LeCompte Michael C, Sim Austin J, Goodman Chelain R, Bajaj Amishi, Kumar Abhishek, MacDuffie Emily, Corrigan Kelsey K, Franco Idalid, Nelson Bailey A, Dooley Sarah, Anderson Justin D, Jeans Elizabeth B, Tye Karen, Gaines Dakim K, Vidal Gabriel, Agarwal Ankit, Albert Ashley A, Campbell Shauna R
Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland.
Department of Radiation Oncology, James Cancer Hospital, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Int J Radiat Oncol Biol Phys. 2025 Sep 1;123(1):15-27. doi: 10.1016/j.ijrobp.2025.02.050. Epub 2025 Mar 25.
To better understand radiation oncology (RO) resident experiences navigating the job market, responses from the 2020-2023 Association of Residents in Radiation Oncology Graduating Resident Surveys were analyzed and compared.
All identified postgraduate year 5 RO residents in the United States were sent a 50 to 58 question survey in May of their respective graduating year. Responses were collected in a deidentified database. Descriptive statistics were generated. Univariable and multivariable logistic regression analyses (MVA) were performed to identify predictors of overall satisfaction/dissatisfaction with accepted positions and agreement that the job market was tough.
The aggregate response rate was 86.9%. Very few (0%-1.8%) respondents did not have a signed offer at survey completion. The percentage who strongly agreed or agreed that the job market was "tough" was 39.3% in 2020, 69.9% in 2021, 25.7% in 2022, and 16.2% in 2023. The percentage of respondents who were strongly dissatisfied or dissatisfied with their accepted job position was 6.2% in 2020, 3.6% in 2021, 1.4% in 2022, and 0.6% in 2023. In MVA, significant predictors of feeling that the job search was not tough included the year of job search (2020 [reference]; 2021 [odds ratio {OR}, 0.31; CI, 0.17-0.57; P < .01]; 2022 [OR, 2.68; CI, 1.66-4.33; P < .01]; 2023 [OR, 3.23; CI, 2.02-5.17; P < .01]) and satisfaction with one's residency program's mentorship in the job search (OR, 1.69; CI, 1.08-2.64; P = .02). In MVA, predictors of overall satisfaction with an accepted position included mentorship during the job search (OR, 4.93; CI, 2.45-9.93; P < .01) and practice setting (urban [reference]; rural [OR, 0.29; CI, 0.11-0.74; P < .01]).
The vast majority of graduating RO residents from 2020 to 2023 were satisfied with their accepted job offer. Perceptions of job market toughness declined precipitously over time after 2021. Residents who have strong mentorship and accepted positions in urban settings were more likely to report accepted position satisfaction.
为了更好地了解放射肿瘤学（RO）住院医师在就业市场中的经历，对2020 - 2023年放射肿瘤学住院医师协会毕业住院医师调查的回复进行了分析和比较。
在美国，所有确定的五年级RO住院医师在其各自毕业年份的5月收到了一份包含50至58个问题的调查问卷。回复被收集到一个去识别化的数据库中。生成了描述性统计数据。进行了单变量和多变量逻辑回归分析（MVA），以确定对接受职位的总体满意度/不满意度以及认为就业市场艰难的预测因素。
总体回复率为86.9%。在调查完成时，极少数（0% - 1.8%）受访者没有签署录用通知。强烈同意或同意就业市场“艰难”的比例在2020年为39.3%，2021年为69.9%，2022年为25.7%，2023年为16.2%。对接受的工作职位强烈不满或不满的受访者比例在2020年为6.2%，2021年为3.6%，2022年为1.4%，2023年为0.6%。在MVA中，认为求职不难的显著预测因素包括求职年份（2020年[参考值]；2021年[比值比{OR}，0.31；置信区间，0.17 - 0.57；P <.01]；2022年[OR，2.68；置信区间，1.66 - 4.33；P <.01]；2023年[OR，3.23；置信区间，2.02 - 5.17；P <.01]）以及对住院医师培训项目在求职过程中指导的满意度（OR，1.69；置信区间，1.08 - 2.64；P =.02）。在MVA中，对接受职位总体满意的预测因素包括求职过程中的指导（OR，4.93；置信区间，2.45 - 9.93；P <.01）和执业环境（城市[参考值]；农村[OR，0.29；置信区间，0.11 - 0.74；P <.01]）。
2020年至2023年绝大多数毕业的RO住院医师对他们接受的工作录用感到满意。2021年之后，对就业市场艰难程度的认知急剧下降。在城市环境中接受职位且有强有力指导的住院医师更有可能报告对接受职位的满意度。
