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1.
Urol Clin North Am ; 48(2): 187-194, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33795052

RESUMEN

The presence of women in genitourinary (GU) specialty training and practice has lagged significantly behind other fields. Current challenges include maternity leave, sexual harassment, and pay disparities. Despite these obstacles, the prevalence of women in GU specialty training has risen rapidly. One consequence of retiring male providers and higher numbers of female graduates will be a notable demographic shift in the percentage of GU care provided by these younger women. It will be essential to anticipate and acknowledge the unique concerns of this workforce, particularly in light of the concomitant aging of the US population and the associated increase in demand for GU care.


Asunto(s)
Médicos Mujeres , Urólogos , Adulto , Selección de Profesión , Movilidad Laboral , Femenino , Humanos , Permiso Parental , Embarazo , Salarios y Beneficios , Sexismo
2.
J Cell Biol ; 220(4)2021 04 05.
Artículo en Inglés | MEDLINE | ID: mdl-33739393

RESUMEN

JCB asks early career researchers to share their experience interviewing for academic faculty positions and becoming independent PIs during the COVID-19 pandemic.


Asunto(s)
Selección de Profesión , Motivación , Investigadores/tendencias , Rendimiento Académico , Humanos , Entrevistas como Asunto
3.
Sci Transl Med ; 13(584)2021 03 10.
Artículo en Inglés | MEDLINE | ID: mdl-33692133

RESUMEN

The COVID-19 pandemic halted research operations at academic medical centers. This shutdown has adversely affected research infrastructure, the current research workforce, and the research pipeline. We discuss the impact of the pandemic on overall research operations, examine its disproportionate effect on underrepresented minority researchers, and provide concrete strategies to reverse these losses.


Asunto(s)
Centros Médicos Académicos , Selección de Profesión , Pandemias , /fisiología , Investigación Biomédica/economía , Humanos , Grupos Minoritarios , Apoyo a la Investigación como Asunto/economía
6.
Mol Cell ; 81(5): 889-892, 2021 03 04.
Artículo en Inglés | MEDLINE | ID: mdl-33667377

RESUMEN

We talk to Prashant Rawat and Marc Boehning, collaborators and co-first authors of "Stress-induced nuclear condensation of NELF drives global transcriptional downregulation" (this issue, previewed by Xu et al.), about their motivation for becoming scientists, the challenges they faced in the course of their project, and the importance of collaboration for scientific research.


Asunto(s)
Investigación Biomédica/organización & administración , Selección de Profesión , Mentores/educación , Transcripción Genética , Adulto , Alemania , Historia del Siglo XXI , Humanos , Masculino
7.
Mol Cell ; 81(5): 893-895, 2021 03 04.
Artículo en Inglés | MEDLINE | ID: mdl-33667378

RESUMEN

Here, we talk to first authors Kyosuke Nakamura and Georg Kustatscher, as well as co-corresponding author Anja Groth, about their paper "Proteome dynamics at broken replication forks reveal a distinct ATM-directed repair response suppressing double-strand break ubiquitination" (in this issue of Molecular Cell) and their scientific journeys until now.


Asunto(s)
Investigación Biomédica/organización & administración , Selección de Profesión , Replicación del ADN , Proteómica/tendencias , Adulto , Dinamarca , Historia del Siglo XXI , Humanos , Masculino , Mentores
8.
Neurology ; 96(10): e1482-e1486, 2021 03 09.
Artículo en Inglés | MEDLINE | ID: mdl-33686009

RESUMEN

OBJECTIVE: To determine whether increased patient interaction, exposure to the neurologic examination, and access to positive neurology mentors increase interest in neurology for first-year medical students. METHODS: Neuro Day was a 2-part experience for first-year medical students. The first part consisted of a flipped classroom to teach the standard neurologic examination. The second part involved patient encounters modeled off of the traditional patient rounds. Students rotated from room to room, listening to patients' experiences with different neurologic diseases and eliciting pathologic neurologic examinations. Students were surveyed before and after Neuro Day. RESULTS: The result of the binomial test indicated that the proportion of medical students interested in neurology significantly increased from 78% to 85% (95% confidence interval [CI] 0.79-0.92; p = 0.034) after participating in Neuro Day. The proportion of students' knowledge of clinical neurology increased from 45% to 63.1% (95% CI 0.54-0.72; p < 0.0001), comfort with performing a neurologic examination increased from 30% to 78.4% (95% CI 0.70-0.86; p < 0.0001), and fear of studying neurology decreased from 46% to 26% (95% CI 0.17-0.34; p < 0.0001) following Neuro Day. One hundred percent of students indicated that they would recommend Neuro Day to their peers. CONCLUSION: Neuro Day is a feasible and effective model to incorporate into medical education. There was increased interest in and decreased fear of neurology. We anticipate that this paradigm can be used in the future to encourage students to consider a career in neurology.


Asunto(s)
Curriculum , Internado y Residencia , Neurología/educación , Estudiantes de Medicina , Selección de Profesión , Prácticas Clínicas , Educación de Pregrado en Medicina , Humanos , Mentores , Pacientes , Estudios Prospectivos , Encuestas y Cuestionarios
9.
Am J Gastroenterol ; 116(3): 539-550, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33657041

RESUMEN

INTRODUCTION: In 2020, only 19% of 63 matched advanced endoscopy (AE) fellows were women. This study evaluates the gender-specific factors that influence gastroenterologists to pursue careers in AE. METHODS: An anonymous survey was distributed to gastroenterology fellows and attendings through various gastroenterology society online forums. Data were collected on demographics, training, mentorship, current practice, family planning, and career satisfaction. RESULTS: Women comprised 71.1% of the 332 respondents. 24.7% of female fellows plan to pursue an AE career compared with 37.5% of male fellows (P = 0.195). The main motivating factor for both genders was interest in the subject area. Interest in another subspecialty was the main deterring factor for both genders. Women were more deterred by absence of same-sex mentors (P < 0.001), perception of gender-based bias in the workplace (P = 0.009), family planning (P = 0.018), fertility/pregnancy risks from radiation (P < 0.001), and lack of ergonomic equipment (P = 0.003). AE gastroenterologists of both genders were satisfied with their career decision and would recommend the field to any fellow. Most respondents (64%) believed that more female role models/mentors would improve representation of women in AE. DISCUSSION: There are multiple gender-specific factors that deter women from pursuing AE. Increasing the number of female role models is strongly perceived to improve representation of women in AE. Most AE attendings are satisfied with their career and would recommend it to fellows of any gender. Thus, early targeted mentorship of female trainees has potential to improve recruitment of women to the field.


Asunto(s)
Actitud del Personal de Salud , Selección de Profesión , Endoscopía , Gastroenterólogos , Satisfacción en el Trabajo , Adulto , Becas , Femenino , Gastroenterología/educación , Humanos , Masculino , Factores Sexuales
10.
Z Evid Fortbild Qual Gesundhwes ; 161: 50-56, 2021 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-33589378

RESUMEN

OBJECTIVE: Former results of the KarMed study revealed a significant decrease in the career satisfaction of female physicians with children in the course of their postgraduate training compared to male physicians with children. Yet, female physicians with children showed the highest scores on satisfaction with life at the fourth year of postgraduate training. The present study evaluates whether the different courses of career satisfaction and life satisfaction of female physicians compared to male physicians are caused by parental status. METHODS: Data were collected in the course of the KarMed study (2008-2016). A cross-lagged panel design was used to analyze data from T2 to T5. RESULTS: The results indicate an inverse association of career satisfaction with life satisfaction. Women physicians with a low level of career satisfaction were more likely to have children than those with a higher career satisfaction. Furthermore, we found a causal effect of parental status on career satisfaction in male physicians. For female physicians, yet not for male physicians, life satisfaction predicts the parental status. CONCLUSIONS: The structural improvement in postgraduate training needs to be adjusted in terms of parental status. Prospective studies should take medical leave during pregnancy as well as parental leave of male medical residents into account.


Asunto(s)
Internado y Residencia , Satisfacción Personal , Selección de Profesión , Niño , Femenino , Alemania , Humanos , Satisfacción en el Trabajo , Masculino , Embarazo , Estudios Prospectivos , Encuestas y Cuestionarios
11.
Artículo en Inglés | MEDLINE | ID: mdl-33540908

RESUMEN

The present study analyses the influence of family, specifically parents, on the career decisions of their children, and how gender and socioeconomic status influence this choice. Research was carried out using data obtained from a questionnaire administered to a representative sample of students who took the university entrance examination (PEvAU, its Spanish acronym) in Spanish North Africa. A quantitative research design was adopted in which multivariate analysis (MANOVA) was applied anda decision tree, which was also used for graphical and analytical analysis. The main results indicated a significant influence of parents on their children's choices, this being the best predictor regarding the decision to take the said examination. It was also verified that their choice of Spanish Baccalaureate programme was significantly associated with their selected career path, and gender and socioeconomic status had a significant impact on that decision. These results lead to the need for further research on guidance from secondary education onwards. It would be interesting to analyse factors neglected thus far, such as those related to the cultural environment of students.


Asunto(s)
Estudiantes de Medicina , Universidades , África del Norte , Selección de Profesión , Niño , Humanos , Individualidad , Clase Social , Estudiantes , Encuestas y Cuestionarios
12.
N Z Med J ; 134(1529): 57-68, 2021 02 05.
Artículo en Inglés | MEDLINE | ID: mdl-33582708

RESUMEN

AIMS: The Rural Hospital Medicine Training Programme (RHMTP) was established in 2008 to develop New Zealand's rural hospital medical workforce. This study evaluates the RHMTP's first 10-year outcomes. METHODS: A mixed-methods descriptive study. Database interrogation of: the Royal New Zealand College of General Practitioners records; University of Otago's e-Vision; the Medical Council of New Zealand's register of doctors. A survey of trainees who had graduated or withdrew from the programme. Survey questions included: current scope and place of employment; undergraduate rural experience; and trainee experiences. RESULTS: From 2009-2018, 98 doctors entered the RHMTP: 29 graduated, 20 withdrew and 49 are active registrars. Of the graduates, more than half (17/29) also completed GP training. Overall survey response rate: 80% (39/49). Graduate response rate: 97% (28/29). 92% (24/26) of currently practising graduates are working in rural New Zealand, mostly (22/24) in rural hospitals. Trainees value the RHMTP's flexibility and breadth of clinical exposure. The main challenges relate to a lack of alignment of training requirements and funding. CONCLUSIONS: In its first decade, the RHMTP has been successful in generating a rural hospital workforce and the programme is steadily growing. Attention to existing barriers is needed to ensure the RHMTP can reach its potential to benefit all of New Zealand's rural communities.


Asunto(s)
Actitud del Personal de Salud , Medicina General/educación , Médicos Generales/provisión & distribución , Hospitales Rurales , Adulto , Selección de Profesión , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nueva Zelanda , Evaluación de Programas y Proyectos de Salud , Salud Rural , Encuestas y Cuestionarios , Recursos Humanos
13.
Mol Cell ; 81(3): 414-417, 2021 02 04.
Artículo en Inglés | MEDLINE | ID: mdl-33545055

RESUMEN

As part of our commitment to amplifying the voices of underrepresented scientists, we are publishing the insights and experiences of a panel of underrepresented scientists. In this piece, they discuss strategies to recruit underrepresented minority students to universities and careers in science. These are the personal opinions of the authors and may not reflect the views of their institutions.


Asunto(s)
Investigación Biomédica/educación , Selección de Profesión , Diversidad Cultural , Grupos Minoritarios/educación , Selección de Personal , Investigadores , Estudiantes , Relaciones Comunidad-Institución , Humanos , Mentores , Grupo Paritario
14.
Cell Stem Cell ; 28(2): 184-186, 2021 02 04.
Artículo en Inglés | MEDLINE | ID: mdl-33545077

RESUMEN

COVID-19 has unfortunately halted lab work, conferences, and in-person networking, which is especially detrimental to researchers just starting their labs. Through social media and our reviewer networks, we met some early-career stem cell investigators impacted by the closures. Here, they introduce themselves and their research to our readers.


Asunto(s)
/epidemiología , Selección de Profesión , Investigadores , Animales , Humanos , /fisiología
15.
PLoS One ; 16(2): e0246762, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33556151

RESUMEN

BACKGROUND: The COVID-19 pandemic challenged the resilience of public health, including diagnostic testing, antiviral development and transmission prevention. In addition, it also affected the medical education of many residents and learners throughout the country. Historically, physicians undergoing their residency training were not involved in telemedicine. However, in response to the challenges faced due to COVID-19, the Accreditation Council for Graduate Medical Education (ACGME) released a provision in May 2020 to allow residents to participate in telemedicine. METHOD: Lincoln Medical Center, located in the South Bronx of New York City, currently has 115 Internal Medicine residents, and telemedicine clinic visits have been conducted by residents since June 2020. An anonymous 25-question survey was sent to all Internal Medicine residents between August 8, 2020 to August 14, 2020. RESULT: Of 115 residents, 95 (82.6% of the residents) replied to this questionnaire. Residents revealed feeling less confident in managing chronic diseases through telemedicine visits. The survey also shows that 83.1% of respondents prefer in-person visits during their training, 65.3% feel that the telemedicine experience will affect their future career choice, and 67.4% would prefer less than 50% of visits to be telemedicine in their future careers. OUTCOME: The purpose of the new ACGME rules allowing telemedicine was to prevent the undertraining of residents and maintain health care for the patient during the COVID-19 pandemic. This affects residency training and the experiences of residents, which in turn can influence their future career plans.


Asunto(s)
/epidemiología , Medicina Interna , Internado y Residencia , Pandemias , Telemedicina , /virología , Selección de Profesión , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Ciudad de Nueva York , /fisiología
16.
Anesth Analg ; 132(4): 1120-1128, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33438965

RESUMEN

BACKGROUND: Anesthesiology residents' experiences and perspectives about their programs may be helpful in improving training. The goals of this repeated cross-sectional survey study are to determine: (1) the most important factors residents consider in choosing an anesthesiology residency, (2) the aspects of the clinical base year that best prepare residents for anesthesia clinical training, and what could be improved, (3) whether residents are satisfied with their anesthesiology residency and what their primary struggles are, and (4) whether residents believe their residency prepares them for proficiency in the 6 Accreditation Council for Graduate Medical Education (ACGME) Core Competencies and for independent practice. METHODS: Anesthesiologists beginning their US residency training from 2013 to 2016 were invited to participate in anonymous, confidential, and voluntary self-administered online surveys. Resident cohort was defined by clinical anesthesia year 1, such that 9 survey administrations were included in this study-3 surveys for the 2013 and 2014 cohorts (clinical anesthesia years 1-3), 2 surveys for the 2015 cohort (clinical anesthesia years 1-2), and 1 survey for the 2016 cohort (clinical anesthesia year 1). RESULTS: The overall response rate was 36% (4707 responses to 12,929 invitations). On a 5-point Likert scale with 1 as "very unimportant" and 5 as "very important," quality of clinical experience (4.7-4.8 among the cohorts) and departmental commitment to education (4.3-4.5) were rated as the most important factors in anesthesiologists' choice of residency. Approximately 70% of first- and second-year residents agreed that their clinical base year prepared them well for anesthesiology residency, particularly clinical training experiences in critical care rotations, anesthesiology rotations, and surgery rotations/perioperative procedure management. Overall, residents were satisfied with their choice of anesthesiology specialty (4.4-4.5 on a 5-point scale among cohort-training levels) and their residency programs (4.0-4.1). The residency training experiences mostly met their expectations (3.8-4.0). Senior residents who reported any struggles highlighted academic more than interpersonal or technical difficulties. Senior residents generally agreed that the residency adequately prepared them for independent practice (4.1-4.4). Of the 6 ACGME Core Competencies, residents had the highest confidence in professionalism (4.7-4.9) and interpersonal and communication skills (4.6-4.8). Areas in residency that could be improved include the provision of an appropriate balance between education and service and allowance for sufficient time off to search and interview for a postresidency position. CONCLUSIONS: Anesthesiology residents in the United States indicated they most value quality of clinical training experiences and are generally satisfied with their choice of specialty and residency program.


Asunto(s)
Anestesiólogos/educación , Anestesiología/educación , Actitud del Personal de Salud , Educación de Postgrado en Medicina , Internado y Residencia , Adulto , Anestesiólogos/psicología , Selección de Profesión , Competencia Clínica , Estudios Transversales , Curriculum , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Encuestas y Cuestionarios
18.
Acad Med ; 96(1): 108-112, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33394662

RESUMEN

PURPOSE: Combined baccalaureate-MD programs exist to fulfill a variety of educational missions, including to promote the development of physician-scientists, increase workforce diversity, promote primary care careers, and meet the needs of underserved patients. The authors sought to determine the demographics of combined program graduates, as well as their intention to practice in primary care (IPPC) and intention to work with the medically underserved (IWMU), as compared with graduates of traditional MD programs. METHOD: Data from the 2010-2017 Association of American Medical Colleges Graduation Questionnaire, a national survey of graduating medical students, were recategorized (e.g., as combined program or traditional program) before analysis. Logistic regression models on the 2 primary outcomes (IPPC and IWMU) were conducted to estimate odds ratios for the effects of covariates and predictors (e.g., gender, underrepresented in medicine [URM] group member, type of medical degree program). RESULTS: Data from a total of 109,028 respondents were included (3,182 from combined and 105,846 from traditional programs). Compared with students in traditional programs, those in combined programs were more likely to be younger (age at graduation ≤ 29: 3,143, 98.8% vs 89,688, 84.7%) and female (1,813, 57.0% vs 52,013, 49.1%) but less likely to identify as a URM group member (276, 8.7% vs 14,757, 13.9%). In an adjusted logistic regression model, graduating from a combined program, identifying as female, and IWMU predicted significantly greater odds of IPPC, while identifying as a URM, identifying as female, and having debt predicted significantly greater odds of IWMU. Graduating medical students who indicated family medicine as a career specialty were more likely to indicate an IWMU. CONCLUSIONS: Medical students graduating from combined programs were more likely to indicate an IPPC but were no more likely to indicate an IWMU than traditional program graduates.


Asunto(s)
Educación de Postgrado en Medicina/estadística & datos numéricos , Educación de Postgrado en Medicina/tendencias , Educación de Pregrado en Medicina/estadística & datos numéricos , Educación de Pregrado en Medicina/tendencias , Evaluación Educacional/estadística & datos numéricos , Estudiantes de Medicina/psicología , Estudiantes de Medicina/estadística & datos numéricos , Adulto , Selección de Profesión , Femenino , Humanos , Modelos Logísticos , Masculino , Oportunidad Relativa , Factores Socioeconómicos , Encuestas y Cuestionarios , Estados Unidos , Adulto Joven
19.
Cell Stem Cell ; 28(1): 17-19, 2021 01 07.
Artículo en Inglés | MEDLINE | ID: mdl-33417867

RESUMEN

COVID-19 has unfortunately halted lab work, conferences, and in-person networking, which is especially detrimental to researchers just starting their labs. Through social media and our reviewer networks, we met some early-career stem cell investigators impacted by the closures. Here, they introduce themselves and their research to our readers.


Asunto(s)
/epidemiología , Investigadores , Selección de Profesión , Endotelio/citología , Cardiopatías Congénitas , Humanos , Células Madre Neoplásicas/citología , Células Madre Neoplásicas/metabolismo , Células Madre Neoplásicas/patología , Organogénesis , Pandemias , Regeneración , Investigación
20.
Psico (Porto Alegre) ; 51(3): 33735, 21 jan. 2021.
Artículo en Portugués | LILACS | ID: biblio-1147691

RESUMEN

A adaptabilidade de carreira é um tema amplamente estudado na área de carreira por sua relevância prática e teórica. O objetivo deste estudo foi testar uma versão em português brasileiro da Career Adapt-Abilities Scale (CAAS) com uma amostra de adolescentes, incluindo uma dimensão adicional chamada cooperação. Participaram 592 adolescentes (303 do sexo feminino) de escolas privadas (n=275) e públicas (n=317), em Porto Alegre, RS. Os adolescentes tinham entre 13 e 18 anos (M=15,91 e DP=1,08). Em uma primeira subamostra aleatória (n=296), uma análise fatorial exploratória foi conduzida e resultou em uma solução de cinco fatores. Logo após, com o restante da amostra, foi realizada uma análise fatorial confirmatória, confirmando-se o modelo de cinco dimensões. Os resultados indicam que o instrumento testado possui uma estrutura dimensional compatível com o modelo teórico adotado e propriedades psicométricas aceitáveis, além de contar com o acréscimo da dimensão cooperação.


Career adaptability is a theme widely studied in the area of career for its practical and theoretical relevance. The aim of this study was to test a Brazilian Portuguese version of the Career Adapt-Abilities Scale (CAAS) with a sample of adolescents, and including an additional dimension called cooperation. A total of 592 adolescents participated (303 female) from private (n=275) and public schools (n=317), in Porto Alegre. The adolescents were between 13 and 18 years old (M=16,02 e SD=1,08). In the first random subsample (n=296), an exploratory factor analysis was conducted and resulted in a five-factor solution. Afterwards, with the remainder of the sample, a confirmatory factor analysis was performed, ratifying the five-dimension model. The results indicate that the instrument tested has a dimensional structure compatible with the theoretical model adopted and acceptable psychometric properties, in addition to having the cooperation dimension added.


La adaptabilidad es uno de los temas ampliamente estudiados en el área de carrera, debido a su gran importancia práctica y teórica. El objetivo de este estudio es la creación de una versión brasilera de la escala CAAS, incluyendo la dimensión cooperación y destinada al público adolescente. Participaron 592 adolescentes (303 del sexo femenino) de escuelas privadas (n=275) y públicas (n=317), en Porto Alegre. Los adolescentes tenían entre 13 y 18 años (M=15,91 y DP=1,08). En una primera submuestra aleatoria (n=296), se llevó a cabo un análisis factorial exploratorio que sugirió una solución de cinco factores. Luego, con el resto de la muestra, se realizó un análisis factorial confirmatorio, en el cual se confirmó el modelo de dimensiones. Por lo tanto, se puede llegar a una versión del CAAS con propiedades psicométricas compatibles con estudios anteriores para una muestra de adolescentes brasileños, con la adición de la dimensión cooperación.


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Selección de Profesión , Psicología del Adolescente , Adaptación
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