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Career Trajectory and Job Satisfaction Trends in Mohs Micrographic Surgeons

机译：莫氏显微外科医师的职业轨迹和工作满意度趋势

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BACKGROUND Although many residents and fellows in Mohs surgery express an interest in academics, departure from academics occurs for many trainees or junior faculty.OBJECTIVE We designed a survey, issued to all American College of Mohs Surgeons (ACMS) members in 2009, to assess reasons for practice selection.RESULTS A response rate of 65.0% (n = 455) was obtained. Of all ACMS members, 33.9% started in academic positions, and 66.1% started in private practice. Retention rates in private practice (61.2%) were significantly higher than in academics (28.0%) (p<.001). The rationale for selection of an academic career included referral base and teaching and research opportunities. Reasons for selection of a private practice career were higher salary, autonomy over resources, and geographic flexibility. There were high rates of departure from academics early on; reasons for departure included lack of support from the academic chair and lack of autonomy over resources. Surgeons leaving academia were able to perform Mohs surgery and continue interests in research and teaching with benefits of greater autonomy over resources in private practice.CONCLUSIONS Novel efforts to retain academic Mohs surgeons are needed to ensure continued success and evolution of the specialty.
机译：背景技术尽管许多从事Mohs手术的居民和研究员都对学术界表示了兴趣，但是许多受训者或初级教职员工都会背离学术界。目标我们设计了一项调查，于2009年发布给所有美国Mohs外科医生学会（ACMS）成员，以评估原因结果选择的回应率为65.0％（n = 455）。在所有ACMS成员中，33.9％的人开始担任学术职务，66.1％的人开始从事私人执业。私人执业的保留率（61.2％）显着高于学者（28.0％）（p <.001）。选择学术职业的理由包括转介基础以及教学和研究机会。选择私人执业职业的原因是较高的薪水，对资源的自主权以及地域灵活性。早期有很高的离校率。离开的原因包括缺乏学术主席的支持以及缺乏资源自主权。离开学术界的外科医生能够进行Mohs手术，并继续对研究和教学产生兴趣，从而在私人执业方面拥有更大的自治权。结论为了保持专业的持续成功和发展，需要做出新的努力来挽留学术Mohs外科医生。

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