Anderson K D, Mavis B E
Department of Surgery, Michigan State University College of Human Medicine, East Lansing.
Am J Surg. 1995 Mar;169(3):329-33. doi: 10.1016/S0002-9610(99)80169-X.
Academic surgeons make various important decisions about their careers; however, little is known about the relationships between fellowship training, career development issues, and academic responsibilities.
Surgeon members of the Association for Surgical Education were surveyed about career development issues. Three hundred ninety-two (75.2%) surgeons responded.
An exploratory factor analysis of the career development issues revealed four career development factors. Statistically significant differences were found between types of fellowship training and the career development factors. Nonfellowship-trained and clinical-fellowship-trained surgeons spend their time similarly to physicians in other specialties. Research-fellowship-trained surgeons spent significantly more time doing research, had fewer concerns about professional confidence, and expressed greater satisfaction with their careers.
There is a relationship between career development issues, fellowship training, and type of fellowship training. Attention to these issues may be important in recruiting and retaining academic surgeons.
学术外科医生会对其职业生涯做出各种重要决策；然而，关于专科培训、职业发展问题与学术职责之间的关系，我们知之甚少。
对外科教育协会的外科医生成员进行了关于职业发展问题的调查。392名（75.2%）外科医生做出了回应。
对职业发展问题的探索性因素分析揭示了四个职业发展因素。在专科培训类型与职业发展因素之间发现了统计学上的显著差异。未接受专科培训和接受临床专科培训的外科医生分配时间的方式与其他专科的医生类似。接受研究型专科培训的外科医生花在研究上的时间显著更多，对职业信心的担忧更少，并且对其职业生涯表达了更高的满意度。
职业发展问题、专科培训以及专科培训类型之间存在关联。关注这些问题对于招募和留住学术外科医生可能很重要。
