Weintraub W, Hepburn B, Strahan S, Plaut S M
Department of Psychiatry, University of Maryland School of Medicine, Baltimore 21201.
Hosp Community Psychiatry. 1994 May;45(5):456-60. doi: 10.1176/ps.45.5.456.
University-trained psychiatrists frequently avoid public-sector employment because they do not wish to be associated with stigmatized institutions. Inspirational recruitment--the elevation of poorly paid and unpleasant work to a noble cause--is one way of temporarily destigmatizing state psychiatry. The authors describe the impact of one such effort, the Maryland Plan, on recruitment of graduates of the University of Maryland psychiatric residency program into the state's psychiatric system. Significantly more graduates entered state psychiatry in the 15 years after the plan was implemented in 1978 (78 of 164 graduates, or 47.6 percent) than in the eight years before (seven of 57 graduates, or 12.3 percent). Data indicate that low salaries did not hurt recruitment, nor did doubling the stipends prevent the majority of recruits from leaving the public sector after a few years of service.
接受过大学教育的精神科医生常常不愿在公共部门就业，因为他们不想与受污名化的机构联系在一起。激励性招聘——将低薪且令人不快的工作提升为崇高的事业——是暂时消除国家精神病学污名的一种方式。作者描述了这样一项努力，即马里兰计划，对马里兰大学精神病学住院医师项目毕业生进入该州精神病系统招聘情况的影响。1978年该计划实施后的15年里，进入国家精神病学领域的毕业生（164名毕业生中的78名，即47.6%）明显多于计划实施前的八年（57名毕业生中的7名，即12.3%）。数据表明，低薪并没有影响招聘，将津贴翻倍也未能阻止大多数新入职者在工作几年后离开公共部门。
