毕业的美国紧急医疗居民中的职业计划
Dave W Lu1, Bo Gu2, D Mark Courtney3
1Department of Emergency Medicine, University of Washington School of Medicine, Seattle.
JAMA network open
|January 27, 2026
概括
大多数毕业的急救医生计划在20年内执业,优先考虑生活方式和位置,而不是工资. 倦怠和债务影响职业决策,影响未来的紧急医疗工作人员.
科学领域:
- 紧急医疗 紧急医疗
- 医学教育 医学教育
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 紧急医疗 (EM) 医生工作人员面临的挑战包括潜在的余,不断变化的学生兴趣和高燃烧率.
- 了解毕业居民的职业意图对于有效的劳动力规划至关重要.
研究的目的:
- 调查职业计划,预期的实践持续时间,以及影响美国EM居民毕业的因素.
- 为支持和留住EM劳动力的战略提供信息.
主要方法:
- 在2023年ABEM培训考试后,对从ACGME认可的课程中毕业的EM居民进行了横截面调查.
- 收集的数据包括居民人口统计,债务,倦怠状态,即时职业计划,实践设置偏好以及10个职业决策因素的重要性.
主要成果:
- 高响应率 (97.4%) 与显著的倦怠 (72.4%) 和教育债务 (>10万美元为61.0%).
- 主要的职业计划包括社区实践 (31.4%),奖学金 (23.3%) 和混合设置 (15.3%).
- 关键的决定因素是生活方式 (97.5%),地点 (88.7%),职业成就感 (87.7%) 和工资 (82.8%). 女性居民优先考虑满足和倦怠;较高的债务与优先考虑工资相关.
结论:
- 毕业的EM居民预计将有22.4年的职业生涯,主要是在社区/混合环境中,对农村实践的兴趣有限.
- 生活方式,位置,成就和薪水是职业生涯的首要驱动因素.
- 倦怠,债务和人口统计显著影响职业选择,需要有针对性的劳动力支持和政策制定.
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