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Model 2, with the split time variables for years spent in university hospitals, indicates a positive influence on promotion to a chief physician position for 3 4 years spent in university hospitals (OR = 4.02, p < 0.05) and a negative impact on the chance of promotion to a chief physician position for those spending > =7 years (OR = 0.27, p < 0.05) in university hospitals.
However, working in universities has a positive effect on the duration of promotion to a chief physician position (p = 0.079), and working in university hospitals for 3 4 years increases the chance of promotion to a chief physician position (OR = 4.02, p < 0.05), while working there > =7 years decreases this chance (OR = 0.27, p < 0.05).
Conversely, working in university hospitals for a short time span during the career phase as a junior physician has a negative impact on promotion to a senior physician position, and for medium or long time spans no evidence of a positive or negative effect on promotion was found.
Of the 324 junior physicians in the dataset, 310 were observed until promotion to a senior physician position and 177 until promotion to a chief physician position.
I am writing this letter to present myself as a candidate for the Physician position within your organization.
For junior physicians on the trajectory to a senior physician position, however, university hospitals are not drivers of career success.
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In "Time to Heal," the medical historian Kenneth M. Ludmerer writes that quotas were even stricter for senior physician positions at university-affiliated hospitals.
In addition to full-time EM specialists, we found 147 physicians from other specialties or with no specialty certification employed full-time in the ED (Table 2) and there were a total of 66 reported part-time physician positions of all types employed in EDs around the country.
This figure represents more than 2,000 public physician positions [ 49].
Evidence has been found that physicians from university hospitals are the preferred choice when hiring to chief physician positions, but not for when hiring to senior physician positions.
More than 25%% of physician positions and 22%% of nurse positions at UHCs are vacant.
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Justyna Jupowicz-Kozak
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