The role of different educational programs in specialty preference among Chinese medical students: a cross-sectional study.
The role of different educational programs in specialty preference among Chinese medical students: a cross-sectional study.
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DOI：
10.1186/s12909-023-04701-7
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发表时间：
2023-09-28
影响因子：
3.6
通讯作者：
Deng, Xiaoqian
中科院分区：
文献类型：
--
作者：
Wang, Shuangwen;Deng, Xiaoqian
不同专业中医生供应不平衡以及中国的年轻医生数量减少使了解专业偏好和有影响力的因素以及评估不同计划在中国医学生中的特殊选择和职业计划中的作用，以帮助塑造社会医疗保健系统，并确保每个专业中有足够的医生。
在网上完成了5年和8年计划的横断面研究。在每个计划中，以确定影响因素与每个专业之间的关联。
共有128名学生（57.03％5年，42.97％8年）对我们的调查做出了回应。 ）。麻醉学与5年的学生相比，更多的8年学生认为“个人能力”（66.67％对40.85％，p <0.05），“专业审查”（18.52％ ，“医生较少”（27.78％vs. 11.27％，p <0.05）和“家庭成员的建议”（24.07％vs. 7.04％，p <0.05），在5年的学生中。 “个人能力”与对手术的偏好有着积极的联系，“工作与生活平衡”是否定的，在8年的学生中，“个人能力”和“工作与生活平衡”与内科有积极的联系专业和“广泛的职业前景”是负相关的。
5年学生和8年学生在专业偏好方面没有差异，但是由于现实情况的影响而存在偏见，因此可能会改善工作环境。在不同的医疗部门中，医学院必须相应地制定计划，以帮助他们更好地计划未来的职业。
The imbalanced supply of physicians in different specialties and the decreasing number of young doctors in China have made it important to understand specialty preference and influencing factors and to evaluate the role of different programs in specialty choice and career planning among Chinese medical students to help shape the social healthcare system and ensure adequate medical practitioners in each specialty. A cross-sectional study comprising medical students from 5-year and 8-year program was conducted online. Demographics, specialty preferences and influencing factors, and career planning situations were collected and analysed by the chi-square test. Binary logistic regression analysis was performed in each program to identify the association between influencing factors and each specialty. A total of 128 students (57.03% 5-year, 42.97% 8-year) responded to our survey. More 8-year students had a doctor in their household than 5-year students (25.45% vs. 10.96%, p < 0.05). The most preferred specialty among 5-year students was surgery, followed by others and internal medicine, while that most preferred by 8-year students was surgery, followed by internal medicine, obstetrics/gynecology and anesthesiology. Compared with 5-year students, more 8-year students considered ‘personal competencies’ (66.67% vs. 40.85%, p < 0.05), ‘the reputation of the specialty’ (18.52% vs. 7.04%, p ≤ 0.05), ‘fewer doctor‒patient disputes’ (27.78% vs. 11.27%, p < 0.05) and ‘advice from family members’ (24.07% vs. 7.04%, p < 0.05) influential. Among 5-year students, ‘personal competencies’ was positively associated with preference for surgery and ‘work-life balance’ was negatively associated. Among 8-year students, ‘personal competencies’ and ‘work-life balance’ were positively associated with internal medicine, while ‘interests in the specialty’ and ‘broad career prospects’ were negatively related. Many students need further career guidance, and personalized tutoring was the most wanted method. There was no difference between 5-year and 8-year students regarding specialty preference, but bias existed, possibly due to the influence of the real-world situation. Improving the working environment and welfare might be beneficial for developing a balanced distribution of the workforce among different medical departments. It is necessary for medical schools to develop programs accordingly to help them better plan their future careers.
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