TY - JOUR
T1 - Career perspectives for young cardiologists in the Netherlands
T2 - a steady increase in temporary positions
AU - Vorselaars, V. M. M.
AU - Minneboo, M.
AU - Meijers, W. C.
AU - van der Heijden, A. C.
AU - Haroun, D.
AU - Baggen, V. J. M.
AU - Berger, W. R.
AU - van Hout, G. P. J.
N1 - Publisher Copyright: © 2022, The Author(s).
PY - 2022
Y1 - 2022
N2 - In the Netherlands, concerns have been raised regarding the high unemployment rates and the lack of permanent positions for young medical specialists. In the current study, we present data on contemporary early career perspectives in the field of cardiology. We conducted a survey among 304 young cardiologists who completed their training between 2015 and 2020; the response rate was 91%. Our analysis revealed a low unemployment rate (0.3%). One, 3 and 5 years after registration, 81%, 41% and 18% of the respondents, respectively, had not gained a permanent position. Having conducted a fellowship significantly delayed the time to permanent position (hazard ratio (HR): 0.48; 95% confidence interval (CI): 0.34–0.67). For those who had conducted a fellowship, holding a PhD degree (HR: 1.95; 95% CI: 1.10–3.44), age (per year increase, HR: 0.90; 95% CI: 0.82–0.99) and training in an academic hospital (HR: 1.97; 95% CI: 1.10–3.52) were of significant influence on the likelihood of having a permanent position at 3 years of follow-up. These results showed a disturbing increase in time to permanent position compared with an earlier analysis. This trend justifies close monitoring of the labour market in the coming years. Solutions for this multifactorial problem in the field of cardiology and across the entire medical specialty spectrum should be explored.
AB - In the Netherlands, concerns have been raised regarding the high unemployment rates and the lack of permanent positions for young medical specialists. In the current study, we present data on contemporary early career perspectives in the field of cardiology. We conducted a survey among 304 young cardiologists who completed their training between 2015 and 2020; the response rate was 91%. Our analysis revealed a low unemployment rate (0.3%). One, 3 and 5 years after registration, 81%, 41% and 18% of the respondents, respectively, had not gained a permanent position. Having conducted a fellowship significantly delayed the time to permanent position (hazard ratio (HR): 0.48; 95% confidence interval (CI): 0.34–0.67). For those who had conducted a fellowship, holding a PhD degree (HR: 1.95; 95% CI: 1.10–3.44), age (per year increase, HR: 0.90; 95% CI: 0.82–0.99) and training in an academic hospital (HR: 1.97; 95% CI: 1.10–3.52) were of significant influence on the likelihood of having a permanent position at 3 years of follow-up. These results showed a disturbing increase in time to permanent position compared with an earlier analysis. This trend justifies close monitoring of the labour market in the coming years. Solutions for this multifactorial problem in the field of cardiology and across the entire medical specialty spectrum should be explored.
KW - Career perspectives
KW - Temporary contracts
KW - Young cardiologists
UR - http://www.scopus.com/inward/record.url?scp=85142899299&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s12471-022-01736-1
DO - https://doi.org/10.1007/s12471-022-01736-1
M3 - Article
C2 - 36465188
SN - 1568-5888
JO - Netherlands heart journal
JF - Netherlands heart journal
ER -