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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Career Development in Pediatric Critical Care: Are We Failing Our Trainees?
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Career Development in Pediatric Critical Care: Are We Failing Our Trainees?

机译：儿科关键护理的职业发展：我们是否失败了我们的受训者？

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摘要

Most pediatric critical care medicine (PCCM) is practiced in academic settings, but increasingly com-munity hospitals are developing PICUs and hiring pediatric intensivists. Thus, some proportion of graduating PCCM fellows can be expected to pursue careers as clinicians in community hospitals. In a study published by Freed et al in 2011, approximately 19% of surveyed pediatric intensivists were noted to be practicing in community hospitals. Fellowship training programs, however, are housed in academic medical centers, and require 3 years of training, of which a significant proportion is dedicated to research or other scholarly activity. It should not be surprising, therefore, that Cifra et al found, through their survey of PICU fellows and recent graduates published in this issue of Pediatric Critical Care Medicine, that most fellowship programs do not provide career guidance for practice in a community-hospital based PICU. What is potentially more surprising, however, is the lack (or perceived lack) of preparation for administrative positions or leadership training. The authors' findings are not substantially different from a survey by the in-training section of the Society of Critical Care Medicine (SCCM) in which the second most commonly perceived need by critical care practitioners after continuing medical education was leadership development.
机译：大多数儿科临界护理医学（PCCM）在学术环境中实行，但越来越多的广播医院正在开发皮质和招聘儿科强度。因此，可以预期一些毕业的PCCM研究员毕业的职业生涯，作为社区医院的临床医生。在2011年由Freed等人出版的一项研究中，约有19％的受访儿科强度受到社区医院的练习。然而，团契培训计划被居住在学术医疗中心，并且需要3年的培训，其中大量比例致力于研究或其他学术活动。因此，不应该令人惊讶的是，CIFRA等人通过他们对PICU研究员的调查和最近发表在本问题儿科关键护理医学问题的毕业生，大多数奖学金计划没有为基于社区医院的实践提供职业指导PICU。然而，潜在的令人惊讶的是缺乏（或感知缺乏）的行政职位或领导培训的准备。作者的调查结果与关键护理学会（SCCM）的培训部分的调查没有大大差异，其中在继续医学教育后的重症监护工人第二次最常感知的需要是领导力发展。

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