Fogarty Cheryl A, Bonebrake Robert G, Fleming Alfred D, Haynatzki Gleb
Department of Obstetrics and Gynecology, Creighton University Medical Center, Omaha, NE, USA.
Am J Obstet Gynecol. 2003 Sep;189(3):652-4. doi: 10.1067/s0002-9378(03)00880-9.
The study was undertaken to determine factors influencing a medical student's decision to choose obstetrics and gynecology (OB/GYN) versus another specialty.
Medical school graduates from 1991 to 2001 were surveyed about factors influencing their specialty choice. Data were analyzed with chi(2), logistic regression, and odds ratio where appropriate.
Of 1128 surveys, 562 (50%) were returned; 37% of respondents were women and 63% were men; and 73 (13%) chose OB/GYN. Statistically significant positive influences included student sex, second-year rotations, OB/GYN staff, continuity of patient care, primary care opportunities, surgical opportunities, healthy patient population, female patients, lifestyle, and financial opportunities.
Perceived lifestyle, primary care opportunities, and malpractice concerns did not influence the choice to enter the field of OB/GYN. Also, the perception of patient's desire for female physicians had no apparent influence, either positive or negative, in the decision process.
开展本研究以确定影响医学生选择妇产科（OB/GYN）而非其他专业的因素。
对1991年至2001年的医学院毕业生进行调查，了解影响他们专业选择的因素。在适当情况下，使用卡方检验、逻辑回归和优势比分析数据。
在1128份调查问卷中，有562份（50%）被收回；37%的受访者为女性，63%为男性；73人（13%）选择了妇产科。具有统计学意义的积极影响因素包括学生性别、二年级轮转、妇产科工作人员、患者护理的连续性、初级保健机会、手术机会、健康的患者群体、女性患者、生活方式和经济机会。
对生活方式的认知、初级保健机会和医疗事故担忧并未影响进入妇产科领域的选择。此外，患者对女医生的需求认知在决策过程中没有明显的积极或消极影响。
