alabama, CCCRP, 722 Doughten Street, Fort Detrick, MD 21702.
Mil Med. 2020 Jan 7;185(Suppl 1):583-589. doi: 10.1093/milmed/usz382.
The Defense Health Agency has shifted focus of military medicine to operational readiness. As such, neurosurgery remains a critical wartime specialty. We investigate the factors impacting recruitment and retention of military neurosurgeons.
Survey of military neurosurgeons was performed via the American Association of Neurological Surgeons/Congress of Neurological Surgeons Joint Committee of Military Neurosurgeons and the Council of State Neurosurgical Societies. Retention and recruitment were queried.
93/119 (78.2%) current or previously affiliated military neurosurgeons would recommend service as a military neurosurgeon to a colleague. Those who felt a sense of patriotism were 4.3 times more likely to recommend military service (P = 0.027, CI 1.19-16.82). Those who developed a sense of camaraderie showed a trend to recommending military neurosurgery (P = 0.058, CI 0.95-9.78). Those with a current military obligation were.28 times (P = 0.02, CI 0.09-0.85) as likely to recommend service. Military physicians who felt a need for reform to increase salary were 2.5 times less likely to be retained.
Service in the US military is a positive experience with camaraderie, patriotism, and unique military experiences predictive of recruitment. Meanwhile, focus on pay discrepancy can result in lost retention. These factors should be explored regarding recruitment and retention of military neurosurgeons.
国防卫生局已将军事医学的重点转移到作战准备上。因此，神经外科仍然是战时的关键专业。我们调查了影响军事神经外科医生招募和留用的因素。
通过美国神经外科医生协会/神经外科医生大会军事神经外科医生联合委员会和州神经外科学会理事会对军事神经外科医生进行调查。询问了留用和招募情况。
93/119（78.2%）名现任或曾任军事神经外科医生会向同事推荐担任军事神经外科医生。有爱国主义情怀的人推荐服兵役的可能性高4.3倍（P = 0.027，可信区间1.19 - 16.82）。有同志情谊的人有推荐军事神经外科工作的趋势（P = 0.058，可信区间0.95 - 9.78）。有现役义务的人推荐服兵役的可能性为（P = 0.02，可信区间0.09 - 0.85）0.28倍。认为需要改革以提高薪资的军事医生留用的可能性低2.5倍。
在美国军队服役是一次积极的经历，同志情谊、爱国主义和独特的军事经历可预测招募情况。同时，关注薪资差异会导致留用率降低。在军事神经外科医生的招募和留用方面应探讨这些因素。
