Reducing the physician workforce crisis: Career choice and graduate medical education reform in an emerging Arab country.
Reducing the physician workforce crisis: Career choice and graduate medical education reform in an emerging Arab country.
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DOI：
10.4103/1357-6283.188716
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发表时间：
2016-05-01
期刊：
影响因子：
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通讯作者：
El-Zubeir, Margaret
中科院分区：
文献类型：
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作者：
Ibrahim, Halah;Nair, Satish Chandrasekhar;El-Zubeir, Margaret
背景：在当今相互依存的世界中，医生短缺、技能失衡和分配不均的问题影响着所有国家。在阿拉伯联合酋长国(阿联酋)，一个历史上一直输入医生人力的国家，在教育基础设施方面进行了持续的投资，以满足民众的医疗需求。然而，政策制定和劳动力规划经常受到关于受训医生职业选择的有限数据的阻碍。这项研究的目的是确定阿联酋研究生培训项目申请者的专业职业选择以及影响他们决定的因素，以努力为教育和卫生政策改革提供参考。据我们所知，这是第一次对阿联酋居留申请者的职业偏好进行研究。方法：2013年所有申请阿联酋居留计划的申请者都接受了一份电子问卷，其中收集了人口统计数据、专业偏好和影响他们选择的因素。结果：在512名申请者中，有378人参与(74%)。最受欢迎的住院医师项目包括内科、儿科、急诊和家庭医学。不同的临床经验、医院的学术声誉和国际认证是职业选择的主要决定因素。潜在的未来收入不是一个重要的贡献因素。讨论：申请阿联酋居住项目的人主要选择初级保健职业，产科除外。这项研究的结果可以作为整个医学教育过程中课程和政策变化的跳板，最终目标是培养能够满足国家医疗需求的未来几代初级保健临床医生。由于65%的受访者在阿联酋以外的医学院接受培训，我们的结果可能表明整个阿拉伯世界国家的医学生职业选择。
BACKGROUND: In today's interdependent world, issues of physician shortages, skill imbalances and maldistribution affect all countries. In the United Arab Emirates (UAE), a nation that has historically imported its physician manpower, there is sustained investment in educational infrastructure to meet the population's healthcare needs. However, policy development and workforce planning are often hampered by limited data regarding the career choice of physicians-in-training. The purpose of this study was to determine the specialty career choice of applicants to postgraduate training programs in the UAE and factors that influence their decisions, in an effort to inform educational and health policy reform. To our knowledge, this is the first study of career preferences for UAE residency applicants.METHODS: All applicants to residency programs in the UAE in 2013 were given an electronic questionnaire, which collected demographic data, specialty preference, and factors that affected their choice. Differences were calculated using the t-test statistic.RESULTS: Of 512 applicants, 378 participated (74%). The most preferred residency programs included internal medicine, pediatrics, emergency medicine and family medicine. A variety of clinical experience, academic reputation of the hospital, and international accreditation were leading determinants of career choice. Potential future income was not a significant contributing factor.DISCUSSION: Applicants to UAE residency programs predominantly selected primary care careers, with the exception of obstetrics. The results of this study can serve as a springboard for curricular and policy changes throughout the continuum of medical education, with the ultimate goal of training future generations of primary care clinicians who can meet the country's healthcare needs. As 65% of respondents trained in medical schools outside of the UAE, our results may be indicative of medical student career choice in countries throughout the Arab world.