离开决策:退出调查家庭医学住院主任的退出调查
Douglas H Fernald1, Christina M Hester2, Steven R Brown3
1University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO.
PRiMER (Leawood, Kan.)
|September 6, 2024
概括
许多家庭医学项目主任由于各种原因离开职位,通常与职业发展和个人生活平衡有关. 了解这些因素可以帮助提高对节目总监的支持和保留.
科学领域:
- 医学教育 医学教育
- 家庭医学 家庭医学 家庭医学
- 医生领导力 医生领导力
背景情况:
- 项目主管 (PD) 的任期对于居住计划的质量和稳定性至关重要.
- PDs之间的高交换率可能会破坏节目连续性.
- 关于PD离开职位的具体原因的研究有限.
研究的目的:
- 对离任的家庭医学PD进行全面的普查.
- 识别和分析导致PD离开的决策因素.
- 为PD支持和保留策略提供信息.
主要方法:
- 从2021年10月到2022年10月,对所有离职的家庭医学PD进行了基于网络的退出调查.
- 调查评估了36个影响退出决定的因素,按工作满意度,工作量,支持和职业选择分类.
- 费舍尔精确测试用于分析决策因素和PD任期之间的关联.
主要成果:
- 实现了67.0%的响应率 (73项调查),分析了68项调查.
- 中位数的PD任期为5.6年.
- 离开的主要原因包括稳定的计划,继任计划,对个人/家庭时间的渴望,以及感觉这是正确的时间.
结论:
- PDs出于多方面的原因离开,往往是积极的,而不仅仅是由于缺乏支持或准备.
- 确定这些决策因素可以指导开发针对PD的有针对性的支持策略.
- 建议对PD决策因素进行进一步的研究,以提高节目主任的保留率.
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