Pediatric Resident Debt and Career Intentions
Pediatric Resident Debt and Career Intentions
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DOI：
10.1542/peds.2012-0411
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发表时间：
2013-02-01
期刊：
影响因子：
8
通讯作者：
Olson, Lynn M.
中科院分区：
文献类型：
--
作者：
Frintner, Mary Pat;Mulvey, Holly J.;Olson, Lynn M.
目的：为了解儿科住院医师的教育负债水平以及教育负债与职业意向之间的关系，对2006年至2010年每年全国随机抽取的1000名儿科住院医师进行调查。答案被合并。我们使用t检验和单因素方差分析比较债务，线性回归检查与教育债务相关的因素，逻辑回归评估债务对临床实践目标的影响。结果：4个居民中有3个报告有教育债务。所有居民的平均债务（以2010年美元计算），包括已婚配偶的债务，从2006年的104，000美元增加到2010年的139，000美元，增加了34%。在报告有任何债务的亚组中，平均债务从2006年的146000美元增加到2010年的181000美元，增加了24%。居民有不同的临床实践目标; 43%的目标，需要奖学金培训（专科和合并的初级-专科）和57%的目标，通常不需要奖学金培训（初级保健和住院医生）。在多变量分析中，债务水平（低，中，高）仍然是一个独立的预测实践目标。中等债务（调整后的比值比：1.46，95%置信区间：1.16-1.84）和高债务（调整后的比值比：1.51; 95%置信区间：1.20-1.90）的居民比低债务的居民具有通常不需要奖学金培训的实践目标的几率更高。其他因素也有一个独立的协会与职业choice.CONCLUSIONS：多种因素形状的决定职业。高等教育债务是一个因素，可能会推动居民对初级保健或住院医生的做法，而不是追求奖学金培训。儿科2013;131：312-318
OBJECTIVE: To examine current levels of educational debt among pediatric residents and the relationship between educational debt and career intentions.METHODS: Annual national random samples of 1000 graduating pediatric residents from 2006 through 2010 were surveyed. Responses were combined. We used t tests and 1-way analysis of variance to compare debt, linear regression to examine factors associated with educational debt, and logistic regression to assess the influence of debt on clinical practice goal. Response rate was 61%.RESULTS: Three in 4 residents reported having educational debt. The mean debt (in 2010 dollars) among all residents, which included spouse's debt if married, increased 34% from $104 000 in 2006 to $139 000 in 2010. Among the subgroup who reported having any debt, the mean debt increased 24% from $146 000 in 2006 to $181 000 in 2010. Residents had varied clinical practice goals; 43% had goals that required fellowship training (subspecialty and combined primary-subspecialty) and 57% had goals not typically requiring fellowship training (primary care and hospitalist). In multivariate analyses, debt level (low, medium, high) remained an independent predictor of practice goal. Residents with medium debt (adjusted odds ratio: 1.46, 95% confidence interval: 1.16-1.84) and high debt (adjusted odds ratio: 1.51; 95% confidence interval: 1.20-1.90) had higher odds than residents with low debt of having a practice goal that does not typically require fellowship training. Other factors also had an independent association with career choice.CONCLUSIONS: Multiple factors shape decisions about careers. Higher educational debt is one factor that may push residents toward primary care or hospitalist practice, rather than pursuing fellowship training. Pediatrics 2013;131:312-318