Construction of a career development and support system for residents in a university-affiliated children's hospital

doi:10.3760/cma.j.cn115259-20230808-00101

Abstract

Abstract: Objective To explore the effect of constructing a career development and support system for pediatric residents to enhance their professional beliefs and to strengthen their career path. Methods Based on earlier research, literature review, and preliminary work, a provisional career development and support system was drafted. Seventeen experts from a university-affiliated children's hospital were invited to participate in Delphi study from June to July 2023. After two rounds of consultation, a career development and support system for pediatric resident physicians was finally formed. Results Two rounds of expert consultation resulted in a 100.0% questionnaire response rate, with expert authority coefficients of 0.894 and 0.868, respectively. The coordination coefficients of the two rounds of expert consultation were 0.212 and 0.269, respectively (χ² values were 82.86 and 123.28, both P<0.001). The final support system includes 4 primary items, namely professionalism and beliefs, social support, teaching environment, and self-efficacy, as well as 22 secondary items. Conclusions The construction of the career development and support system for pediatric resident physicians may inform for the training of pediatric resident physicians, and provide a path for strengthening the career path of pediatric resident physicians.

Key words: Standardized training resident physicians, Paediatrics, Career development, Professionalism and beliefs, Social support, Teaching environment, Self-efficacy

CLC Number:

Wu Hao, Ma Jiuyuan, Song Yimeng, Tan Hui, Wang Yating, Fan Ru, Chai Yiming, Zhou Wenhao, Wu Jingyan. Construction of a career development and support system for residents in a university-affiliated children's hospital[J]. Chinese Journal of Medical Education, 2024, 44(8): 592-596.

References

[1] 齐学进. 瞄准问题聚焦难点持续改进全面提升住院医师规范化培训质量[J]. 中国毕业后医学教育,2019,3(4):292-295.
[2] 金文岚, 陈志青, 陈敏生, 等. 规范化培训住院医师的心理与职业发展特点研究[J].中华医学教育杂志,2016,36(4):534-537. DOI: 10.3760/cma.j.issn.1673-677X.2016.04.014.
[3] Chumpitazi CE, Allister L, Cho C, et al. Career development in pediatric emergency medicine: what do we need?[J]. Pediatr Emerg Care, 2022,38(9):e1552-e1556. DOI: 10.1097/PEC.0000000000002720.
[4] Kameny RR, Amundsen CL. Design and implementation of a career development program for physician-scientists: lessons learned[J]. Urogynecology (Phila), 2022,28(8):479-485. DOI: 10.1097/SPV.0000000000001210.
[5] Tal AL, Bailey KA, Chou A, et al. v-SYMPHONY career development series: a collaboration to enhance professional awareness for pediatric hematology oncology trainees[J]. Pediatr Blood Cancer, 2023,70(3):e30118. DOI: 10.1002/pbc.30118.
[6] Ackerman AD. Career development in pediatric critical care: are we failing our trainees?[J]. Pediatr Crit Care Med, 2017,18(4):395-396. DOI: 10.1097/PCC.0000000000001114.
[7] Kassam A, Horton J, Shoimer I, et al. Predictors of well-being in resident physicians: a descriptive and psychometric study[J]. J Grad Med Educ, 2015,7(1):70-74. DOI: 10.4300/JGME-D-14-00022.1.
[8] Janosy NR, Beacham A, Vogeli J, et al. Well-being curriculum for anesthesiology residents: development, processes, and preliminary outcomes[J]. Paediatr Anaesth, 2021,31(1):103-111. DOI: 10.1111/pan.14062.
[9] 屈京楼, 朱亚鑫, 曲波. 德尔菲法在医学教育研究中的应用[J].中华医学教育杂志,2019,39(3):227-230. DOI: 10.3760/cma.j.issn.1673-677X.2019.03.017.
[10] 姚文华, 李畅, 项耀钧. 以胜任力为导向住院医师人文教育[J].解放军医院管理杂志,2017,24(8):769-771. DOI: 10.16770/J.cnki.1008-9985.2017.08.023.
[11] Hu L, Wu H, Zhou W, et al. Positive impact of COVID-19 on career choice in pediatric medical students: a longitudinal study[J]. Transl Pediatr, 2020,9(3):243-252. DOI: 10.21037/tp-20-100.
[12] Kimo Takayesu J, Ramoska EA, Clark TR, et al. Factors associated with burnout during emergency medicine residency[J]. Acad Emerg Med, 2014,21(9):1031-1035. DOI: 10.1111/acem.12464.
[13] 吴昊, 胡黎园, 柴毅明, 等. 儿科住院医师规范化培训的压力知觉现状及其影响因素[J].中国毕业后医学教育,2021,5(3):232-235. DOI: 10.3969/j.issn.2096-4293.2021.03.010.
[14] Ripp JA, Fallar R, Korenstein D. A randomized controlled trial to decrease job burnout in first-year internal medicine residents using a facilitated discussion group intervention[J]. J Grad Med Educ, 2016,8(2):256-259. DOI: 10.4300/JGME-D-15-00120.1.
[15] Perina DG, Marco CA, Smith-Coggins R, et al. Well-being among emergency medicine resident physicians: results from the abem longitudinal study of emergency medicine residents[J]. J Emerg Med, 2018,55(1):101-109.e2. DOI: 10.1016/j.jemermed.2018.04.003.
[16] 吴昊, 柴毅明, 吴静燕, 等. 儿科专业毕业后临床教育环境调查及因子分析[J].中国毕业后医学教育,2022,6(1):43-46,55. DOI: 10.3969/j.issn.2096-4293.2022.01.010.
[17] 齐学进. 以党的二十大精神为指导,推进住培质量建设再上新台阶——在2022年住院医师规范化培训高峰论坛上的主旨报告[J]. 中国毕业后医学教育,2023,7(1):1-5.DOI:10.3969/j.issn.2096-4293.2023.01.001.
[18] Milam LA, Cohen GL, Mueller C, et al. The relationship between self-efficacy and well-being among surgical residents[J]. J Surg Educ, 2019,76(2):321-328. DOI: 10.1016/j.jsurg.2018.07.028.
[19] Cedfeldt AS, Bower EA, English C, et al. Personal time off and residents' career satisfaction, attitudes and emotions[J]. Med Educ, 2010,44(10):977-984. DOI: 10.1111/j.1365-2923.2010.03773.x.
[20] 齐建光. 探讨形成性评价与住院医师自主学习能力的培养[J].毕业后医学教育,2020,4(1):33-36. DOI: 10.3969/j.issn.2096-4293.2020.01.009.
[21] 王卫平. 漫谈医学教育的完整性[J]. 中国大学教学,2021(11):10-13. DOI:10.3969/j.issn.1005-0450.2021.11.003.