[Medical specialty choice: what impact of teaching? Results of a survey of two medical schools].

作者: Sonia Gaucher , Dominique Thabut

DOI: 10.1016/J.LPM.2012.09.009

关键词: Medical educationMedicineFamily medicineMEDLINEGrading (education)Career choiceA determinantClinical trainingPerceived qualitySpecialtyMedical psychology

摘要: BACKGROUND Determinants of career choice are numerous. The impact teaching has not yet been reported. OBJECTIVES objectives were to assess determinants among DCEM 4 (sixth year) medical students at Paris Descartes University and Pierre-et-Marie-Curie University; determine the on choice. MATERIALS AND METHODS Prospective study based an online survey, after 2011 National Grading Examination, 865 students. Collection socio-demographic data, commonly reported specialty choice, this RESULTS Two hundred seven (24%) (67% female) answered survey. During their studies, changed mind average 3 times (range 0-10). Nearly 60% them made final during fifth year. Choices varied significantly between beginning end studies (P<0.0001), with interest in surgical pediatric careers falling (P<0.0001 p=0.0003 respectively). At time expressing mainly chosen by male (19.8% males vs. 9.9% females, P=0.04), whereas equally females (37.7% 35.5%, P=0.75). main determinant was (96% students), followed perceived quality life (56% students). Teaching a for 74% students, whom 88% influenced they received clinical training. In 42% cases, teacher did belong university corpus. 10% discouraged from (a professor 50%). DISCUSSION CONCLUSION Our results highlight both students' If is now compelled France "careers law", more than ever effective way interesting specialties which might appear less attractive. when selection candidates hospital-university publications, calls reflection evaluation these candidates' qualities.

参考文章(14)
R. S. McCain, A. R. Harris, K. McCallion, W. J. Campbell, S. J. Kirk, The barrier method as a new tool to assist in career selection: covert observational study BMJ. ,vol. 341, pp. 1294- 1295 ,(2010) , 10.1136/BMJ.C6968
Jérémie H Lefevre, Morgan Roupret, Solen Kerneis, Laurent Karila, Career choices of medical students: a national survey of 1780 students. Medical Education. ,vol. 44, pp. 603- 612 ,(2010) , 10.1111/J.1365-2923.2010.03707.X
Chandrakanth Are, Hugh A. Stoddard, Francesco Prete, Song Tianqiang, Lindsay M. Northam, Sharon Chan, Janet Lee, Pankaj Jani, Mladjan Protic, S. Venkateshwarulu, Abeezar Sarela, Jon S. Thompson, An international perspective on interest in a general surgery career among final-year medical students American Journal of Surgery. ,vol. 202, pp. 352- 356 ,(2011) , 10.1016/J.AMJSURG.2010.08.007
Taruna Bindal, David Wall, Helen M. Goodyear, Medical students’ views on selecting paediatrics as a career choice European Journal of Pediatrics. ,vol. 170, pp. 1193- 1199 ,(2011) , 10.1007/S00431-011-1467-9
Teppo Heikkilä, Harri Hyppölä, Esko Kumpusalo, Hannu Halila, Jukka Vänskä, Santero Kujala, Irma Virjo, Kari Mattila, Choosing a medical specialty--study of Finnish doctors graduating in 1977-2006. Medical Teacher. ,vol. 33, ,(2011) , 10.3109/0142159X.2011.586744
I. Scott, M. Gowans, B. Wright, F. Brenneis, S. Banner, J. Boone, Determinants of choosing a career in family medicine Canadian Medical Association Journal. ,vol. 183, ,(2011) , 10.1503/CMAJ.091805
Kathrin Kiolbassa, Antje Miksch, Katja Hermann, Andreas Loh, Joachim Szecsenyi, Stefanie Joos, Katja Goetz, Becoming a general practitioner - Which factors have most impact on career choice of medical students? BMC Family Practice. ,vol. 12, pp. 25- 25 ,(2011) , 10.1186/1471-2296-12-25
Karen E Hauer, Steven J Durning, Walter N Kernan, Mark J Fagan, Matthew Mintz, Patricia S O’Sullivan, Michael Battistone, Thomas DeFer, Michael Elnicki, Heather Harrell, Shalini Reddy, Christy K Boscardin, Mark D Schwartz, Factors associated with medical students' career choices regarding internal medicine. JAMA. ,vol. 300, pp. 1154- 1164 ,(2008) , 10.1001/JAMA.300.10.1154
Steven Alexander Kahn, Matthew Goldman, Matthew Daul, Christopher W. Lentz, The Burn Surgeon: An Endangered Species. Can Exposure in Medical School Increase Interest in Burn Surgery? Journal of Burn Care & Research. ,vol. 32, pp. 39- 45 ,(2011) , 10.1097/BCR.0B013E318204B318