Employment outcomes among junior researchers in medicine in Croatia

Petrovečki, Marko and Smiljanić, Ljiljana and Trošelj, Mario and Polašek, Ozren (2008) Employment outcomes among junior researchers in medicine in Croatia. Croatian Medical Journal, 49 (1). pp. 91-97. ISSN 0353-9504

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Abstract

AIM: To investigate fellowship outcomes among junior researchers in medicine, supported by the Ministry of Science, Education, and Sports of the Republic of Croatia. ----- METHODS: We used the data on junior researchers whose fellowships terminated between 1999 and 2005. Employment outcomes and scientific productivity, measured by the number of published articles indexed in the Web of Science database, were analyzed for every junior researcher. The data were analyzed using chi2 test, Mann-Whitney test, Kruskal-Wallis test, Breslow test, and logistic regression. ----- RESULTS: Only 12% of junior researchers obtained a degree of Doctor of Philosophy (PhD) during fellowship. At the same time, 55% of junior researchers with a Medical Doctor degree terminated the fellowship and got employed in the health system during the same month. Terminating and re-employing in same month was most common among junior researchers who got employed by clinics and hospitals (odds ratio, 7.78; 95% confidence interval, 2.22-27.24). Also, it was less common among female than male junior researchers (odds ratio, 0.50; 95% confidence interval, 0.28-0.90). ----- CONCLUSION: This study suggests that junior researchers in medicine commonly used their fellowship as a short-term employment option. The direct consequence of this is the low percentage of obtained PhD degrees during the fellowship period. Additionally, this article provides an insight into the current status and future of the fellowship programs in medicine, with special emphasis placed on the potential changes that might occur as a consequence of physician shortage in Croatia.

Abstract in Croatian

CILJ: Istražiti ishode znanstvenog novaštva mladih znanstvenika iz područja medicine koji su primali potporu Ministarstva znanosti, obrazovanja i športa. ----- POSTUPCI: Koristili smo podatke o novacima čije je novaštvo završilo između 1999. i 2005. Istraživali smo ishode novaštva i znanstvenu produktivnost, koju smo mjerili brojem objavljenih članaka indeksiranih u bazi podataka Web of Science. Podatke smo analizirali χ2 testom, Mann- Whitney testom, Kruskal-Wallis testom, Breslow testom, i logističkom regresijom. ----- REZULTATI: Samo 12% znanstvenih novaka dobilo je titulu doktora znanosti za vrijeme trajanja novaštva, dok je 55% znanstvenih novaka s titulom doktora medicine prekinulo novaštvo i u istom tom mjesecu dobilo posao u sustavu zdravstva. Novaci koji su prekinuli novaštvo i našli novi posao u istom mjescu najčešće su se zaposlili u klinikama i bolnicama (omjer izgleda, 7,78; 95% raspon pouzdanosti, 2,22-27,24) i češće su bili muškarci nego žene (omjer izgleda, 0,50; 95% raspon pouzdanosti, 0,28-0,90). ----- ZAKLJUČAK: Ovo istraživanje je pokazalo da je novaštvo za većinu znanstvenih novaka iz područja medicine privremeno zaposlenje. Izravna posljedica toga je nizak postotak završenih doktorata za vrijeme trajanja novaštva. Osim toga, ovaj članak daje uvid u trenutno stanje, ali i budućnost novačkih programa u medicini, s posebnim naglaskom stavljenim na promjene koje bi se mogle dogoditi kao posljedica manjka liječnika u Hrvatskoj.

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