Williams R G, Kennedy T L, Moller J H
Department of Pediatrics, University of California, Los Angeles Medical Center 90024-1743.
J Am Coll Cardiol. 1994 Mar 15;23(4):977-80. doi: 10.1016/0735-1097(94)90646-7.
In 1991, all active board-certified pediatric cardiologists were polled by questionnaire to examine the relation of subspecialty training and motivational and satisfaction issues to practice characteristics.
Previous questionnaires with regard to manpower status and practice characteristics were published in 1967 and 1980. These indicated a field predominantly centered in academic medicine with growth in manpower close to predicted need.
The questionnaire was mailed to 844 of 884 active board-certified pediatric cardiologists and was returned anonymously by 570, a 68% response rate.
Among respondents, the mean year in which fellowship training was completed was 1974. The average length of subspecialty training was 31 months for all respondents and 34 months among those completing training since 1981. Seventy-seven percent of subspecialty training centered on clinical training. Although there has been a slight increase in research training in recent years, only 18 respondents completed > or = 22 months of research training. Respondents devote a mean of 89% of professional hours to subspecialty activities and spend 63% of total hours in clinical care. Total hours, income and procedures were related to site of professional activity. Professional satisfaction was high in the factors considered more important: professional challenge and interaction, clinical resources, career security and clinical autonomy.
The field of pediatric cardiology is a subspecialty centered on patient care and performance of diagnostic and interventional techniques. Professional activities varied according to practice site. Pediatric cardiologists with basic research training and professional activity remain a minority. Satisfaction is high, with greatest satisfaction in professional interactions and least satisfaction with income and free time.
1991年，通过问卷调查对所有在职的获得委员会认证的儿科心脏病专家进行了调查，以研究亚专业培训、动机和满意度问题与执业特征之间的关系。
之前关于人力状况和执业特征的调查问卷分别于1967年和1980年发布。这些调查表明该领域主要集中在学术医学领域，人力增长接近预期需求。
问卷被邮寄给884名在职的获得委员会认证的儿科心脏病专家中的844人，570人匿名回复，回复率为68%。
在受访者中，完成 fellowship 培训的平均年份为1974年。所有受访者亚专业培训的平均时长为31个月，1981年以后完成培训的受访者的平均时长为34个月。77%的亚专业培训集中在临床培训。尽管近年来研究培训略有增加，但只有18名受访者完成了≥22个月的研究培训。受访者平均将89%的专业时间用于亚专业活动，63%的总时间用于临床护理。总工作时长、收入和操作与专业活动地点有关。在被认为更重要的因素方面，职业满意度较高：职业挑战与互动、临床资源、职业保障和临床自主权。
儿科心脏病学领域是一个以患者护理以及诊断和介入技术操作为中心的亚专业。专业活动因执业地点而异。接受过基础研究培训并从事专业活动的儿科心脏病专家仍然是少数。满意度较高，对专业互动的满意度最高，对收入和自由时间的满意度最低。
