Associations between medical school and career preferences in Year 1 medical students in Scotland

Associations between medical school and career preferences in Year 1 medical students in Scotland
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DOI:
10.1111/j.1365-2923.2012.04218.x
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发表时间:
2012-05-01
期刊:
影响因子:
6
通讯作者:
Needham, Gillian
Needham, Gillian
中科院分区:
教育学1区
文献类型:
--
作者:
Cleland, Jennifer;Johnston, Peter W.;Needham, Gillian

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医学生的职业偏好与他们就读的医学院之间的关系知之甚少。我们的目的是探讨这种关系早期在学生的medical training.METHODS一年级(2009-2010)在五所苏格兰医学院的医学生被邀请参加职业偏好问卷调查。调查问卷包括人口统计学因素、职业选择及影响因素。结果调查总应答率为87.9%(883/1005)。各医学院在第一选择专业方面无显著差异。外科(22.5%)、内科(19.0%)、全科(17.6%)和儿科(16.1%)是最受欢迎的职业选择。工作与生活的平衡,感知能力和技能,智力满意度和病人接触量被评为最重要的工作相关因素的大多数受访者。在工作相关因素对未来职业偏好的影响方面,学校之间几乎没有差异。工作与生活平衡非常重要的学生(优势比[OR] = 0.6)不太可能喜欢手术。学生的工作与生活的平衡(OR = 2.2)和护理的连续性(OR = 2.1)是非常重要的更有可能喜欢全科practice.Conclusions学生的早期职业偏好是相似的五所医学院。这些偏好是人口因素和各种专业的感知特征之间相互作用的结果。保持令人满意的工作与生活平衡对未来的医生来说非常重要,数据暗示,这可能会打破专业选择中的一些传统性别差异。纵向工作需要探索学生的职业偏好是否改变,因为他们通过医学院和培训的进展。
OBJECTIVES Little is known about the relationship between the career preferences of medical students and the medical schools at which they are enrolled. Our aim was to explore this relationship early in students' medical training.METHODS Year 1 (2009-2010) medical students at the five Scottish medical schools were invited to take part in a career preference questionnaire survey. Questions were asked about demographic factors, career preferences and influencing factors.RESULTS The response rate was 87.9% (883/1005). No significant differences were found among medical schools with regard to first-choice specialty. Surgery (22.5%), medicine (19.0%), general practice (17.6%) and paediatrics (16.1%) were the top career choices. Work-life balance, perceived aptitude and skills, intellectual satisfaction, and amount of patient contact were rated as the most important job-related factors by most respondents. Few differences were found among schools in terms of the impact of job-related factors on future career preferences. Students for whom the work-life balance was extremely important (odds ratio [OR] = 0.6) were less likely to prefer surgery. Students for whom the work-life balance (OR = 2.2) and continuity of care (OR = 2.1) were extremely important were more likely to prefer general practice.CONCLUSIONS Students' early career preferences were similar across the five medical schools. These preferences result from the interplay among demographic factors and the perceived characteristics of the various specialties. Maintaining a satisfactory work-life balance is very important to tomorrow's doctors, and the data hint that this may be breaking down some of the traditional gender differences in specialty choice. Longitudinal work is required to explore whether students' career preferences change as they progress through medical school and training.