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具有专业附加资格证书的人从事运动医学实践的相关因素。

Factors Associated with Time Spent Practicing Sports Medicine by Those with a Certificate of Added Qualification.

机构信息

From the Department of Family and Community Medicine, University of Kentucky, Lexington, KY (SN, LEP); American Board of Family Medicine, Lexington, KY (LEP, JCP); Division of Sports Medicine, Department of Family Medicine, David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, CA (JCP).

出版信息

J Am Board Fam Med. 2021 Jan-Feb;34(1):189-195. doi: 10.3122/jabfm.2021.01.200303.

Abstract

PURPOSE

To determine those factors associated with family physicians certified in sports medicine (SM-FPs) devoting 75% or more of their professional time to the exclusive practice of sports medicine.

METHODS

Data from the American Board of Family Medicine sports medicine examination registration questionnaires from 2003 to 2017 were analyzed. The characteristics of SM-FPs devoting 75% or more of their time to sports medicine were compared with those SM-FPs spending less than 75% time. Multiple regression analysis was used to determine characteristics that independently predicted devoting 75% or more of their professional time to the practice of sports medicine.

RESULTS

One thousand one hundred twelve SM-FPs recertifying in sports medicine between 2003 to 2017 were studied. They were predominately male (85.2%), allopathic (91.7%) physicians with a mean age of 47.3 years (interquartile range (IQR), 42.1-54.2) and devoted a median 50% of their professional time (IQR, 25-80) to sports medicine. Age less than 47.3 years (odds ratio (OR), 1.53; 1.12-2.08), service as a collegiate team physician (OR 1.66; 1.10-2.50), recertification in sports medicine in 2011 to 2017 compared with earlier years (OR 2.47; 1.62-3.78), and practicing in a sports medicine clinic (OR, 6.43; 4.15-9.95) predicted greater odds of spending 75% or more of their time devoted to sports medicine.

CONCLUSIONS

Those factors found to be associated with spending 75% or more of their time practicing sports medicine by SM-FPs seem to be consistent with recent trends in the recruitment and employment of these physicians and their ability to provide added value to the health care system by virtue of their additional training and expertise.

摘要

目的

确定与家庭医生中从事运动医学(SM-FP)的医生相关的因素,这些医生将其 75%或更多的专业时间专门用于运动医学实践。

方法

分析了 2003 年至 2017 年美国家庭医学委员会运动医学考试注册问卷的数据。比较了将 75%或更多时间用于运动医学的 SM-FP 与将少于 75%时间用于运动医学的 SM-FP 的特征。使用多元回归分析确定了独立预测将 75%或更多的专业时间用于运动医学实践的特征。

结果

研究了 2003 年至 2017 年重新认证运动医学的 1112 名 SM-FP。他们主要是男性(85.2%)、全科学历(91.7%)的医生,平均年龄为 47.3 岁(四分位距(IQR),42.1-54.2),平均专业时间的中位数为 50%(IQR,25-80)用于运动医学。年龄小于 47.3 岁(优势比(OR),1.53;1.12-2.08)、担任大学运动队医生(OR,1.66;1.10-2.50)、2011 年至 2017 年重新认证运动医学(OR,2.47;1.62-3.78)与早期相比,以及在运动医学诊所执业(OR,6.43;4.15-9.95),这些因素都预示着他们更有可能将 75%或更多的时间用于运动医学实践。

结论

这些与 SM-FP 将 75%或更多时间用于运动医学实践相关的因素似乎与这些医生的招聘和就业的近期趋势以及他们通过额外的培训和专业知识为医疗保健系统提供附加值的能力相一致。

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