Palasik Torres Brittany, Aguiniga Ashlyn, Yzaguirre Storee, Thompson Sydney R, Wesling Megan
The University of North Texas Health Science Center College of Pharmacy, Fort Worth, TX, USA.
Parkland Health, Dallas, TX, USA.
Am J Health Syst Pharm. 2025 Jan 4. doi: 10.1093/ajhp/zxae368.
In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.
Pharmacy residency training, endorsed by the American Society of Health-System Pharmacists (ASHP), is designed to enhance clinical pharmacy practice. However, in 2022 and subsequent years the ASHP Resident Matching Program reported unprecedented numbers of unfilled positions, notably in postgraduate year 2 (PGY2) programs. This review explores motivations, barriers, and well-being indices in pharmacy residency pursuit and training, seeking to explain the rise in unfilled postgraduate training positions.
Two literature searches were performed using relevant resources and databases: search 1, to determine motivating factors and barriers to pursuit of postgraduate training; and search 2, to gather evidence related to resident well-being, burnout, and resiliency.
Search 1 yielded 11 studies about motivating or deterring factors for pharmacy residency pursuit, whereas search 2 produced 16 articles on resident well-being. Major motivators for pursuing postgraduate training included the desire to gain knowledge and specialized training, recognition of evolving pharmacist roles, and viewing residency as a prerequisite for certain positions. Conversely, major barriers included financial or family obligations and concerns about job availability post graduation. Most articles discussed student pursuit of PGY1 residencies. Resident well-being encompassed burnout assessments, other wellness indicators like depression, and the impact of the coronavirus disease 2019 (COVID-19) pandemic. Developed well-being programs elicited mostly positive perceptions from pharmacy residents.
There is a body of published literature elucidating motivations and barriers to the pursuit of postgraduate training and well-being related to wellness/satisfaction on the job. However, to comprehensively evaluate well-being program impact and address gaps in literature regarding barriers to and motivators for pursuit of specialized PGY2 programs, further research is needed.
为加快文章发表速度，《美国卫生系统药师协会杂志》（AJHP）在稿件被接受后会尽快将其在线发布。已接受的稿件已经过同行评审和文字编辑，但在进行技术排版和作者校样之前就已在线发布。这些稿件并非最终记录版本，稍后将被最终文章（按照AJHP风格排版并由作者校样）取代。
由美国卫生系统药师协会（ASHP）认可的药学住院医师培训旨在加强临床药学实践。然而，在2022年及随后几年，ASHP住院医师匹配计划报告了前所未有的职位空缺数量，尤其是在研究生二年级（PGY2）项目中。本综述探讨了追求和参加药学住院医师培训的动机、障碍以及幸福感指标，试图解释研究生培训职位空缺增加的原因。
使用相关资源和数据库进行了两次文献检索：检索1，以确定追求研究生培训的激励因素和障碍；检索2，以收集与住院医师幸福感、职业倦怠和适应能力相关的证据。
检索1产生了11项关于追求药学住院医师培训的激励或阻碍因素的研究，而检索2产生了16篇关于住院医师幸福感的文章。追求研究生培训的主要动机包括渴望获得知识和专业培训、认识到药师角色的演变以及将住院医师培训视为某些职位的先决条件。相反，主要障碍包括经济或家庭义务以及对毕业后就业机会的担忧。大多数文章讨论了学生对PGY1住院医师培训的追求。住院医师幸福感包括职业倦怠评估、其他健康指标如抑郁以及2019冠状病毒病（COVID-19）大流行的影响。制定的幸福感计划大多引起了药学住院医师的积极看法。
有一批已发表的文献阐明了追求研究生培训的动机和障碍以及与工作中的幸福感/满意度相关的情况。然而，为了全面评估幸福感计划的影响并解决关于追求专门的PGY2项目的障碍和动机的文献空白，还需要进一步的研究。
