儿科毕业生中儿科从业者与非儿科从业者的职业满意度及职业发展比较

目的：了解儿科毕业生对儿科职业认同度，从事儿科职业满意度及职业发展等情况，为儿科医师的培养和发展提供参考依据。方法：选择温州医科大学2007届至2017届的儿科专业（方向）毕业生、35岁及以下群体共210 名作为研究对象，采用自编问卷开展调查，并对儿科从业者和非儿科（其他临床科室）从业者在职业满意度、职业发展进行对比分析。结果：男性儿科毕业生儿科就职率（49.52%）低于女性（53.80%），在2007—2014 年期间毕业年份越晚选择儿科职业的比例越低。儿科从业者的职业满意率（66.36%）低于非儿科从业者（85.84%），且性别、医院等级、工作城市等级对两组之间的满意率无影响（均P 交互＞0.05）。儿科从业者的出国进修率（1.92%）低于非儿科从业者（13.20%）。工作8 年及以上的儿科毕业生中，儿科从业者的中级及以上职称率（54.28%）低于非儿科从业者（84.38%），且医院等级、学历对两组之间的中级及以上职称率无影响（均P 交互＞0.05）。结论：35岁以下青年儿科毕业生儿科职业认同度不稳定，儿科从业者的职业满意度相对较低、职业发展相对较慢。

A comparative study of occupation satisfaction and career development between pediatric practitioners and non-pediatric practitioners: a survey of pediatric graduates

Objective: To understand the pediatric graduates’ occupation identity, satisfaction and career development in pediatrics, so as to provide reference for the training and development of pediatricians. Methods: A total of 210 pediatric major (orientation) graduates from Year 2011, Wenzhou Medical University, aged 35 and below were selected as subjects. A self-designed questionnaire was carried out to compare the difference between pediatric practitioners and non- pediatric (other clinical departments) practitioners in terms of occupation satisfaction and career development. Results: The pediatric employment rate of male pediatric graduates (49.52%) was lower than that of female (53.80%). From 2007 to 2014, the later the graduation year was, the lower the proportion of choosing pediatric occupation. Pediatric practitioners had lower occupation satisfaction rate (66.36%) than nonpediatric practitioners (85.84%), and gender, hospital level and working city level had no effect on the difference of satisfaction rate between the two groups (all Pinteractions>0.05). Pediatric practitioners had lower rate of overseas study (1.92%) than non-pediatric practitioners (13.20%). Among pediatric graduates who had worked for 8 years or more, the rate of intermediate and above professional titles of pediatric practitioners (54.28%) was lower than that of non pediatric practitioners (84.38%), and the hospital level and educational background had no effect on the difference between the two groups (all Pinteractions>0.05). Conclusion: The pediatric occupation identity of young pediatric graduates under 35 years old is unstable. The pediatric practitioners’ occupation satisfaction isrelatively low and their career development is relatively slow.