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Family medicine vocational training and career satisfaction in Hong Kong

机译:香港的家庭医学职业培训和职业满意度

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摘要

Postgraduate vocational training in family medicine (FM) is essential for physicians to build capacity and develop quality primary care. Inadequate standards in training and curriculum development can contribute to poor recruitment and retention of doctors in primary care. This study aimed to investigate: 1) the satisfaction level of doctors regarding vocational training in family medicine and associated demographics; and 2) the satisfaction level of doctors regarding their family medicine career and associated factors. This is a cross sectional study of all family medicine physicians across all government-funded primary care clinics (GOPCs). The study questionnaire consisted of items from a standardized and validated physician survey named the Physician Worklife Survey (PWS) (Konrad et al., Med Care, 1999). We selected three scales (7 items) relating to global job satisfaction, global career satisfaction and global specialty (family medicine) satisfaction with additional items on training and demographics. All significant variables in bivariate analyses were further examined using stepwise logistic regression. Out of 424 eligible family medicine physicians, 368 physicians successfully completed the questionnaire. The response rate was 86.8%. Most participants were male (52.6%), were aged between 35 and 44?years (55.5%), were FM specialists (42.4%), graduated locally (86.2%), and had postgraduate qualifications. Eighty-two percent (82%) of participants were satisfied with their training. Having autonomy and protected time for training were associated with satisfaction with FM training. Satisfaction with family medicine as a career was correlated with physicians’ satisfaction with their current job. Doctors who did not enroll in training (p??0.001) and physicians who were older (p?=?0.023) were significantly less satisfied. Stepwise multivariate regression showed that doctors who subjectively believed their training as “broad and in depth’ had higher career satisfaction (p??0.001). Overall, the satisfaction level of physicians on current family medicine training in Hong Kong was high. Having autonomy and protected time for training is associated with higher training satisfaction levels. Perceiving FM training as “broad and in-depth” is associated with higher family medicine career satisfaction.
机译:家庭医学的研究生职业培训(FM)对于医师培养能力和发展优质的初级保健至关重要。培训和课程开发中的标准不足会导致医生招募和留住基层医疗人员不足。这项研究旨在调查:1)医生对家庭医学和相关人口统计学方面的职业培训的满意度; 2)医生对家庭医学事业及相关因素的满意度。这是对所有政府资助的初级保健诊所(GOPC)中所有家庭医学医生的横断面研究。该研究问卷由标准化和经过验证的医师调查(称为医师工作寿命调查(PWS))组成(Konrad等,Med Care,1999)。我们选择了与全球工作满意度,全球职业满意度和全球专业(家庭医学)满意度相关的三个量表(7个项目),另外还有关于培训和人口统计学的项目。使用逐步逻辑回归进一步检查了双变量分析中的所有重要变量。在424位合格的家庭医学医师中,有368位医师成功完成了调查问卷。回应率为86.8%。大多数参与者为男性(52.6%),年龄在35至44岁之间(55.5%),是FM专家(42.4%),本地毕业(86.2%)并具有研究生学历。百分之八十二(82%)的参与者对他们的培训感到满意。具有自主权和受保护的培训时间与对FM培训的满意度有关。对家庭医学的满意程度与医生对其当前工作的满意度有关。未参加培训的医生(p <0.001)和年龄较大的医生(p = 0.023)的满意度明显降低。逐步多元回归分析表明,主观认为自己的训练“广泛而深入”的医生对职业的满意度更高(p <0.001)。整体而言,医生对香港目前家庭医学培训的满意度很高。具有自主权和受保护的培训时间与更高的培训满意度相关。将调频培训视为“广泛而深入的”与更高的家庭医学职业满意度相关。

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