CANADIAN EARLY CAREER PAEDIATRICIANS ON THEIR TRANSITION TO PRACTICE EXPERIENCE
Notice bibliographique
Résumé
Abstract BACKGROUND The Canadian Paediatric Society (CPS) is the national professional paediatric organization representing over 3000 child and youth health care providers. As future leaders, early career paediatricians (ECP, defined as those in their first 5 years of practice) are highly valued CPS members, and facilitating their active engagement is a key organizational priority. ECPs comprise 15% of the current CPS membership, and previous analysis has shown that this group’s membership rate drops by nearly one-third in the first 5 years of practice. This lack of engagement may be due in part to the intense amount of activity on multiple fronts during the transition to independent practice. We sought to better identify and understand these challenges, and determine how the CPS might better support this period of a paediatrician’s professional life. OBJECTIVES To better characterize the demographics of ECPs in Canada; to identify the challenges of transition to independent paediatric practice, and to inform future CPS initiatives to support them. DESIGN/METHODS Following iterative discussion, we created a 23-question survey with either closed-ended or free text responses. It was distributed, in English and French, via e-mail link to 481 Canadian ECPs across the country in September 2017. This group included both general and subspecialty paediatricians who had qualified for their Royal College certification in 2011 or later. Survey information was obtained by an online electronic tool (Survey Monkey). All responses remained confidential. Responses were collated, and descriptive statistics were used to analyze the data. RESULTS The survey response rate was 42% (200/481). 172/407 answered the English questionnaire, and 28/74 answered the French questionnaire. 68% self-identified as general paediatricians and 21% as subspecialists. Nearly three-quarters work in urban settings, with 35% at an academic/tertiary hospital. ECPs spend most of their working hours in a clinical setting (mean 80%), with less time in research and administration/leadership domains. Most (78%) were satisfied with their practice type and setting. Three-quarters reported good work-life balance. Identified challenges during the transition to practice included: financial and billing management; learning institutional processes and available resources; and achieving work-life balance. One third reported difficulty with continuing professional development. CONCLUSION These findings indicate that ECPs are more likely to be practising in urban settings and at academic centres. They describe some common challenges with transition to practice and would like the CPS to provide more practice management resources, mentorship, and career counseling. As a result, there is a clear opportunity for CPS to engage them in the organization, support their transition to practice, and offer accessible continuing professional education.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,023 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,002 | 0,004 |
| Études des sciences et des technologies | 0,010 | 0,003 |
| Communication savante | 0,005 | 0,002 |
| Science ouverte | 0,002 | 0,004 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,013 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».