即将毕业的医学生认为重要的麻醉专业特点：横断面调查

IF 5 2区医学 Q1 ANESTHESIOLOGY

Journal of Clinical Anesthesia Pub Date : 2025-03-07 DOI:10.1016/j.jclinane.2025.111791

Geoffrey Hayward , Mark C. Kendall , Danny Bui , Zachary Gandee , Tyler Jacobsen , Joshua Tanzer , Gildasio De Oliveira

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引用次数: 0

摘要

背景：申请住院医师项目和构建排序表是一个具有挑战性的过程，也是四年级医学生每年必须经历的重要任务。我们研究的目的是确定住院医师申请人在申请麻醉学项目时所考虑的共同主题，并将男性和女性申请人进行比较。方法对申请布朗大学麻醉学住院医师项目参加2022年全国住院医师匹配计划（NRMP）的1447名医学生进行横断面调查。该调查包括53个问题，旨在评估候选人在对住院医师项目进行高排名时认为重要的因素。探索性因子分析用于确定项目因子分配。进行验证性分析以测试每个确定因素的平均得分之间的关联。探讨了男性和女性应答者之间的关联和平均得分。结果922名医学生完成问卷调查，回复率为63.7%。一项对随机分割样本（RSS）进行的探索性因素分析（n = 457）揭示了一个45项、7个因素的结构，包括以下主题：曝光、教学质量、性别和种族多样性、财务考虑、工作与生活平衡、声望和生活在同一地区。对第二次RSS （n = 465）的七因子模型进行验证性因子分析。模型拟合良好（比较拟合指数，CFI = 0.90，近似均方根误差[RIMSEA] = 0.085）。事后修正显著改善了模型拟合（CFI = 0.98, RMSEA = 0.057）。结论麻醉申请人优先考虑临床暴露、教学质量、多样性以及模拟和POCUS培训等实训因素。此外，申请人在对麻醉项目进行排名时也会严重考虑经济因素和工作与生活的平衡。了解这些偏好可以帮助麻醉项目有效地营销他们的项目，以改善招聘结果并吸引优秀的申请者。

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Characteristics of anesthesia program that graduating medical students find important: A cross-sectional survey

Background

Applying to residency programs and constructing a rank order list is a challenging process and is a vital task that fourth year medical students must undergo each year. The aim of our study was to identify common themes in what residency applicants are considering when applying to an anesthesiology program and compare them between male and female applicants.

Methods

A cross-sectional survey was distributed to all 1447 medical students who applied to the Brown University Anesthesiology residency program for the 2022 National Residency Matching Program (NRMP). The survey consisted of 53 questions designed to assess the factors that candidates deem important when ranking a residency program highly. Exploratory factor analysis was performed to determine the item-factor assignment. Confirmatory analysis was done to test the associations between the average scores for each of the identified factors. Associations and average scores among male and female responders were explored.

Results

922 medical students completed the survey with a response rate of 63.7 %. An exploratory factor analysis (n = 457) performed on a random split sample (RSS) revealed a 45-item, seven-factor structure consisting of the following themes: exposure, teaching quality, gender and racial diversity, financial considerations, work life balance, prestige, and living in the same area. A confirmatory factor analysis was performed for the seven-factor model on the second RSS (n = 465). The model demonstrated adequate fit (Comparative Fit Index, CFI = 0.90, root mean square error of approximation [RIMSEA] = 0.085). Post hoc modification significantly improved the model fit (CFI = 0.98, RMSEA = 0.057).

Conclusion

Anesthesia applicants prioritize clinical exposure, teaching quality, diversity, and practical training factors like simulation and POCUS training. In addition, applicants also weigh financial considerations and work-life balance heavily in their ranking of anesthesia programs. Understanding these preferences can help anesthesia programs effectively market their programs to improve recruitment outcomes and to attract top applicants.

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来源期刊

Journal of Clinical Anesthesia 医学-麻醉学

CiteScore

7.40

自引率

4.50%

发文量

346

审稿时长

23 days

期刊介绍： The Journal of Clinical Anesthesia (JCA) addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. Exceptionally high standards of presentation and accuracy are maintained. The core of the journal is original contributions on subjects relevant to clinical practice, and rigorously peer-reviewed. Highly respected international experts have joined together to form the Editorial Board, sharing their years of experience and clinical expertise. Specialized section editors cover the various subspecialties within the field. To keep your practical clinical skills current, the journal bridges the gap between the laboratory and the clinical practice of anesthesiology and critical care to clarify how new insights can improve daily practice.