Nishitani Miki, Moerdler Scott, Kesselheim Jennifer
Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts, USA.
Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Pediatr Blood Cancer. 2023 Apr;70(4):e30226. doi: 10.1002/pbc.30226. Epub 2023 Jan 30.
The pediatric hematology and oncology (PHO) workforce landscape has been evolving over the past decades, with concern for waning interest in the subspecialty. We aimed to evaluate the impact of the initial PHO job search on fellow stress and anxiety, in addition to perceptions of the job search experience and potential areas of improvement. An anonymous survey consisting of demographics, emotional health impacts such as stress and anxiety, and job search experiences was developed and distributed to program leadership at all 74 PHO fellowship programs. At least one representative from 49 (66%) programs responded. Faculty were less likely than fellows to perceive that fellows are struggling to find jobs (p = .0198). However, faculty were more likely than fellows to perceive that fellows are either "extremely stressed" or "stressed" due to job search (p = .0003). By June 2021, 30 of 44 (68%) candidates had been offered a position, and 80% of those had accepted. There were no significant associations between fellow stress level and job offering, proximity to their ideal goals, or change in career type. Common barriers to the job search included geographic constraints and partner employment. Respondents identified centralized job listings, formal training on career development strategies, introduction to various career paths, and more transparency about the search as needed interventions. The perception of difficulty and stress regarding the job search is endorsed by most, identifying a need for more interventions to improve the experience. These data also highlight unmet mentorship and educational needs among PHO fellows in preparing for the job search.
在过去几十年中，儿科血液学与肿瘤学（PHO）领域的劳动力格局一直在演变，人们对该亚专业的兴趣逐渐减弱表示担忧。我们旨在评估初次PHO求职对 fellows 的压力和焦虑的影响，以及对求职经历的看法和潜在的改进领域。我们制定了一项匿名调查，内容包括人口统计学信息、压力和焦虑等情绪健康影响以及求职经历，并将其分发给所有74个PHO fellowship项目的项目负责人。49个（66%）项目至少有一名代表回复。与 fellows 相比，教员不太可能认为 fellows 在找工作方面存在困难（p = 0.0198）。然而，与 fellows 相比，教员更有可能认为 fellows 因求职而“极度紧张”或“紧张”（p = 0.0003）。到2021年6月，44名候选人中有30名（68%）获得了职位，其中80%接受了该职位。fellows 的压力水平与工作录用、与理想目标的接近程度或职业类型的变化之间没有显著关联。求职的常见障碍包括地理限制和伴侣就业。受访者将集中的职位列表、职业发展策略的正式培训、各种职业道路的介绍以及根据需要提高求职透明度作为必要的干预措施。大多数人都认可求职存在困难和压力的看法，这表明需要更多干预措施来改善求职体验。这些数据还凸显了PHO fellows在为求职做准备时未得到满足的指导和教育需求。
