U.S. Army Medical Corps Recruitment, Job Satisfaction, and Retention: Historical Perspectives and Current Issues.

Autor: Marble WS; U.S. Army Medical Center of Excellence, 3630 Stanley Road, Fort Sam Houston, TX 78234., Cox ED; 1425 Porter Street, Frederick, MD, 21702., Hundertmark JA; 1600 Spearhead Division Avenue, Fort Knox, KY 40121., Goymerac PJ; U.S. Army Medical Center of Excellence, 3630 Stanley Road, Fort Sam Houston, TX 78234., Murray CK; 6745 Plum Point Drive Aberdeen Proving Ground, MD 20015., Soderdahl DW; U.S. Army Medical Center of Excellence, 3630 Stanley Road, Fort Sam Houston, TX 78234.
Jazyk: angličtina
Zdroj: Military medicine [Mil Med] 2020 Sep 18; Vol. 185 (9-10), pp. e1596-e1602.
DOI: 10.1093/milmed/usaa094
Abstrakt: Introduction: This study was conducted to identify and understand the current factors affecting recruitment, job satisfaction, and retention of U.S. Army Medical Corps officers and provide historical background to understand if the current factors are dissimilar.
Materials and Methods: An anonymous, voluntary questionnaire was sent to U.S. Army Medical Corps officers, and responses were tabulated and analyzed. Historical research was conducted and historical analysis applied.
Results: Recruiting, job satisfaction, and retention among Army Medical Corps Officers have been problematic throughout the 50-year history of the all-volunteer force. Recruiting has largely been of medical students, with very limited numbers of direct accessions. At times, satisfactory overall numbers have camouflaged shortages in key go-to-war specialties. Also, satisfactory numbers in a specialty have sometimes camouflaged problems in depth of experience. Satisfaction has been seen as a problem but apparently only studied informally and/or episodically. Retention has largely been addressed through service obligations, followed by monetary bonuses, although these have to be across the Department of Defense, limiting service flexibility. There has never been consistent, longitudinal sampling of opinion among Medical Corps Officers to allow senior leaders to influence the Department of Defense policy. A recent (2016) study provides substantial data but should be repeated rather than being isolated.
Conclusion: As the situation in the Department of Defense and Army Medical Department changes, with more focus on go-to-war specialties, the Army needs to better measure opinion among Medical Corps Officers to inform policy. These studies should be conducted regularly to generate reliable information on trends and allow prioritization of effort to areas that hamper recruiting, undermine satisfaction, and prevent retention.
(Published by Oxford University Press on behalf of Association of Military Surgeons of the United States 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US.)
Databáze: MEDLINE
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