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Silva CA, Trindade VC, Abel RCD, Silva MO, Santos JFV, Koch VHK, Ferrer APS, Brentani A, Odone-Filho V, Tannuri U, Carvalho WB, Carneiro-Sampaio M, Grisi SJFE. PEDIATRICIANS AFTER RESIDENCY: A SURVEY OF PERSONAL/PROFESSIONAL DATA AND ISSUES. REVISTA PAULISTA DE PEDIATRIA 2020; 39:e2019190. [PMID: 32756760 PMCID: PMC7401498 DOI: 10.1590/1984-0462/2021/39/2019190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Accepted: 10/02/2019] [Indexed: 05/30/2023]
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 (p<0.05). Regarding main issues
related to clinical practice in the last year, long working hours (73 vs.
53%; p<0.001), poor social life (75 vs. 62%; p=0.018) and harassment (23
vs. 4%; p=0.003) were significantly higher in the first group. Conclusions: Very early career pediatricians (≤5 years) reported higher workload, lower
income, work-related issues and different location of pediatric practice
compared to early career pediatricians (>5 years). The overall
satisfaction with pediatric residency was good, however, reduced in very
early career pediatricians.
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Silva CA, Trindade VC, da Cruz AM, Blanco BP, Santos JFV, Ferraro AA, Odone-Filho V, Tannuri U, Carvalho WB, Carneiro-Sampaio M, Vieira SE, Grisi SJFE. Profile of health professionals who completed a master's, doctoral, or post-doctoral degree in one Brazilian pediatric program. Clinics (Sao Paulo) 2020; 75:e1392. [PMID: 32321112 PMCID: PMC7153359 DOI: 10.6061/clinics/2020/e1392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Accepted: 08/27/2019] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE This study aimed to determine the personal and professional characteristics, and the physical, psychiatric/psychological, and professional issues that exist among master's-, doctoral-, and post-doctoral-level health professionals. METHODS A cross-sectional, online, self-reported survey of 452 postgraduates who completed master's, doctoral, or post-doctoral degrees in one graduate program in pediatrics in São Paulo, Brazil, was conducted. RESULTS The response rate was 47% (211/453). The majority of participants were women (78%) and physicians (74%), and the median age was 47 years (28-71). Master's, doctoral, and post-doctoral degrees were reported by 73%, 53%, and 3%, respectively. High workload (>40 hours/week) occurred in 59%, and 45% earned ≥15 minimum wages/month. At least one participation in scientific meeting in the past year was reported by 91%, and 79% had published their research. Thirty-nine percent served as a member of a faculty of an institution of higher learning. The data were analyzed by two age groups: participants aged ≤48 years (group 1) and participants aged >48 years (group 2). The median rating of overall satisfaction with the profession in the past year [8 (0-10) vs. 9 (1-10), p=0.0113]; workload >40 hours/week (53% vs. 68%, p=0.034); and ≥15 minimum wages/month (37% vs. 56%, p=0.0083) were significantly lower in group 1. Further analysis by gender revealed that the median rating of overall satisfaction with the profession in the past year [8 (0-10) vs. 9 (3-10), p=0.0015], workload >40 hours/week (53% vs. 83%, p=0.0002), and ≥15 minimum wages/month (37% vs. 74%, p=0.0001) were significantly lower in women compared with men. The median rating of overall satisfaction with the mentorship supervision provided was significantly higher among the women 10 (5-10) vs. 10 (2-10), p=0.0324]. CONCLUSIONS The majority of master's-, doctoral-, and post-doctoral-level health professionals were women and physicians, and had published their thesis. Younger postgraduates and women reported low salaries, less likelihood of working >40 hours/week, and less overall satisfaction with their profession. Further longitudinal and qualitative studies are warranted to assess career trajectories after graduation.
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Affiliation(s)
- Clovis Artur Silva
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Corresponding author. E-mail:
| | - Vitor Cavalcanti Trindade
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Amanda Monteiro da Cruz
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Bruna Paccola Blanco
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - João Fernando Vecchi Santos
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Alexandre Archanjo Ferraro
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Vicente Odone-Filho
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Uenis Tannuri
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Werther Brunow Carvalho
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Magda Carneiro-Sampaio
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Sandra Elisabete Vieira
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Sandra Josefina Ferraz Ellero Grisi
- Instituto da Crianca e do Adolescente (ICr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
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