Specialty choice in times of economic crisis: a cross-sectional survey of Spanish medical students.
Specialty choice in times of economic crisis: a cross-sectional survey of Spanish medical students.
复制标题
DOI：
10.1136/bmjopen-2012-002051
复制
发表时间：
2013
期刊：
影响因子：
2.9
通讯作者：
Barber P
中科院分区：
文献类型：
--
作者：
Harris JE;González López-Valcárcel B;Ortún V;Barber P
西班牙于 2008 年陷入严重且持续的经济危机，旨在调查西班牙医学毕业生专业选择的决定因素。自 2008 年以来，西班牙医学院毕业生选择家庭和社区医学 (FCM) 的比例在经历了十多年的下降后出现了逆转。 2011 年 4 月在网上进行了一项全国性横断面调查。我们邀请西班牙 27 所公立和私立医学院的所有毕业前最后一年的学生参加。受访者偏好的专业与他们对以下方面的看法有关：(1) 获得就业的可能性； （二）生活方式和工作时间； （3）患者的认可； （四）在同事中的威信； (5) 职业发展机会； （6）年薪；（7）私人执业医师报酬的比例。 978 名医学生（占全国最后一年学生人数的 25%）参加了此次活动。感知的工作可用性对专业偏好的影响最大。就业概率每增加 10%，选择某一专业的几率就会增加 33.7%（95% CI 27.2% 至 40.5%）。在决定专业选择时，工作机会的重要性是私人诊所薪酬的四倍（95% CI 1.7 至 6.8）。我们观察到生活方式和工作时间的影响存在相当大的异质性，喜欢心血管外科和妇产科等专业的学生更看重更长的工作日而不是更短的工作日。在持续的经济危机中，工作机会作为西班牙医学生专业偏好的决定因素变得至关重要。鉴于 FCM 从业人员的短缺，利用 FCM 就业机会增加的公共政策可能有助于引导医学院毕业生进入该专业。
To investigate the determinants of specialty choice among graduating medical students in Spain, a country that entered into a severe, ongoing economic crisis in 2008. Since 2008, the percentage of Spanish medical school graduates electing Family and Community Medicine (FCM) has experienced a reversal after more than a decade of decline. A nationwide cross-sectional survey conducted online in April 2011. We invited all students in their final year before graduation from each of Spain's 27 public and private medical schools to participate. Respondents’ preferred specialty in relation to their perceptions of: (1) the probability of obtaining employment; (2) lifestyle and work hours; (3) recognition by patients; (4) prestige among colleagues; (5) opportunity for professional development; (6) annual remuneration and (7) the proportion of the physician's compensation from private practice. 978 medical students (25% of the nationwide population of students in their final year) participated. Perceived job availability had the largest impact on specialty preference. Each 10% increment in the probability of obtaining employment increased the odds of preferring a specialty by 33.7% (95% CI 27.2% to 40.5%). Job availability was four times as important as compensation from private practice in determining specialty choice (95% CI 1.7 to 6.8). We observed considerable heterogeneity in the influence of lifestyle and work hours, with students who preferred such specialties as Cardiovascular Surgery and Obstetrics and Gynaecology valuing longer rather than shorter workdays. In the midst of an ongoing economic crisis, job availability has assumed critical importance as a determinant of specialty preference among Spanish medical students. In view of the shortage of practitioners of FCM, public policies that take advantage of the enhanced perceived job availability of FCM may help steer medical school graduates into this specialty.
登录
查看更多内容
DOI：
10.1016/s0149-7944(02)00679-7
发表时间：
2003-03-01
期刊：
Current surgery
影响因子：
--
作者：
Azizzadeh, Ali;McCollum, Charles H;Lucci, Anthony Jr
通讯作者：
Lucci, Anthony Jr
影响因子：
11.4
作者：
Harris, MG;Gavel, PH;Young, JR
通讯作者：
Young, JR
影响因子：
7.4
作者：
Bennett, Keisa L.;Phillips, Julie P.
通讯作者：
Phillips, Julie P.
DOI：
10.1016/j.lpm.2012.09.009
发表时间：
2013-04-01
期刊：
Presse medicale (Paris, France : 1983)
影响因子：
--
作者：
Gaucher, Sonia;Thabut, Dominique
通讯作者：
Thabut, Dominique
影响因子：
5.2
作者：
HURLEY, JE
通讯作者：
HURLEY, JE