Agrawal Anoop, Aronica Michael, Kisielewski Michael, Doolittle Benjamin
Medicine - Pediatrics Residency Program, Baylor College of Medicine, Houston, TX, USA.
Medicine - Pediatrics Residency Program, Jacobs School of Medicine & Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
J Gen Intern Med. 2025 Apr;40(5):1003-1009. doi: 10.1007/s11606-024-09204-9. Epub 2025 Jan 13.
Combined medicine-pediatrics training was formally established in 1967 by the American Board of Pediatrics and the American Board of Internal Medicine. More than 8000 physicians have completed dual training. Their career choices are not well-described.
To describe career choices among graduates of combined medicine-pediatrics training programs.
Nationally representative research surveys conducted each winter from 2017 to 2023 of combined medicine-pediatrics (Med-Peds) residency program directors (PDs), whose programs were (1) of continued accreditation status with the Accreditation Council for Graduate Medical Education (N = 77 to 80) and (2) members of the Medicine Pediatrics Program Directors Association. One of the recurring sections collected data on medicine-pediatrics residency program graduates from the previous academic year (AY), including career choices. From 2020 to 2023, the survey also collected data on the percentage of programs with fifth-year post-graduate year (PGY) chief medical residents who graduated during the previous AY, and PD-reported career choices for those chief residents.
The survey response rates ranged from 70.9% (56/79) to 85.7% (66/77; mean response rate: 81.3%). Over the seven survey years, there was little variability in the mean percentage of medicine-pediatrics graduates (n = 2191) by PD-reported career field (p > 0.001 for all multi-year comparisons). Aggregated over all years, the top four reported career fields were internal medicine fellowship (16.9%), private ambulatory/outpatient practice (16.2%), medicine-pediatrics hospitalist (14.6%), and academic practice (10.2%).
Medicine-pediatrics physicians pursue diverse career paths and make important contributions to the healthcare workforce.
联合医学-儿科学培训于1967年由美国儿科学委员会和美国内科学委员会正式设立。8000多名医生已完成双重培训。他们的职业选择尚无详尽描述。
描述联合医学-儿科学培训项目毕业生的职业选择。
在2017年至2023年每年冬季开展全国代表性研究调查，对象为联合医学-儿科学（Med-Peds）住院医师培训项目主任（PD），其项目需满足：（1）获得毕业后医学教育认证委员会持续认证状态（N = 77至80）；（2）是医学儿科学项目主任协会成员。其中一个反复出现的部分收集了上一学年（AY）医学-儿科学住院医师培训项目毕业生的相关数据，包括职业选择。2020年至2023年，该调查还收集了上一学年毕业的五年级毕业后住院医师（PGY）担任住院总医师的项目所占百分比，以及PD报告的这些住院总医师的职业选择。
调查回复率从70.9%（56/79）到85.7%（66/77；平均回复率：81.3%）不等。在这七年的调查中，按PD报告的职业领域划分，医学-儿科学毕业生（n = 2191）的平均百分比变化不大（所有多年比较的p值均>0.001）。汇总所有年份的数据，报告的前四大职业领域为内科专科培训（16.9%）、私立门诊/门诊执业（16.2%）、医学-儿科学住院医师（14.6%）和学术执业（10.2%）。
医学-儿科学医生追求多样的职业道路，为医疗队伍做出重要贡献。
