Pastores Stephen M, Kostelecky Natalie, Halpern Neil A
Critical Care Center, Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
ATS Sch. 2022 Nov 17;4(1):39-47. doi: 10.34197/ats-scholar.2022-0075OC. eCollection 2023 Mar.
Little is known regarding the career paths of adult multidisciplinary critical care medicine (CCM) fellowship graduates.
The purpose of this study is to describe the demographic profiles and characteristics of the first jobs held by internal medicine-CCM fellowship graduates trained at a freestanding cancer center.
An electronic survey was developed via Research Electronic Data Capture that addressed first employment parameters and was sent between May 1, 2019, and December 31, 2021, to 133 CCM fellows who completed CCM fellowship training from 2000 to 2020 at our institution.
A total of 93 fellows (70%) responded to the postfellowship job survey; 80 (60%) with complete responses were analyzed. Seventy-four percent of respondents were men, 41% were White, 81% were international medical graduates, and 31% were holders of J-1 exchange visitor ( = 8) or H-1B ( = 17) visas. The mean age at completion of CCM fellowship was 36 years. Twenty-seven respondents (34%) completed two years of fellowship training and 53 (66%) completed one year. Internal medicine was the primary residency training before CCM fellowship for 75 respondents (94%) and emergency medicine for 5 (6%). Of those who did one year of fellowship ( = 53), 45 (85%) had already completed two-year fellowships in pulmonary medicine. Thirty-two respondents (40%) completed training from 2000 to 2009 and 48 (60%) from 2010 to 2020. The first employment for the majority (>80%) of graduates was in community teaching hospitals. Of the graduates who spent ⩾50% of time clinically in CCM, 85% rounded in multiple intensive care units (ICU). Compensation sources were from hospitals for 81%, private billing for 15%, and through faculty practice plans for 4% of respondents. At the time of survey completion, 51 respondents (64%) were still at their first jobs; of these, slightly more than half (56%) had graduated from the fellowship program in the past 10 years.
The majority of CCM fellowship graduates from our program practiced CCM at community teaching hospitals, rounded in multiple ICUs, and were compensated primarily by the hospital.
关于成人多学科重症医学（CCM） fellowship毕业生的职业发展路径，人们了解甚少。
本研究旨在描述在一家独立癌症中心接受培训的内科CCM fellowship毕业生的首份工作的人口统计学特征和特点。
通过研究电子数据采集系统开发了一项电子调查问卷，涉及首次就业参数，并于2019年5月1日至2021年12月31日期间发送给133名在我们机构于2000年至2020年完成CCM fellowship培训的学员。
共有93名学员（70%）回复了毕业后工作调查问卷；对80名（60%）回复完整的学员进行了分析。74%的受访者为男性，41%为白人，81%为国际医学毕业生，31%持有J-1交流访问学者签证（n = 8）或H-1B签证（n = 17）。完成CCM fellowship时的平均年龄为36岁。27名受访者（34%）完成了两年的fellowship培训，53名（66%）完成了一年的培训。在CCM fellowship之前，75名受访者（94%）的主要住院医师培训是内科，5名（6%）是急诊医学。在完成一年fellowship培训的学员（n = 53）中，45名（85%）已经完成了两年的肺病fellowship培训。32名受访者（40%）在2000年至2009年期间完成培训，48名（60%）在2010年至2020年期间完成培训。大多数（>80%）毕业生的第一份工作是在社区教学医院。在临床工作时间⩾50%在CCM领域的毕业生中，85%在多个重症监护病房（ICU）进行查房。薪酬来源方面，81%来自医院，15%来自私人计费，4%来自教师执业计划。在调查完成时，51名受访者（64%）仍在他们的第一份工作岗位；其中，略多于一半（56%）在过去10年中从fellowship项目毕业。
我们项目的大多数CCM fellowship毕业生在社区教学医院从事CCM工作，在多个ICU进行查房，主要薪酬由医院支付。
