The effect of dual training in internal medicine and Pediatrics on the career path and job search experience of pediatric graduates

作     者：Chamberlain, John K. Cull, William L. Melgar, Tom Kaelber, David C. Kan, Brian D. 

作者机构：Univ Rochester Dept Internal Med Rochester NY USA Univ Rochester Dept Pediat Rochester NY USA Amer Acad Pediat Div Hlth Serv Res Elk Grove Village IL USA Michigan State Univ Kalamazoo Ctr Med Studies Dept Internal Med Kalamazoo MI USA Michigan State Univ Kalamazoo Ctr Med Studies Dept Pediat & Human Dev Kalamazoo MI USA Harvard Univ Dept Internal Med Cambridge MA 02138 USA Harvard Univ Dept Pediat Cambridge MA 02138 USA Cedars Sinai Med Ctr Dept Internal Med Los Angeles CA 90048 USA Cedars Sinai Med Ctr Dept Pediat Los Angeles CA 90048 USA 

出 版 物：《JOURNAL OF PEDIATRICS》 (儿科学杂志)

年 卷 期：2007年第151卷第4期

页      面：419-424页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Adult Career Choice Fellowships and Scholarships Female Health Care Surveys 成年人 职业选择 助学金和奖学金 卫生保健调查 内科学 实习医师和住院医师职务 General Practitioners Hospitalists Job Application Occupational Choice career Pediatrics Adults Health Care Surveys Fellowships and Scholarships graduate Internal Medicine 

摘      要：Objective To compare the job search experience and career plans of medicine-pediatrics (med-peds) and pediatric residents. Study design Annual surveys of graduating med-peds and pediatric residents were compared from 2003 and 2004. Results The survey response rates were 58% for med-peds residents (n = 427) and 61% for pediatric residents (n = 611). Pediatric residents were more likely to be female or an International Medical Graduate. The groups were equally satisfied with their career choice and had equivalent debt. Med-peds residents were more likely to seek and accept generalist and hospitalist positions. Pediatric residents were more likely to seek subspecialty careers and research opportunities. More than 94% of med-peds residents expected to care for pediatric patients. Among residents seeking generalist positions, med-peds residents sent half as many applications to get the same number of interviews and offers as pediatric residents, were more likely to be offered their most desired position, and were more likely to accept a position in a rural area/small town. Med-peds residents had substantially greater starting salaries as hospitalists or generalists compared with pediatric residents. Conclusion Med-peds and pediatric trainees differ in their career plans, although primary care is their most popular choice. Med-peds-trained physicians have an easier job search experience and greater market valuation.