دورية أكاديمية
Comparing characteristics and perspectives of U.S. anesthesiology fellows in training and anesthesiologists in their first year of practice.
العنوان: | Comparing characteristics and perspectives of U.S. anesthesiology fellows in training and anesthesiologists in their first year of practice. |
---|---|
المؤلفون: | Toutkoushian E; The American Board of Anesthesiology, 4200 Six Forks Road, Suite 1100, Raleigh, NC, 27609, USA., Chen D; The American Board of Anesthesiology, 4200 Six Forks Road, Suite 1100, Raleigh, NC, 27609, USA., Sun H; The American Board of Anesthesiology, 4200 Six Forks Road, Suite 1100, Raleigh, NC, 27609, USA. huaping.sun@theaba.org., Warner DO; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA., Macario A; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Stanford, CA, USA., Deiner SG; Department of Anesthesiology, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA., Keegan MT; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA. |
المصدر: | BMC medical education [BMC Med Educ] 2023 Dec 15; Vol. 23 (1), pp. 963. Date of Electronic Publication: 2023 Dec 15. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
مواضيع طبية MeSH: | Anesthesiology*/education , Anesthesia* , Physicians* , Internship and Residency*, Child ; Humans ; United States ; Adult ; Anesthesiologists ; Surveys and Questionnaires |
مستخلص: | Background: The purpose of this study was to evaluate relationships between demographics, professional characteristics, and perceived challenges facing the specialty of anesthesiology among physicians who entered a fellowship and those who started independent practice immediately after finishing a U.S. anesthesiology residency. Methods: Anesthesiologists in the year after their residency graduation were invited to take an online survey during the academic years of 2016-2017, 2017-2018, and 2018-2019, with questions about their personal characteristics, the nature of their professional lives, and their perceptions of the greatest challenge facing the profession of anesthesiology. Results: A total of 884 fellows-in-training and 735 anesthesiologists starting independent practice right after the completion of their residency responded. Fellows were slightly younger (mean = 33.2 vs. 34.0 years old, p < 0.001), were more likely to have a spouse who works outside the home (63.9% vs. 57.0%, p = 0.002), had fewer children (mean = 0.69 vs. 0.88, p < 0.001), worked more hours per week (mean = 56.2 vs. 52.4, p < 0.001), and were less likely to report a personal and professional life balance (66.4% vs. 72.3% positive, p = 0.005) than direct-entry anesthesiologists. Fellows and direct-entry anesthesiologists identified similar challenges in three broad themes - workforce competition (80.3% and 71.8%), healthcare system changes (30.0% and 37.9%), and personal challenges (6.4% and 8.8%). Employment security issues posed by non-physician anesthesia providers and perceived lack of appreciation of anesthesiologists' value were commonly cited. Relative weighting of challenge concerns varied between fellows and direct-entry physicians, as well as within these groups based on gender, fellowship subspecialty, location or size of practice, and frequency of supervisory roles. Conclusions: Anesthesiology fellows and direct-entry anesthesiologists had largely similar demographics and perspectives on the challenges facing anesthesiology in the United States. Group differences found in some demographics and perspectives may reflect different motivations for choosing their professional paths and their diverse professional experiences. (© 2023. The Author(s).) |
References: | Br J Anaesth. 2020 Mar;124(3):e155-e159. (PMID: 31973823) Br J Anaesth. 2021 Jan;126(1):e19-e21. (PMID: 33131760) Acad Med. 2019 Feb;94(2):267-273. (PMID: 30256252) J Am Heart Assoc. 2019 Jul 16;8(14):e012137. (PMID: 31286816) J Anesth. 2011 Oct;25(5):734-40. (PMID: 21717163) J Healthc Manag. 2020 Jan-Feb;65(1):45-60. (PMID: 31913239) Pediatr Radiol. 2019 Aug;49(9):1132-1141. (PMID: 31165184) Anesth Analg. 2021 Apr 1;132(4):1120-1128. (PMID: 33438965) Med Educ Online. 2022 Dec;27(1):2079395. (PMID: 35607707) Int Anesthesiol Clin. 2018 Summer;56(3):5-20. (PMID: 29889122) J Clin Anesth. 2023 Oct;89:111155. (PMID: 37290294) Anesth Analg. 2012 Jul;115(1):170-5. (PMID: 22366844) Anesthesiology. 2019 Sep;131(3):668-677. (PMID: 31166235) J Anesth Hist. 2020 Mar;6(1):13-16. (PMID: 32473761) Heliyon. 2022 Sep 12;8(9):e10597. (PMID: 36132172) Can J Anaesth. 2015 Sep;62(9):956-63. (PMID: 26108534) Anesth Analg. 2021 Oct 1;133(4):1009-1018. (PMID: 34375316) Anesthesiology. 2015 Nov;123(5):997-1012. (PMID: 26291778) Acad Med. 2021 Oct 1;96(10):1373. (PMID: 34587138) Pain Physician. 2020 Jan;23(1):E7-E18. (PMID: 32013284) Anesth Analg. 2022 Apr 1;134(4):e19-e21. (PMID: 35299221) J Grad Med Educ. 2020 Apr;12(2):162-167. (PMID: 32322349) Anesth Analg. 2012 Jul;115(1):1-2. (PMID: 22723202) |
فهرسة مساهمة: | Keywords: Anesthesia workforce competition; Anesthesiology fellows in training; First-year practicing anesthesiologists; Perceived challenges for the profession of anesthesiology; Value of anesthesiologists |
تواريخ الأحداث: | Date Created: 20231215 Date Completed: 20231218 Latest Revision: 20231218 |
رمز التحديث: | 20231218 |
مُعرف محوري في PubMed: | PMC10725004 |
DOI: | 10.1186/s12909-023-04890-1 |
PMID: | 38102615 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1472-6920 |
---|---|
DOI: | 10.1186/s12909-023-04890-1 |