Objective

2

To investigate the current talent cultivation among young pediatricians

and to provide insights for fostering a virtuous cycle in their education

scientific research

and career growth.

Methods

2

This study enrolled 152 young pediatricians (under 45 years of age) who had completed or were participating in standardized residency training at the Children's Hospital of Soochow University since September 2014. The pediatricians were surveyed on clinical training

scientific research process

career development planning

policies

and incentive mechanisms using a self-administered questionnaire. SPSS 23.0 was used for statistical analysis. Enumeration data

expressed as the number of cases and composition ratios

were analyzed using chi-square tests

while ordinal data were analyzed using rank sum tests. The SPSS macroprogram PROCESS v3.3 was used for mediating effect analysis.

Results

2

The results of the questionnaire survey of 152 respondents were as follows: 65.79% (100/152) were aged 25-34 years; 57.24% (87/152) held a master's degree; 13.82% (21/152)

16.45% (25/152)

and 69.74% (106/152) held deputy senior professional titles and above

intermediate professional titles

and junior professional titles and below

respectively. More than half of the respondents desired expanded training in professional skill updates

scientific research capacity enhancement

and simulation teaching. The current training system was deemed simplistic in content and method

requiring optimization. The frequency of clinical teaching activities (

P

<

0.001)

training methods (

P

<

0.001)

and departmental mentorship atmosphere (

P

<

0.001) were correlated with the degree of satisfaction with clinical training. Among the respondents

81.58% (124/152) reported insufficient time

energy

and motivation for scientific research. The frequency of training (

P

<

0.001)

participation frequency (

P

<

0.001)

diversity of training methods (

P

=0.024)

departmental mentorship atmosphere (

P

<

0.001)

opportunities for collaboration (

P

<

0.001)

and training in methodology and innovative thinking (

P

=0.042) were correlated with the degree of satisfaction with the scientific research capability enhancement training. Notably

there was a marginally significant difference in degree of satisfaction with scientific research training among young physicians with different titles (

P

=0.053). Only 38.16% (58/152) of the respondents had established mid-to-long-term career plans

indicating a lack of career planning awareness. Age (

P

=0.001)

educational background (

P

=0.009)

professional titles

(

P

=0.001)

and completion status of standardized residency training (

P

=0.011) were correlated with degree of satisfaction with career development planning. The departmental mentorship atmosphere (

P

=0.013) and flexible work arrangements (

P

=0.039) were correlated with degree of satisfaction with policies and incentive mechanisms

with a marginal significance for performance-based reward system (

P

=0.057). The frequency of clinical training (

P

=0.030) and scientific research training (

P

=0.010) had a significant indirect mediating effect on the degree of satisfaction with clinical training through the departmental mentorship atmosphere.

Conclusions

2

Optimizing the development pathway for young physicians requires improvements in clinical training system

scientific research management

career planning guidance

and overall supportive environment.