PEDIATRICIANS AFTER RESIDENCY: A SURVEY OF PERSONAL/PROFESSIONAL DATA AND ISSUES

ABSTRACT Objective: To assess personal, professional, medical, and scientific educational characteristics and issues reported by pediatricians. Methods: Cross-sectional study based on an online survey including 614 pediatricians who graduated in the last 15 years at a University Pediatric Department in Brazil. Results: The response rate was 331/614(54%). The majority were females (82%), the median age was 33 years (27-40) and median years of pediatric practice was 5 (1-13). High workload (>60 hours/week) occurred in 25% and 47% earned ≥15 minimum wages/month. The most work-related issues reported were long working hours, poor social life and a sedentary lifestyle (>50%). Pediatricians were further divided into two groups, according to years of pediatric clinical practice: group 1 (≤5 years) and group 2 (>5 years). The median of overall satisfaction with pediatric residency [8(0-10) vs. 9 (4-10); p=0.002] was significantly reduced in group 1. The frequencies of workload >60 hours, work on pediatric ward and pediatric intensive care were significantly higher in the first group (p<0.05). Regarding main issues related to clinical practice in the last year, long working hours (73 vs. 53%; p<0.001), poor social life (75 vs. 62%; p=0.018) and harassment (23 vs. 4%; p=0.003) were significantly higher in the first group. Conclusions: Very early career pediatricians (≤5 years) reported higher workload, lower income, work-related issues and different location of pediatric practice compared to early career pediatricians (>5 years). The overall satisfaction with pediatric residency was good, however, reduced in very early career pediatricians.

摘要
研究目的：旨在评估巴西某大学儿科系近15年毕业的614名儿科医师所报告的个人、职业、医疗及科学教育相关特征与问题。
方法：本研究为横断面研究，基于线上调查开展，纳入巴西某大学儿科系近15年毕业的614名儿科医师作为研究对象。
结果：本次调查有效回收率为331/614（54%）。受试者中女性占绝大多数（82%），年龄中位数为33岁（四分位间距27~40岁），儿科临床从业年限中位数为5年（四分位间距1~13年）。25%的医师存在高工作负荷（每周工作时长＞60小时），47%的医师月收入≥15倍最低工资标准。报告占比最高的职业相关问题为超长工作时长、社交生活匮乏及久坐生活方式（占比均＞50%）。根据儿科临床从业年限将受试者分为两组：组1（从业年限≤5年）与组2（从业年限＞5年）。组1医师对儿科住院医师培训的总体满意度中位数为8（0~10），显著低于组2的9（4~10；p=0.002）。组1医师中，每周工作时长＞60小时、在儿科病房及儿科重症监护室工作的比例均显著更高（p＜0.05）。针对近一年临床实践中的主要问题，组1医师报告超长工作时长（73% vs. 53%；p＜0.001）、社交生活匮乏（75% vs. 62%；p=0.018）及职场骚扰（23% vs. 4%；p=0.003）的比例均显著高于组2。
结论：与从业年限＞5年的儿科医师相比，极早期职业阶段（≤5年）的儿科医师面临更高工作负荷、更低收入，存在更多职业相关问题，且临床工作场景存在差异。受试者对儿科住院医师培训的总体满意度尚可，但极早期职业阶段的医师满意度有所降低。