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了解对维多利亚州医疗劳动力中精神病学专业选择的影响。

Understanding influences on psychiatry specialty selection in Victoria's Medical workforce.

作者信息

Roberts Monica, Chung Ru Dee, Forbes Malcolm, Hew Anthony, Aung Ar Kar, Kang Matthew

机构信息

Alfred Mental and Addiction Health, Melbourne, VIC, Australia.

Department of Anaesthesia, Western Health, Footscray, VIC, Australia.

出版信息

Australas Psychiatry. 2025 Jun;33(3):567-572. doi: 10.1177/10398562251313685. Epub 2025 Jan 13.

Abstract

ObjectiveAustralia faces a psychiatrist shortage, making it crucial to understand factors influencing specialty choice and workforce retention.MethodAn online cross-sectional survey was conducted among medical doctors in their prevocational and vocational stages working in Victoria, Australia. Participants were asked about various factors that influenced their choice of specialty. This study focused on those interested in or currently training in psychiatry. To explore differences in factors influencing specialty choice, prevocational doctors interested in psychiatry were compared to those undecided about their specialty.ResultsOf the 107 respondents, 56 expressed interest in or were training in psychiatry. The top five factors influencing psychiatry specialty choice were perceived ability, specialty culture, prior experience, work-life balance, and patient interactions. Both prevocational and vocational doctors shared similar views on these factors. Factors such as the cost of training, influence of family and friends, prestige, length of the training program, and salary were reported as less influential.ConclusionsThis study identified several factors that were important to junior doctors when selecting psychiatry as a specialty. Active consideration of these factors within service and training frameworks may facilitate improved junior doctor wellbeing and greater workforce retention.

摘要

目的

澳大利亚面临精神科医生短缺的问题,因此了解影响专业选择和劳动力留存的因素至关重要。

方法

对在澳大利亚维多利亚州工作的处于职前和职业阶段的医生进行了一项在线横断面调查。参与者被问及影响他们专业选择的各种因素。本研究聚焦于那些对精神科感兴趣或正在接受精神科培训的医生。为了探究影响专业选择的因素的差异,将对精神科感兴趣的职前医生与那些尚未确定专业的医生进行了比较。

结果

在107名受访者中,56人表示对精神科感兴趣或正在接受精神科培训。影响精神科专业选择的前五大因素是感知能力、专业文化、既往经验、工作与生活的平衡以及与患者的互动。职前医生和职业医生对这些因素的看法相似。培训成本、家人和朋友的影响、声望、培训项目时长和薪资等因素被报告为影响较小。

结论

本研究确定了初级医生在选择精神科作为专业时的几个重要因素。在服务和培训框架内积极考虑这些因素可能有助于改善初级医生的福祉并提高劳动力留存率。

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