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University hospitals as drivers of career success: an empirical study of the duration of promotion and promotion success of hospital physicians

机译：大学医院是职业成功的驱动力：对医院医师晋升和晋升持续时间的实证研究

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Background German hospitals have a well-defined career structure for clinicians. In this hierarchical career system university hospital are stepping stones for career advancement. This longitudinal study investigates the impact of working in university hospitals on the career success of junior physicians and senior physicians. Methods Consideration of the career trajectories of 324 hospital physicians. Discrete-time event history analysis is used to study the influence of working in university hospitals on the chance of promotion from junior physician to senior physician and senior physician to chief physician. A comparison of medians provides information about the impact of working in university hospitals on the duration of promotion to senior and chief physician positions. Results Working in university hospitals has a negative impact for advancement to a senior physician position in terms of promotion duration (p?=?0.005) and also in terms of promotion success, where a short time span of just 1–2 years in university hospitals has a negative effect (OR?=?0.38, p??=7?years decreases this chance (OR?=?0.27, p? Conclusion Working at university hospitals has a career-enhancing effect for a senior physician with ambitions to become a chief physician. For junior physicians on the trajectory to a senior physician position, however, university hospitals are not drivers of career success.
机译：背景技术德国医院为临床医生制定了明确的职业结构。在这种分级的职业体系中，大学医院是职业发展的垫脚石。这项纵向研究调查了在大学医院工作对初级医师和高级医师事业成功的影响。方法考虑324位医院医师的职业发展轨迹。离散时间事件历史分析用于研究在大学医院工作对从初级医师到高级医师以及从高级医师到首席医师的晋升机会的影响。中位数的比较提供了有关在大学医院工作对晋升为高级和首席医师职位的持续时间的影响的信息。结果在大学医院工作对晋升持续时间（p？=？0.005）以及晋升成功都有负面影响，在大学医院中只有短短的1-2年具有负面影响（OR？=？0.38，p ?? = 7？年）降低了这个机会（OR？=？0.27，p？）结论对于有志向成为高级医生的高级医师，在大学医院工作具有职业发展作用。对于在初级医师职位上晋升为高级医师职位的初级医师而言，大学医院并不是职业成功的动力。

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