Factors influencing career choices among graduating ophthalmology residents
Factors influencing career choices among graduating ophthalmology residents
复制标题
DOI：
10.1016/j.ophtha.2005.01.038
复制
发表时间：
2005-07-01
期刊：
影响因子：
13.7
通讯作者：
Quigley, HA
中科院分区：
文献类型：
--
作者：
Gedde, SJ;Budenz, DL;Quigley, HA
目的：确定影响毕业眼科住院医师继续专科培训或从事综合眼科学职业的因素。设计：横断面研究。参与者：参加眼科比赛计划的美国眼科住院医师毕业生。方法：在2003年2月1日至2003年2月28日期间，向美国每位即将毕业的眼科住院医师发送了一份匿名调查。人口统计学数据和信息有关的医学院和住院医师培训，职业目标，影响职业选择的因素收集的survey.Main结果Measure：决定追求或不追求fellowship training.Results：个人的回应率为50.8%（222/437），和74.1%（86/116）的住院医师培训计划回应了调查。完成住院医师培训后，64%（142/222）正在进行专科培训，36%（80/222）计划从事综合眼科学。在多变量分析中，预测亚专业培训的因素包括获得特殊技能的愿望（比值比[OR]，13.81）和更有利的就业市场（OR，3.23）和声望（OR，3.20）。预期的工作时间（OR，0.37）和首选的地理位置（OR，0.47）的职业生涯在综合眼科的预测。居民选择全面的眼科事业更有可能计划在一组私人执业的做法，和那些寻求专科培训更有可能打算在大学环境中实践或未决定在他们未来的实践类型（OR，2.04）。结论：有几个因素影响了毕业眼科居民的职业选择。眼科住院医师对专科技能的需求、声望及就业市场是影响其选择专科进修的主要因素。生活方式的考虑是更重要的居民选择一个全面的眼科事业。专科进修与不专科进修之住院医师在实习偏好上有显著差异。(c)2005年，美国眼科学会。
Objective: To identify factors influencing graduating ophthalmology residents to pursue subspecialty training or a career in comprehensive ophthalmology.Design: Cross-sectional study.Participants: Residents graduating from U.S. ophthalmology residency programs who participated in the ophthalmology match program.Methods: An anonymous survey was sent to each graduating ophthalmology resident in the United States between February 1, 2003, and February 28, 2003. Demographic data and information relating to medical school and residency training, career goals, and factors influencing career choices were collected from the surveys.Main Outcome Measure: The decision to pursue or not to pursue fellowship training.Results: The individual response rate was 50.8% (222/437), and 74.1% (86/116) of residency training programs responded to the survey. After completion of residency training, 64% (142/222) were pursuing subspecialty training and 36% (80/222) planned to practice comprehensive ophthalmology. In a multivariate analysis, factors that predicted subspecialty training included a desire to acquire special skills (odds ratio [OR], 13.81) and a perceived more favorable job market (OR, 3.23) and prestige (OR, 3.20). Anticipated work hours (OR, 0.37) and preferred geographic location (OR, 0.47) were predictors of a career in comprehensive ophthalmology. Residents choosing comprehensive ophthalmology careers were more likely to plan to practice in a group private practice, and those seeking subspecialty training were more likely to intend to practice in a university setting or were undecided in their future practice type (OR, 2.04).Conclusions: Several factors influenced career choices among graduating ophthalmology residents. A desire to acquire special skills and perceived prestige and job market were major factors influencing ophthalmology residents to seek subspecialty training. Lifestyle considerations were more important to residents choosing a comprehensive ophthalmology career. There were significant differences in practice preferences among residents pursuing or not pursuing subspecialty training. (c) 2005 by the American Academy of Ophthalmology.