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Many Royal College of Physicians and Surgeons of Canada (RCPSC) graduates in neurosurgery face significant challenges in finding full-time employment. The current study describes the career outcomes of neurosurgery residents from Canadian programs.
Methods:
All RCPSC neurosurgery graduates (n = 106) who completed their residency between 2015 and 2020 were included in this study. Baseline characteristics were determined for the entire cohort and then stratified by employment status. Several logistic regression models were used to identify predictors of full-time employment after residency.
Results:
Overall, 26.4% of neurosurgery graduates from 2015 to 2020 have been underemployed, defined as locum and clinical associate positions (6.6%), the pursuit of multiple fellowships (16%) and career change/nonsurgical career (3.8%). Only 52.0% of graduates were fully employed in Canada, with 30.2% appointed at academic institutions. Skull-base/open vascular (OR: 0.055, 95%CI [<0.01, 0.74]) and general neurosurgery (OR: 0.027, 95% CI [<0.01, 0.61]) fellowships were associated with underemployment. Advanced research degrees (master’s or Ph.D.) and sex were not associated with full-time employment.
Conclusions:
Over one-quarter of recent Canadian neurosurgery graduates were underemployed, and nearly half do not find employment in Canada. These results reflect a concerning reality for current and prospective neurosurgery graduates in Canada and will hopefully serve as a call to action for the Canadian neurosurgery community.
This chapter shows versatility in career options for psychology master’s and doctoral degree holders. It describes overall employment patterns in the field of psychology, such as top occupations, work activities, and the degree of relatedness of the job to psychology. It also provides information about major workforce segments, including health service psychologists and those working in academia. A section on “essential” skills gives examples of skills critical to the successful performance of all jobs. The chapter also examines demographic characteristics with special attention to shifting trends that position psychology to better respond to population needs and characteristics of early career psychologists. Possible future trends are highlighted, including a greater role for technology, the use of applied psychology to inform real-world issues, and opportunities to address equity. The chapter concludes with resources and recommendations to engage in one’s own career exploration journey.
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