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医学生对医院医学职业的看法:一项全国性研究。

Medical Students' Perspectives on Careers in Hospital Medicine: A National Study.

作者信息

Cramer Anne Catherine Miller, Ham Sandra A, Alkaddoumi Yassen, Ibrahim Kamel, Reddy Shalini T, Yoon John D

机构信息

The University of Chicago.

Mercy Hospital and Medical Center.

出版信息

MedEdPublish (2016). 2017 Nov 20;6:207. doi: 10.15694/mep.2017.000207. eCollection 2017.

DOI:10.15694/mep.2017.000207
PMID:38406422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10885226/
Abstract

This article was migrated. The article was marked as recommended. Concerns over burnout and other factors may influence whether students pursue hospital medicine as a career. We investigate whether there are certain predictive factors that ultimately play a role in medical students' career interest in hospital medicine. In January 2011, 960 third-year medical students from 24 U.S. allopathic medical schools were surveyed at baseline, and six to nine months later when they became fourth-years at follow-up. Hospitalist-oriented students were categorized as those students who indicated interest in the specialties of family medicine, internal medicine, or pediatrics, and who indicated that they were "very likely" or "somewhat likely" to become a hospitalist. Respondents were also asked to respond to a list of seven factors that potentially influenced their specialty choice. Adjusted response rate for the fourth-year survey was 50% (n=463/919). Medical students considering hospitalist careers were more likely to report that perceived burnout between various specialties played an important influential role in their specialty decision-making (49.7% [42.2-57.2%], vs. non-hospitalists 39.9% [32.8-47.0%], P=0.03). Given that students are reporting burnout as a factor in their decision-making in favor of hospitalist careers, further studies are needed to explore what aspects of a hospitalist career are appealing to students.

摘要

本文已迁移。该文章被标记为推荐文章。对职业倦怠和其他因素的担忧可能会影响学生是否将医院医学作为职业选择。我们调查是否存在某些预测因素最终会对医学生对医院医学的职业兴趣产生影响。2011年1月,对来自美国24所全科医学医学院的960名三年级医学生进行了基线调查,并在六到九个月后他们升为四年级时进行了随访调查。以医院医生为导向的学生被归类为那些表示对家庭医学、内科或儿科专业感兴趣,并且表示“非常有可能”或“有点可能”成为医院医生的学生。受访者还被要求对一系列可能影响其专业选择的七个因素做出回应。四年级调查的调整后回复率为50%(n = 463/919)。考虑从事医院医生职业的医学生更有可能报告说,他们认为各专业之间的职业倦怠在其专业决策中发挥了重要影响作用(49.7% [42.2 - 57.2%],而非医院医生为39.9% [32.8 - 47.0%],P = 0.03)。鉴于学生们将职业倦怠作为他们选择医院医生职业决策的一个因素,需要进一步研究来探索医院医生职业的哪些方面对学生有吸引力。

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本文引用的文献

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Role Models' Influence on Specialty Choice for Residency Training: A National Longitudinal Study.榜样对住院医师培训专业选择的影响:一项全国性纵向研究。
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The prevalence of medical student mistreatment and its association with burnout.医学生受虐的流行情况及其与倦怠的关系。
Acad Med. 2014 May;89(5):749-54. doi: 10.1097/ACM.0000000000000204.
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Hospitalist career decisions among internal medicine residents.内科住院医师的医院医师职业决策。
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A national comparison of burnout and work-life balance among internal medicine hospitalists and outpatient general internists.内科住院医师与门诊普通内科医师职业倦怠及工作生活平衡的全国性比较。
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J Hosp Med. 2013 Nov;8(11):653-64. doi: 10.1002/jhm.2093. Epub 2013 Oct 25.
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Job characteristics, satisfaction, and burnout across hospitalist practice models.医院医生实践模式下的工作特征、满意度和倦怠情况。
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Factors associated with medical students' career choices regarding internal medicine.与医学生选择内科职业相关的因素。
JAMA. 2008 Sep 10;300(10):1154-64. doi: 10.1001/jama.300.10.1154.
9
Medical student evaluation of the quality of hospitalist and nonhospitalist teaching faculty on inpatient medicine rotations.医学生对住院医师和非住院医师教学教员在内科住院医师轮转中的教学质量评估。
Acad Med. 2004 Jan;79(1):78-82. doi: 10.1097/00001888-200401000-00017.
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J Med Educ. 1979 Aug;54(8):659-61. doi: 10.1097/00001888-197908000-00014.