Rice C D, Hayden W J, Glaros A G, Thein D J
Department of Diagnostic Sciences, University of Missouri Kansas City School of Dentistry 64108, USA.
J Am Coll Dent. 1997 Spring;64(1):20-6.
Some dentists have voluntarily chosen to leave the dental profession despite the considerable time, effort, and financial expenditures involved in their educations. The purpose of this study was to survey the entire population of dentists who had identified themselves as being principally employed in a career outside of clinical practice in the American Dental Association's 1991 Census. A four-page survey was mailed to 654 former dentists, with a total of 237 usable responses (36%). Analysis of major demographic variables showed no significant difference between the survey respondents and the 1992 ADA Survey of Dentists. Major reasons cited by respondents for entering dentistry included professional, financial, and independence factors. Respondents as a group rated their dental school experience as average in degree of difficulty. Clinical dental experience was varied, with a substantially smaller percentage (37%) choosing solo clinical positions than the 1992 ADA Survey of Dentists reported (69%). Reasons for leaving practice included financial, stress, and external regulation concerns. Current careers varied widely, with business, teaching, medicine, and investing being the most common. Respondents ranked their current careers as considerably more favorable on measures of perceived creativity, freedom, belonging, and whether they would choose the same career again. These findings indicate that there was a difference between the perception of a dental career and the reality of clinical practice for the study sample.
尽管牙医们在接受教育过程中投入了大量时间、精力和资金,但仍有一些牙医自愿选择离开牙科行业。本研究的目的是对美国牙科协会1991年人口普查中所有表明自己主要从事临床实践以外职业的牙医进行调查。一份四页的调查问卷被邮寄给654名前牙医,共收到237份有效回复(36%)。对主要人口统计学变量的分析表明,调查对象与1992年美国牙科协会牙医调查对象之间没有显著差异。受访者提到的进入牙科行业的主要原因包括职业、经济和独立性因素。受访者总体认为他们的牙科学校经历难度适中。临床牙科经历各不相同,选择独立临床职位的比例(37%)远低于1992年美国牙科协会牙医调查所报告的比例(69%)。离开临床实践的原因包括经济、压力和外部监管方面的担忧。目前的职业各不相同,最常见的是商业、教学、医学和投资。受访者认为他们目前的职业在感知创造力、自由度、归属感以及是否会再次选择相同职业等方面更有利。这些发现表明,对于研究样本来说,牙科职业的认知与临床实践的现实之间存在差异。