U.S. Army Medical Center of Excellence, 3630 Stanley Road, Fort Sam Houston, TX 78234.
1425 Porter Street, Frederick, MD, 21702.
Mil Med. 2020 Sep 18;185(9-10):e1596-e1602. doi: 10.1093/milmed/usaa094.
This study was conducted to identify and understand the current factors affecting recruitment, job satisfaction, and retention of U.S. Army Medical Corps officers and provide historical background to understand if the current factors are dissimilar.
An anonymous, voluntary questionnaire was sent to U.S. Army Medical Corps officers, and responses were tabulated and analyzed. Historical research was conducted and historical analysis applied.
Recruiting, job satisfaction, and retention among Army Medical Corps Officers have been problematic throughout the 50-year history of the all-volunteer force. Recruiting has largely been of medical students, with very limited numbers of direct accessions. At times, satisfactory overall numbers have camouflaged shortages in key go-to-war specialties. Also, satisfactory numbers in a specialty have sometimes camouflaged problems in depth of experience. Satisfaction has been seen as a problem but apparently only studied informally and/or episodically. Retention has largely been addressed through service obligations, followed by monetary bonuses, although these have to be across the Department of Defense, limiting service flexibility. There has never been consistent, longitudinal sampling of opinion among Medical Corps Officers to allow senior leaders to influence the Department of Defense policy. A recent (2016) study provides substantial data but should be repeated rather than being isolated.
As the situation in the Department of Defense and Army Medical Department changes, with more focus on go-to-war specialties, the Army needs to better measure opinion among Medical Corps Officers to inform policy. These studies should be conducted regularly to generate reliable information on trends and allow prioritization of effort to areas that hamper recruiting, undermine satisfaction, and prevent retention.
本研究旨在确定和了解当前影响美国陆军医疗团军官招募、工作满意度和留用的因素，并提供历史背景，以了解当前因素是否存在差异。
向美国陆军医疗团军官发送了一份匿名、自愿的调查问卷，并对回答进行了制表和分析。进行了历史研究并应用了历史分析。
在整个 50 年的全志愿部队历史中，陆军医疗团军官的招募、工作满意度和留用一直存在问题。招募主要针对医学生，直接入伍的人数非常有限。有时，整体人数令人满意掩盖了关键参战专业的短缺。此外，在某个专业中令人满意的人数有时掩盖了经验深度的问题。满意度被视为一个问题，但显然只是非正式和/或偶尔进行研究。留用主要通过服务义务来解决，其次是通过金钱奖励，尽管这些奖励必须在整个国防部范围内提供，限制了服务的灵活性。从来没有对医疗团军官的意见进行过一致的、纵向的抽样调查，以使高级领导人能够影响国防部的政策。最近（2016 年）的一项研究提供了大量数据，但应该重复进行，而不是孤立进行。
随着国防部和陆军医疗部门情况的变化，更多地关注参战专业，陆军需要更好地衡量医疗团军官的意见，为政策提供信息。这些研究应定期进行，以生成有关趋势的可靠信息，并优先考虑那些阻碍招募、破坏满意度和防止留用的领域。
