探索COVID-19期间开始工作如何影响新医生的创业后职业决策:一种混合方法研究
Anna Harvey Bluemel1, Megan E L Brown2, Gillian Vance2
1School of Medicine, Newcastle University, Newcastle upon Tyne, UK anna.harvey@newcastle.ac.uk.
BMJ open
|September 11, 2024
概括
如果初级医生经历过与工作有关的压力,他们不太可能申请专业培训. 许多人将对医疗保健和不灵活的培训途径的幻灭,加剧了COVID-19大流行,作为不申请的原因.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 基金会第二年医生面临着关于专业培训申请的关键决策.
- 随着COVID-19大流行,早期职业生涯的医生面临着独特的挑战.
- 了解影响培训选择的因素对于医疗人员规划至关重要.
研究的目的:
- 确定影响英国初级医生申请专业培训的决定的因素.
- 探索流行病对早期职业生涯医生培训申请选择的影响.
主要方法:
- 进行了一项连续的解释性混合方法研究.
- 通过调查收集的定量数据 (n=320) 并使用后勤回归分析.
- 通过反射主题分析分析的半结构面试 (n=20) 的定性数据.
主要成果:
- 只有36%的初级医生申请从2022年开始的专业培训.
- 由于工作压力而休假显著降低了申请的可能性 (OR=2.43).
- 不申请的原因包括"走出跑步机",不灵活的训练,以及对医疗保健的幻灭,部分原因是大流行经历.
结论:
- 与工作相关的压力和倦怠严重影响专业培训申请决策.
- 职业和社区的感觉被侵蚀,以及医疗服务的压力,导致不情愿.
- 虽然并不总是直接引用,但流行病经历似乎影响了更广泛的不满.
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