Maron Bradley A, Fein Steven, Maron Barry J, Hillel Alexander T, El Baghdadi Mariam M, Rodenhauser Paul
Psychiatry Department, Tulane University School of Medicine, New Orleans, Louisiana (B. A. Maron, Fein, Hillel, El Baghdadi, Rodenhauser); and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota (B. J. Maron).
Proc (Bayl Univ Med Cent). 2007 Jan;20(1):22-6. doi: 10.1080/08998280.2007.11928228.
Medical practice encompasses a diverse spectrum of specialties. Factors that impact selection of clinical disciplines by young physicians may have recently evolved associated with changes in medical school demographics. We assessed whether physicians gravitate to certain practice specialties due to preexisting personality traits. The Neuroticism-Extraversion-Openness Personality Inventory Revised Test was administered prospectively to 130 first-year students the week before they began medical school. Scores for five traits (neuroticism, extraversion, openness, agreeableness, conscientiousness) were compared with the selection among nine medical residencies at the conclusion of medical school. Personality scores for medical students selecting psychiatry residencies showed greater degrees of neuroticism (P < 0.01) and openness (P < 0.03). Students electing family practice also deviated from other specialties, showing a lower degree of neuroticism (P < 0.03). Unexpectedly, personality traits in prospective surgical residents did not differ from those of students choosing nonsurgical residencies. Personality profiles present before medical school appear to predict the selection of some residencies and clinical specialties but not others.
医学实践涵盖了各种各样的专业领域。年轻医生选择临床学科的影响因素可能随着医学院校人口统计学的变化而有所演变。我们评估了医生是否会因为先前存在的人格特质而倾向于某些执业专业。在130名一年级学生开始医学院学习的前一周，前瞻性地对他们进行了修订版的神经质-外向性-开放性人格量表测试。将五个特质（神经质、外向性、开放性、宜人性、尽责性）的得分与医学院校毕业时九个医学住院医师培训项目的选择情况进行了比较。选择精神病学住院医师培训项目的医学生的人格得分显示出更高程度的神经质（P < 0.01）和开放性（P < 0.03）。选择家庭医学的学生也与其他专业不同，表现出较低程度的神经质（P < 0.03）。出乎意料的是，未来外科住院医师的人格特质与选择非外科住院医师培训项目的学生没有差异。医学院校学习之前的人格特征似乎可以预测某些住院医师培训项目和临床专业的选择，但不能预测其他项目和专业的选择。
