Career choices of medical students: a national survey of 1780 students.

作者: Jérémie H Lefevre , Morgan Roupret , Solen Kerneis , Laurent Karila

DOI: 10.1111/J.1365-2923.2010.03707.X

关键词:

摘要: OBJECTIVES Many factors influence the career specialty decisions made by medical students. The aim of this study was to broaden consideration determinants choice in a large population students their sixth year study. METHODS A total 2588 distributed across all 39 schools France participated National Practice Examination December 2008, after which an electronic questionnaire administered. Study criteria were: characteristics; demographics, and motivation for drawbacks choice. RESULTS 1780 (1111 women, 62%) responded (69% response rate). mean age respondents 23.8 years (22-35 years). Of these, 1555 (87%) stated preferred specialty. Surgical specialties were two selected most frequently (n = 729, 47%). General practice chosen 20%. Gender influenced specialty: 88% future paediatricians, 82% gynaecologists 77% general practitioners (GPs) women (p < 0.05). Main motivating included interesting diseases, opportunities private patient contact. limiting other poor quality life, exclusively hospital-based loss criterion associated with significant differences or discouragement from career. Patient contact significantly highlighted GPs compared opting surgical 0.0001). CONCLUSIONS Students' choices regarding result interplay among several factors. Career interest is particularly low. Initiatives address affecting student less favoured deal growing feminisation profession, will lead irreversible changes clinical practice, are required.

参考文章(26)
Dante J Morra, Glenn Regehr, Shiphra Ginsburg, Medical students, money, and career selection: students' perception of financial factors and remuneration in family medicine. Family Medicine. ,vol. 41, pp. 105- 110 ,(2009)
D. T. Jamison, GLOBAL HEALTH: WHO Ranking of Health System Performance Science. ,vol. 293, pp. 1595- 1596 ,(2001) , 10.1126/SCIENCE.1059029
Brian McKinstry, Iain Colthart, Katy Elliott, Colin Hunter, The feminization of the medical work force, implications for Scottish primary care: a survey of Scottish general practitioners BMC Health Services Research. ,vol. 6, pp. 56- 56 ,(2006) , 10.1186/1472-6963-6-56
Karen R. Borman, Laura R. Vick, Thomas W. Biester, Marc E. Mitchell, Changing Demographics of Residents Choosing Fellowships: Longterm Data from The American Board of Surgery Journal of the American College of Surgeons. ,vol. 206, pp. 782- 788 ,(2008) , 10.1016/J.JAMCOLLSURG.2007.12.012
E Ray Dorsey, David Jarjoura, Gregory W. Rutecki, The influence of controllable lifestyle and sex on the specialty choices of graduating U.S. medical students, 1996-2003. Academic Medicine. ,vol. 80, pp. 791- 796 ,(2005) , 10.1097/00001888-200509000-00002
Mark D. Schwartz, Medical Student Interest in Internal Medicine Annals of Internal Medicine. ,vol. 114, pp. 6- 15 ,(1991) , 10.7326/0003-4819-114-1-6
Nancy Baxter, Robert Cohen, Robin McLeod, The impact of gender on the choice of surgery as a career American Journal of Surgery. ,vol. 172, pp. 373- 376 ,(1996) , 10.1016/S0002-9610(96)00185-7
Ian M Scott, Bruce J Wright, Fraser R Brenneis, Margot C Gowans, Whether or wither some specialties: a survey of Canadian medical student career interest BMC Medical Education. ,vol. 9, pp. 57- 57 ,(2009) , 10.1186/1472-6920-9-57
William M. Zinn, Amy M. Sullivan, Natasha Zotov, Antoinette S. Peters, Maureen T. Connelly, Judith D. Singer, Susan D. Block, The effect of medical education on primary care orientation: results of two national surveys of students' and residents' perspectives. Academic Medicine. ,vol. 76, pp. 355- 365 ,(2001) , 10.1097/00001888-200104000-00014