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美国卫生与公众服务部军事医学院医师留用:一项探索性研究。

The Retention of USUHS Military Physicians: An Exploratory Study.

机构信息

F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.

出版信息

Mil Med. 2023 May 18;188(Suppl 2):106-110. doi: 10.1093/milmed/usac172.

DOI:10.1093/milmed/usac172
PMID:37201492
Abstract

BACKGROUND

Previously, researchers investigated the career accomplishments of USU medical graduates using the data from a USU alumni survey. To better understand if such accomplishments are related to military retention, the current study investigates the relationship between accomplishments (such as military career milestones and academic achievement) and military retention.

METHODS

Utilizing the responses to the alumni survey sent to USU graduates in the Classes of 1980 to 2017, the researchers investigated the relationship between a series of survey items (e.g., military rank, medical specialties, and operation experiences) and military retention.

RESULTS

Among the respondents who had a deployment history in support of an operational mission, 206 (67.1%) stayed longer than their initial active duty service or planned on staying longer than their current active duty service commitment. Fellowship directors (n = 65, 72.3%) showed a higher retention rate than other positions. The PHS alumni had the highest retention rate (n = 39, 69%) of the military branches, whereas physicians in medical specialties with higher demand (e.g., otolaryngology and psychiatry) showed less promising retention.

CONCLUSIONS

By conducting future research on underlying reasons as to why full-time clinicians, junior physicians, and physicians in medical specialties with higher demand showed less promising retention, stakeholders will be able to identify what needs to be addressed to retain highly skilled physicians in the military.

摘要

背景

此前,研究人员利用 USU 校友调查数据研究了 USU 医学毕业生的职业成就。为了更好地了解这些成就是否与军队留用有关,本研究调查了成就(如军事生涯里程碑和学术成就)与军队留用之间的关系。

方法

利用发送给 1980 年至 2017 年 USU 毕业生的校友调查的回复,研究人员调查了一系列调查项目(例如,军衔、医学专业和作战经验)与军队留用之间的关系。

结果

在有部署历史以支持作战任务的受访者中,206 人(67.1%)的服役时间超过了最初的现役服务或计划超过当前的现役服务承诺。研究员主任(n=65,72.3%)的留用率高于其他职位。PHS 校友的留用率最高(n=39,69%),高于其他军种;需求较高的医学专业(如耳鼻喉科和精神病学)的医生留用率则不尽如人意。

结论

通过对全职临床医生、初级医生以及需求较高的医学专业医生留用率较低的根本原因进行未来研究,利益相关方将能够确定需要解决哪些问题才能留住军队中的高技能医生。

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