一项关于美国产科麻醉师对产科麻醉学奖学金价值的认知调查。

A survey of United States obstetric anesthesiologists' perceived value of obstetric anesthesiology fellowship.

机构信息

Department of Anesthesiology, University of Chicago Medical Center, Chicago, IL, USA.

Department of Anesthesiology, Northwestern University, Chicago, IL, USA.

出版信息

Int J Obstet Anesth. 2023 Nov;56:103930. doi: 10.1016/j.ijoa.2023.103930. Epub 2023 Sep 15.

DOI:10.1016/j.ijoa.2023.103930

PMID:37804553

Abstract

INTRODUCTION

Subspecialty training in obstetric anesthesiology is associated with improved patient outcomes and reduced anesthesia-related morbidity and mortality. Despite this, the demand for fellowship-trained obstetric anesthesiologists far exceeds the supply. This survey study aimed to evaluate the perceived value of obstetric anesthesiology subspecialty training on career trajectory, job satisfaction, quality of life, and job autonomy.

METHODS

After Institutional Review Board approval, we conducted a cross-sectional study of fellowship-trained obstetric anesthesiologists in the United States of America. In March and April 2022, program directors of obstetric anesthesiology fellowships distributed an electronic survey link containing 29 multiple-choice questions to their program alumni. Survey content included respondent demographic characteristics, practice models, career information, and perceived value of an obstetric anesthesiology fellowship.

RESULTS

We surveyed 217/502 (43%) fellowship-trained obstetric anesthesiologists with a response rate of 158/217 (73%). Most worked in urban, academic, and level IV perinatal health centers. The majority believed an obstetric anesthesiology fellowship was "extremely beneficial" (77%), enhanced quality of life (84%), improved the quality of patient care (99%), and was influential in helping obtain their first post-training job (86%). The perceived value of the fellowship included an enhanced career trajectory, a sense of purpose, improved job satisfaction, a sense of work community, lower burnout, involvement in maternal health initiatives, increased mentorship, and departmental leadership.

CONCLUSION

In this survey study, fellowship-trained obstetric anesthesiologists perceived a positive impact of fellowship training on career trajectory, job protection and autonomy, quality of life, and job satisfaction. This information may be meaningful to trainees considering pursuing a fellowship and a career in obstetric anesthesiology.

摘要

简介

产科麻醉学的专业培训与改善患者结局以及降低与麻醉相关的发病率和死亡率相关。尽管如此，对接受过 fellowship 培训的产科麻醉师的需求远远超过供应。这项调查研究旨在评估产科麻醉学专业培训对职业轨迹、工作满意度、生活质量和工作自主性的感知价值。

方法

在获得机构审查委员会批准后，我们对美国的 fellowship 培训产科麻醉师进行了横断面研究。在 2022 年 3 月和 4 月，产科麻醉学 fellowship 的项目主任向其 fellowship 校友分发了一份电子调查链接，其中包含 29 个多项选择题。调查内容包括受访者的人口统计学特征、实践模式、职业信息以及对产科麻醉学 fellowship 的感知价值。

结果

我们调查了 217/502（43%）名接受过 fellowship 培训的产科麻醉师，回应率为 158/217（73%）。大多数人在城市、学术和四级围产期保健中心工作。大多数人认为产科麻醉学 fellowship“非常有益”（77%），提高了生活质量（84%），改善了患者护理质量（99%），并有助于他们获得培训后的第一份工作（86%）。对 fellowship 的感知价值包括增强职业轨迹、使命感、提高工作满意度、工作社区意识、降低倦怠感、参与产妇健康倡议、增加指导和部门领导。