Abstract

The COVID-19 pandemic has led to widespread social and economic disruptions in the balance of labor market. Our study aims to analyze the career-advancement of medical school graduates during the COVID-19 pandemic and the associated influencing factors. We collected and compared the career-advancement data of medical school graduates at a Chinese teaching hospital from 2016 to 2020. A self-designed 20-element medical graduates employment questionnaire and a Chinese adaptation of the General self-efficacy scale were distributed by the Questionnaire Star platform. Univariate analysis (Pearson's Chi-square-test and Fisher's exact-test) and subsequent binary logistic regression were used. Findings demonstrated that the career-advancement rate of medical graduate students in 2020 is 71.3%, which is significantly lower than that for the preceding 4 years from 2016 to 2019 (p < 0.001). Of the 251 employed medical school graduates, 159 (63.3%) have signed an employment agreement or contract, 83 (33.1%) are pursuing continued education domestically, and 9 (3.6%) have offers from foreign institutions. Univariate analysis revealed statistical differences of medical graduates' employment among various specialties, oral defense completion, job search start date, CV submission times, participation in a probationary period, and self-efficacy. Significant predictors for successful employment were early job search and self-efficacy by logistic regression model (χ2 = 12.719, p < 0.001). Most medical graduates assumed that the COVID-19 pandemic had a major (40.6%) or moderate (48%) impact on career-advancement. The COVID-19 pandemic has profoundly impacted the career-advancement of medical school graduates in 2020. We should make adaptive changes to improve the career-advancement of medical graduates.

Highlights

  • Every year January to March is the traditional job-hunting season for university students. This period coincided with the emerging coronavirus disease 2019 (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in early 2020

  • Out of 251 employed medical school graduates, 159 (63.3%) had- signed an employment agreement or contract, which declined from its highest, which was 77% in 2016 within the past 5 years; 83 (33.1%) are pursing continued education, increased from its lowest level of 21.8% to the highest 33.1% in 2020; and 9 (3.6%) have offers from foreign institutions, a similar rate in past 5 years (Table 1)

  • Our results showed that start date of job search was a good predictor of successful employment

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Summary

Introduction

Every year January to March is the traditional job-hunting season for university students This period coincided with the emerging coronavirus disease 2019 (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in early 2020. People are experiencing especially elevated levels of stress and depression Such mental health effects stemming from the COVID-19 pandemic, like the virus itself, are welldocumented in college students, and among healthcare workers (Sahin et al, 2020). It has triggered one of the worst job crisis since the Great Depression in 2007–2008. Europe, and the United States have been the most heavily impacted regions

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