影响骨科住院医师毕业后追求多个奖学金决定的因素

Andrew W Antes, Victoria K. Ierulli, Lisa K. Cannada, M. Mulcahey
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摘要

在执业骨科医生中,自认为是全才的人数在过去三十年中一直在下降,而专科医生则变得更加普遍。随着越来越多的住院医师参加奖学金培训,一些人选择完成多个奖学金,但由于缺乏研究,对这些决定背后的原因缺乏深入的了解。本研究的目的在于探讨影响骨科住院医师在住院医师毕业后继续进修的因素。通过电子邮件向所有在2021年和2022年春季匹配到一个或多个奖学金的PGY-4和PGY-5骨科外科住院医生分发了一份匿名调查。我们分析了这些反应,以确定不同专业的流行程度、追求奖学金的原因,以及那些追求多个奖学金的人选择这样做的原因。从进入奖学金的居民中收集了259份回复,其中74份(28.6%)来自中西部,54份(20.8%)来自西南,51份(19.7%)来自东北,42份(16.2%)来自西南,32份(12.4%)来自西部。19份(7.3%)受访者表示与两个或两个以上的奖学金匹配。在申请的奖学金中,运动医学最受欢迎,有10名(52.6%)受访者;其次是肩/肘(5;26.3%)。在所有259名受访者中,252人(97.3%)表示他们的奖学金选择是基于兴趣,192人(74.1%)也受到市场的影响。有173人(66.8%)认为师友关系发挥了重要作用,149人(57.5%)认为缺乏领域的培训很重要。在寻求多个奖学金的人中,许多组合似乎是为了减少在实习期结束后寻求奖学金所涉及的财务投资的收支平衡时间。大多数骨科住院医师选择进修进修是出于个人对该领域的兴趣,同时也是为了提高他们的市场竞争力,并且与进修进修所需要的补偿损失相比,缩短了达到收支平衡的时间。我们的研究结果表明,追求多个奖学金的住院医生对市场不太感兴趣的专业感兴趣,然后追求投资回报更高的第二个奖学金,例如完成儿科和运动医学的奖学金。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Influencing the Decision to Pursue Multiple Fellowships Following Graduation from Orthopaedic Surgery Residency
Among practicing orthopaedic surgeons, the population that self-identify as generalists has been declining for the past three decades, while sub-specialization has become more prevalent. As more residents are pursuing fellowship training, some elect to complete multiple fellowships, but due to a lack of research, there is a lack of insight into the reasons behind these decisions. The purpose of this study was to determine factors influencing the decision of orthopaedic surgery residents to pursue more than one fellowship following graduation from residency. An anonymous survey was distributed via email to all PGY-4 and PGY-5 orthopaedic surgery residents who had matched into one or more fellowships in the spring of 2021 and 2022. Responses were analyzed to determine the prevalence of different specialties, reasons for pursuing fellowship, and among those pursuing more than one fellowship, the reasons they chose to do so. 259 responses were collected from residents entering a fellowship, with 74 (28.6%) entering fellowships in the Midwest, 54 (20.8%) in the Southwest, 51 (19.7%) in the Northeast, 42 (16.2%) in the Southwest, and 32 (12.4%) in the West. 19 (7.3%) respondents reported matching into two or more fellowships. Among the fellowships pursued, sports medicine was most popular with 10 (52.6%) respondents; followed by shoulder/elbow (5; 26.3%). Out of all 259 respondents, 252 (97.3%) indicated their fellowship choices were based on interest, and 192 (74.1%) were also affected by marketability. Mentorship played a role for 173 (66.8%) and training in an area of deficiency was important for 149 (57.5%). Among those pursuing multiple fellowships, many combinations seem to have been made to decrease the time to breaking even on the financial investment involved in pursuing fellowships after residency. Most orthopaedic surgery residents elect to pursue fellowship training due to personal interest in the field, as well as to increase their marketability, and shorten the time to breaking even in comparison to the loss of compensation required for pursuing fellowship. Our results indicate that residents pursuing multiple fellowships are those interested in less marketable specialties, who then pursue a second fellowship with higher returns on investment, such as completing fellowships in pediatrics and sports medicine.
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