Factors affecting choice of specialty among first-year medical students of four universities in different regions of Turkey
Factors affecting choice of specialty among first-year medical students of four universities in different regions of Turkey
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DOI：
10.3325/cmj.2008.3.415
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发表时间：
2008-06-01
影响因子：
1.9
通讯作者：
Gorpelioglu, Suleyman
中科院分区：
文献类型：
--
作者：
Dikici, Mustafa Fevzi;Yaris, Fusun;Gorpelioglu, Suleyman
目的确定影响医学生选择家庭医学专业的因素。方法本研究于2004-2006年进行，包括来自土耳其Ondokuz Mayis大学、Karadeniz技术大学、Kocaeli大学和Adnan Menderes大学的770名一年级医学生。问卷内容包括一般人口学资料和6个“是/否”或开放式问题，涉及学生的职业理想和家庭医学专业。几乎所有的学生（n = 714，99.6%）显示出意向后，收到医学博士学位的专业化。共有187名学生（26.2%）表示打算在初级保健工作，而不是专业化的“临时”，以“获得一些经验。“家庭医学是最不受欢迎的专业（n = 7，0.9%）。选择专科的最重要原因是“更好的经济机会”和“声望”（n = 219，30.5%），其次是“个人发展”（n = 149，20.8%），“对患者更有利”（n = 128，17.9%）和“希望在城市地区工作”（n = 32，4.5%）。最喜欢的专业是心脏病学（n = 179，25.0%），儿科（n = 121，16.9%），眼科（n = 47，6.6%），物理治疗和康复（n = 34，4.7%），妇产科结论声望、金钱和个人发展是土耳其医学生职业决策的重要因素。在进行基层改革时应考虑到这一点。
Aim To determine the factors affecting medical students' choice of the specialty of family medicine.Methods The study was conducted in the period from 2004-2006 and comprised 770 first-year medical students from Ondokuz Mayis, Karadeniz Technical, Kocaeli, and Adnan Menderes Universities, Turkey. The questionnaire included questions on demographic data and 6 "yes/no" or open-ended questions on students' career aspirations and the specialty of family medicine.Results The response rate was 93.1% (n = 717, 54.7% male). Nearly all students (n = 714, 99.6%) showed an intention to specialize after receiving the medical doctor degree. A total of 187 students (26.2%) showed an intention to work in primary care without specialization "for a temporary period" to "gain some experience." Family medicine was the least preferred specialty (n = 7, 0.9%). The most important reasons for the choice of specialty were "better financial opportunities" and "prestige" (n = 219, 30.5%), followed by "personal development" (n = 149, 20.8%), "more benefits for the patient" (n = 128, 17.9%), and "wish to work in an urban area" (n = 32, 4.5%). The most preferred specialties were cardiology (n = 179, 25.0%), pediatrics (n = 121, 16.9%), ophthalmology (n = 47, 6.6%), physical therapy and rehabilitation (n = 34, 4.7%), and obstetrics and gynecology (n = 32, 4.5%).Conclusion Prestige, money, and personal development are important factors in career decision-making among medical students in Turkey. This should be taken into consideration when conducting reforms at the primary level.