Batting 300 is good: perspectives of faculty researchers and their mentors on rejection, resilience, and persistence in academic medical careers.
Batting 300 is good: perspectives of faculty researchers and their mentors on rejection, resilience, and persistence in academic medical careers.
复制标题
击出 300 球是好事：教职员研究人员及其导师对医学学术生涯中的拒绝、适应力和坚持的看法。
DOI：
10.1097/acm.0b013e318285f3c0
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发表时间：
2013-04
期刊：
影响因子：
--
通讯作者：
Jagsi R
中科院分区：
文献类型：
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作者：
DeCastro R;Sambuco D;Ubel PA;Stewart A;Jagsi R
专业拒绝是学术医学生涯中常见的经历。作者试图了解拒绝如何影响那些追求这些职业的人，以及为什么在一群具有研究能力和兴趣的人中，有些人可能比其他人更有弹性。在2010年2月至2011年8月期间，作者对100名前美国国立卫生研究院职业发展奖获得者及其28名导师进行了半结构化的深入电话采访。有目的的抽样确保了观点的多样性。多名分析员使用定性数据分析软件对逐字记录进行主题编码。与会者描述了他们在职业生涯中遭受批评和拒绝的各种经历，以及在面对这些挑战时迫切需要坚持和韧性。通过他们的叙述，参与者还生动地描述了他们对专业拒绝经历的一系列情绪和行为反应。他们的回答说明了各种因素，包括指导和性别，在塑造拒绝对他们自己的职业生涯和他们指导的人的职业生涯的最终影响方面发挥的重要作用。对拒绝的反应差异很大，消极的反应可能导致有前途的人放弃学术医学的职业生涯。然而，恢复力并不是一成不变的，它是可以学习的。考虑到在学术医学中被拒绝的频率，培训导师以培养韧性等策略可能特别有助于提高学术医学的教师保留率。
Professional rejection is a frequent experience in an academic medical career. The authors sought to understand how rejection affects those pursuing such careers and why some individuals may be more resilient than others in a population of individuals with demonstrated ability and interest in research careers. Between February 2010 and August 2011, the authors conducted semi-structured, in-depth telephone interviews with 100 former recipients of National Institutes of Health mentored career development awards and 28 of their mentors. Purposive sampling ensured a diverse range of viewpoints. Multiple analysts thematically coded verbatim transcripts using qualitative data analysis software. Participants described a variety of experiences with criticism and rejection in their careers, as well as an acute need for persistence and resilience in the face of such challenges. Through their narratives, participants also vividly described a range of emotional and behavioral responses to their experiences of professional rejection. Their responses illuminated the important roles that various factors, including mentoring and gender, play in shaping the ultimate influence of rejection on their own careers and on the careers of those they have mentored. Responses to rejection vary considerably, and negative responses can lead promising individuals to abandon careers in academic medicine. Resilience does not, however, appear to be immutable—it can be learned. Given the frequency of experiences with rejection in academic medicine, strategies such as training mentors to foster resilience may be particularly helpful in improving faculty retention in academic medicine.