Career decisions, training priorities, and perceived challenges for anesthesiology residents in the United States
Authors' conclusion
Most residents identified anesthesiology as their career choice during medical school. Interest in non-traditional subjects and fellowship training was common. Competition from non-physician providers, healthcare system changes, and compromised psychological well-being were perceived concerns.
Study context
- Population
- Residents who began clinical anesthesia training in the US from 2013 to 2016, followed yearly until residency completion6,480 responses to 17,793 invitations
- Outcome
- Career decision, training priorities, perceived challenges
Methodological detailsvoluntary, anonymous, annual follow-up of 4 cohorts, 12 surveys
- Voluntary
- Anonymous
- Annual follow-up of 4 cohorts
- 12 surveys
Main finding
As reported in the abstract
- Overall response rate
- 36%
- Chose anesthesiology during 3rd year of medical school
- 45%
- Most important decision factor: nature of clinical practice of anesthesiology (average ranking, 1–8)
- 5.93
- Ability to use pharmacology to acutely manipulate physiology (average ranking)
- 5.75
- Favorable lifestyle (average ranking)
- 5.22
- Practice management as non-traditional training area (average rating, 1–5)
- 4.46
- Political advocacy for anesthesiologists (average rating)
- 4.42
- Anesthesiologists as leaders of the perioperative surgical home (average rating)
- 4.32
- Structure and financing of the healthcare system (average rating)
- 4.27
- Principles of quality improvement (average rating)
- 4.26
- Desired to pursue a fellowship
- 3 out of 5
- Challenge: competition from non-physician anesthesia providers and lack of advocacy for anesthesiologist values
- 96%
- Challenge: changes and uncertainty in healthcare systems
- 30%
- Challenge: personal challenges such as psychological well-being
- 3%
Observational data: associations, not effects.
Original publication
Career decisions, training priorities, and perceived challenges for anesthesiology residents in the United States. J Clin Anesth. Published 6 June 2023. doi:10.
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