Ranz J, Stueve A
Columbia University College of Physicians and Surgeons and the New York State Psychiatric Institute, New York 10032, USA.
Psychiatr Serv. 1998 Sep;49(9):1203-7. doi: 10.1176/ps.49.9.1203.
In a recently published survey of alumni of the Columbia University public psychiatry fellowship, respondents who were medical directors reported performing a greater variety of tasks and experiencing higher job satisfaction than those who were staff psychiatrists. Both medical directors and staff psychiatrists believed that job satisfaction was most dependent on clinical collaboration activities. Survey data were reanalyzed to determine whether there was a relationship between the frequency of tasks performed and overall job satisfaction, and whether the tasks that actually predicted overall job satisfaction were the same as those that respondents believed contributed to job satisfaction.
The survey was distributed to all public psychiatry fellows and alumni in active practice (N=89), and 72 forms (81 percent) were returned. The survey consisted of 16 self-administered items divided into three categories of job tasks: direct service, clinical collaboration, and administration.
Despite respondents' beliefs that clinical collaboration activities contributed most to job satisfaction, performance of administrative tasks was found to best correlate with overall job satisfaction. Furthermore, overall job satisfaction was related to the performance of administrative tasks and not to the job title of medical director alone. Most of the medical directors in the survey had program-level, rather than agency-level, responsibilities. The findings indicate that the role of program medical director can serve as a crucial next step for staff psychiatrists, offering the opportunity to perform administrative tasks, which, according to the results, improves job satisfaction in public-sector positions.
在最近发表的一项对哥伦比亚大学公共精神病学 fellowship 项目校友的调查中，担任医疗主任的受访者报告称，他们执行的任务种类更多，工作满意度也高于担任普通精神科医生的受访者。医疗主任和普通精神科医生都认为工作满意度主要取决于临床协作活动。对调查数据进行重新分析，以确定执行任务的频率与总体工作满意度之间是否存在关系，以及实际预测总体工作满意度的任务是否与受访者认为有助于提高工作满意度的任务相同。
该调查已分发给所有在职的公共精神病学研究员和校友（N = 89），共收回 72 份问卷（81%）。该调查包括 16 个自我填写的项目，分为三类工作任务：直接服务、临床协作和行政管理。
尽管受访者认为临床协作活动对工作满意度的贡献最大，但研究发现行政管理任务的执行情况与总体工作满意度的相关性最强。此外，总体工作满意度与行政管理任务的执行情况有关，而不仅仅与医疗主任的职位有关。调查中的大多数医疗主任承担的是项目层面而非机构层面的职责。研究结果表明，项目医疗主任这一角色可以成为普通精神科医生至关重要的下一步发展方向，为他们提供执行行政管理任务的机会；根据研究结果，这将提高公共部门职位的工作满意度。
