Abstract

OBJECTIVE:This study aimed to determine the personal and professional characteristics, and the physical, psychiatric/psychological, and professional issues that exist among master's-, doctoral-, and post-doctoral-level health professionals.METHODS:A cross-sectional, online, self-reported survey of 452 postgraduates who completed master's, doctoral, or post-doctoral degrees in one graduate program in pediatrics in São Paulo, Brazil, was conducted.RESULTS:The response rate was 47% (211/453). The majority of participants were women (78%) and physicians (74%), and the median age was 47 years (28-71). Master's, doctoral, and post-doctoral degrees were reported by 73%, 53%, and 3%, respectively. High workload (>40 hours/week) occurred in 59%, and 45% earned ≥15 minimum wages/month. At least one participation in scientific meeting in the past year was reported by 91%, and 79% had published their research. Thirty-nine percent served as a member of a faculty of an institution of higher learning. The data were analyzed by two age groups: participants aged ≤48 years (group 1) and participants aged >48 years (group 2). The median rating of overall satisfaction with the profession in the past year [8 (0-10) vs. 9 (1-10), p=0.0113]; workload >40 hours/week (53% vs. 68%, p=0.034); and ≥15 minimum wages/month (37% vs. 56%, p=0.0083) were significantly lower in group 1. Further analysis by gender revealed that the median rating of overall satisfaction with the profession in the past year [8 (0-10) vs. 9 (3-10), p=0.0015], workload >40 hours/week (53% vs. 83%, p=0.0002), and ≥15 minimum wages/month (37% vs. 74%, p=0.0001) were significantly lower in women compared with men. The median rating of overall satisfaction with the mentorship supervision provided was significantly higher among the women 10 (5-10) vs. 10 (2-10), p=0.0324].CONCLUSIONS:The majority of master's-, doctoral-, and post-doctoral-level health professionals were women and physicians, and had published their thesis. Younger postgraduates and women reported low salaries, less likelihood of working >40 hours/week, and less overall satisfaction with their profession. Further longitudinal and qualitative studies are warranted to assess career trajectories after graduation.

Highlights

  • Contemporary teaching methods, humanistic approaches to patient care, and early exposure to scientific research are common in undergraduate, fellowship, residency, and postgraduate programs [1,2,3,4,5,6,7,8,9]

  • The majority of postgraduates (65%) had worked as public service professionals within the past year, followed by those who worked as private practice pediatricians (50%), and those who worked as public/private university professors (20%)

  • The median rating of overall satisfaction with one’s profession in the past year was significantly lower in women compared with men [8 (0-10) vs. 9 [3,4,5,6,7,8,9,10], p=0.0015], and women were significantly less likely to have a workload 440 hours/week (53% vs. 83%, p=0.0002), earn X15 minimum wages/month (37% vs. 74%, p=0.0001), and work long hours (38% vs. 55%, p=0.045), and were significantly more likely to be paid a low salary (35% vs. 19%, p=0.0496) (Table 4)

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Summary

Introduction

Contemporary teaching methods, humanistic approaches to patient care, and early exposure to scientific research are common in undergraduate, fellowship, residency, and postgraduate programs [1,2,3,4,5,6,7,8,9]. Received for publication on June 10, 2019. Accepted for publication on August 27, 2019. The university is responsible for educating a significant portion of the country’s master’s, doctoral, and post-doctoral students [15]. The Pediatric Department at the university has a master’s/ doctoral and post-doctoral program, which is responsible for epidemiological, translational, and clinical research in children and adolescent health, focusing on primary, secondary, and tertiary care; subspecialties; and transplantation. The program includes professors and students and involves physicians and non-physicians (e.g., physiotherapists, dietitians, nurses, physical educators, biomedicals, and dentists)

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