Medical specialty considerations by medical students early in their clinical experience.
Medical specialty considerations by medical students early in their clinical experience.
复制标题
DOI：
10.1186/2045-4015-1-13
复制
发表时间：
2012-03-12
影响因子：
4.5
通讯作者：
Tandeter H
中科院分区：
文献类型：
--
作者：
Weissman C;Zisk-Rony RY;Schroeder JE;Weiss YG;Avidan A;Elchalal U;Tandeter H
医学生的专业选择决定了未来医师队伍的构成。在临床轮转期间，通过接触不同专业的临床和知识环境，认真地开始职业专业的选择。职业专业选择之后是住院医师项目选择。在这个时期，对决策过程的洞察可能有助于医疗保健领导者确定是否、何时以及如何干预并试图影响学生的决定。在临床轮转的早期阶段，学生在选择专业和住院医师计划时考虑的重要标准进行了检查。向以色列两所医学院的五年级医学生分发调查问卷。275份问卷中有229份（83%）被收回。80%的学生考虑过专业；62%的人考虑一个专业，25%的人考虑两个专业，其余的人考虑3-5个专业。学生眼光长远；55%的人认为住院后的工作条件比住院期间更重要，另有42%的人认为两者同样重要。超过三分之二的人想要一个有趣和具有挑战性的床边专业，以控制生活方式，并提供工资和生活方式之间的合理关系。男性更感兴趣的是报酬丰厚、允许私人执业的以手术为导向的专业。大多数学生认为选择一个具有挑战性和有趣的住院医师项目很重要，其特点是工作人员之间关系良好，机构积极对待，并且提供了很多教学。更多的女性想要短期实习，很少随叫随到，工作时间有限。更多的男性被认为是重要的住院医师，在做出临床决定和提供研究机会方面承担了更多的责任。超过50%的学生认为在一流的院系和大型大学医疗中心实习很重要。只有5%的人认为在该国的外围地区进行住院治疗很重要，而30%的人表示对在该国的中心地区进行住院治疗感兴趣。六年制医学院的第五年是为学生提供各种专业的信息和指导以及选择住院医师计划的好时机，因为他们开始巩固对各种专业的看法和想法。本研究旨在推动医学教育工作者和医疗保健领导者对学生的职业选择产生兴趣。
Specialty selection by medical students determines the future composition of the physician workforce. Selection of career specialties begins in earnest during the clinical rotations with exposure to the clinical and intellectual environments of various specialties. Career specialty selection is followed by choosing a residency program. This is the period where insight into the decision process might help healthcare leaders ascertain whether, when, and how to intervene and attempt to influence students' decisions. The criteria students consider important in selecting a specialty and a residency program during the early phases of their clinical rotations were examined. Questionnaires distributed to fifth-year medical students at two Israeli medical schools. 229 of 275 (83%) questionnaires were returned. 80% of the students had considered specialties; 62% considered one specialty, 25% two, the remainder 3-5 specialties. Students took a long-range view; 55% considered working conditions after residency more important than those during residency, another 42% considered both equally important. More than two-thirds wanted an interesting and challenging bedside specialty affording control over lifestyle and providing a reasonable relationship between salary and lifestyle. Men were more interested in well-remunerated procedure-oriented specialties that allowed for private practice. Most students rated as important selecting a challenging and interesting residency program characterized by good relationships between staff members, with positive treatment by the institution, and that provided much teaching. More women wanted short residencies with few on-calls and limited hours. More men rated as important residencies affording much responsibility for making clinical decisions and providing research opportunities. More than 50% of the students considered it important that their residency be in a leading department, and in a large university medical center. Only 5% considered it important to do their residency in the country's peripheral areas, while 30% reported interest in a residency in the country's center. The fifth year of a six-year medical school is an opportune time to provide students with information and guidance on the various specialties and selecting a residency program as they begin to solidify their perceptions and ideas about the various specialties. This study serves as an impetus to medical educators and healthcare leaders to become interested in students' career selection.
登录
查看更多内容
影响因子：
1.9
作者：
Dikici, Mustafa Fevzi;Yaris, Fusun;Gorpelioglu, Suleyman
通讯作者：
Gorpelioglu, Suleyman
影响因子：
3.6
作者：
Scott IM;Wright BJ;Brenneis FR;Gowans MC
通讯作者：
Gowans MC
影响因子：
4.1
作者：
Benzil, Deborah L.;Abosch, Aviva;Zusman, Edie
通讯作者：
Zusman, Edie
影响因子：
5.4
作者：
SHYE, D
通讯作者：
SHYE, D
影响因子：
2.5
作者：
Davydow, Dimitry;Bienvenu, O. Joseph;Swartz, Karen
通讯作者：
Swartz, Karen