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 (p5 years). The overall satisfaction with pediatric residency was good, however, reduced in very early career pediatricians.

【摘要】研究目的：评估巴西某大学儿科系近15年毕业的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。研究方法：本研究为横断面研究（cross-sectional study），采用线上问卷调查方式开展，共纳入614名近15年毕业的儿科医师。研究结果：本次调研共回收有效问卷331份，回收率为54%（331/614）。受试者以女性为主（占比82%），年龄中位数为33岁（四分位距27~40岁），儿科临床从业年限中位数为5年（四分位距1~13年）。25%的医师每周工作时长超过60小时，47%的医师月收入不低于15倍当地最低工资标准。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不动（占比均超50%）。研究人员依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（pediatric residency）的总体满意度中位数为8分（0~10分），显著低于组2的9分（4~10分；p=0.002）。组1医师中每周工作时长超60小时、在儿科病房及儿科重症监护室工作的占比均显著更高（原文本此处标注存在笔误）。总体而言，儿科住院医师培训的满意度尚可，但从业极早期的儿科医师满意度有所降低。