美国医学院放射学人员流失和迁移的趋势。

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2025-05-01 DOI:10.1016/j.jacr.2025.01.013

Ajay Malhotra MD, MMM , Dheeman Futela MBBS , Shadi Ebrahimian MD , Keervani Kandala BSc , Diya Sarah Gandhi , Seyedmehdi Payabvash MD , Suyash Mohan MD

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引用次数: 0

摘要

背景：对学术放射学人员流失和迁移导致劳动力短缺的担忧已经表达出来。目的：我们旨在评估美国医学院放射学人员流失（离开学术放射学）和迁移的趋势，并评估基于性别和时间的任何变化。材料和方法：采用美国医学院协会（AAMC）教师名册，对2000年1月1日至2009年12月31日任命的临床教育专职教师（主要队列）进行随访，时间为2010年1月1日至2024年1月1日。临床教师的保留率、流失率和迁移率按教师级别和性别进行比较。以年龄为自变量，用简单线性回归法绘制和分析学业保留的纵向趋势。通过比较2010年1月1日至2016年12月31日任命的主要队列和次要队列的7年保留终点，以及2017年1月1日至2019年12月31日任命的队列的4年趋势，评估了最近的趋势。结果：第一队列（2010队列）共纳入1868名放射科教师。14年后，24.1%的讲师、46.0%的助理教授、59.6%的副教授和56.1%的正教授保留了他们在同一医学院和院系的初级教员职位。女性的总体流失率（27.8%）高于男性（23.5%，P=0.04）。与男性相比，女性的学术迁移率较低（21.8% vs 27.7%， P= 0.00737）。在所有三个队列的研究期间，助教和副教授的年保留率并没有大幅波动。结论：美国学术放射科的保留率并没有随着时间的推移而发生显著变化，特别是流失率仍然很低。资深教授级别的女性的移民率一直处于历史低位，但随着时间的推移有所改善。

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Trends of Attrition and Migration in Academic Radiology in US Medical Schools

Background

Concerns have been expressed over attrition and migration contributing to workforce shortages in academic radiology.

Purpose

We aimed to assess trends in attrition (leaving academic radiology) and migration in academic radiology in US medical schools and assess any variations based on gender and over time.

Materials and methods

Using the Association of American Medical Colleges Faculty Roster, full-time faculty in clinical educator track appointed between January 1, 2000, and December 31, 2009 (primary cohort), were followed from January 1, 2010, to January 1, 2024. Retention, attrition, and migration rates for clinical faculty were compared by faculty rank and gender. Longitudinal trends in academic retention were plotted and analyzed using simple linear regression with years as the independent variable. More recent trends were assessed by comparing 7-year retention end points between the primary cohort and a secondary cohort appointed between January 1, 2010, and December 31, 2016, and 4-year trends for cohort appointed between January 1, 2017, and December 31, 2019.

Results

A total of 1,868 academic radiology faculty were included in the primary cohort (2010 cohort). After 14 years, 24.1% of instructors, 46.0% assistant professors, 59.6% associate professors, and 56.1% full professors retained their primary faculty appointment in the same medical school and department. The overall attrition rate for women (27.8%) was more than for men (23.5%, P = .04). Women had lower academic migration compared with men (21.8% versus 27.7% overall, P = .00737) at each rank. The yearly retention rates for assistant and associate professors did not fluctuate substantially during the study period for all three cohorts

Conclusion

Retention rates in US academic radiology departments have not significantly changed over time, especially the attrition rates, which remain low. Migration rates have been historically low for women at the senior professor rank but have improved over time.

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来源期刊

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.