Tijdink J K, Soethout M B M, Koerselman G F, ten Cate Th J
Sint Lucas Andreas Ziekenhuis te Amsterdam.
Tijdschr Psychiatr. 2008;50(1):9-17.
In view of the current shortage of psychiatrists in the Netherlands it is important to find out what attracts medical students and recently qualified doctors to a career in psychiatry.
To discover what aspects of psychiatry are of interest to medical students and recently qualified doctors and to determine what interest profile is suited to the practice of psychiatry.
Medical students and recently qualified doctors from the Free University medical school in Amsterdam and from Utrecht University medical school completed a questionnaire which investigated why certain specialisms, including psychiatry, were chosen as future careers, and which also examined the appeal of 47 aspects of a career in medicine.
About 30% of the students expressed an interest in becoming psychiatrist. The interest was slightly greater among first-year students but decreased in the course of their medical training. About 6% of recently qualified doctors actually work in psychiatry and a larger percentage want to become psychiatrist in five years' time. The interest profile of persons interested in psychiatry differs from that of persons not interested in psychiatry and is different for men and women.
The interest of students in a career in psychiatry decreases in the course of their medical training. This is in keeping with the general decrease in interest in any other career in medicine and probably reflects the current increasing focus on only one single medical specialism. The interest profile of persons interested in a career in psychiatry lies more in the communicative and psychosocial sphere and is focused in relationships that develop during long-term treatment rather than on medical-technical aspects. After qualifying as doctors, women with an interest in psychiatry often develop an interest in improvisation, diagnostics and pharmacotherapy.
鉴于荷兰目前精神科医生短缺,弄清楚是什么吸引医学生和刚获得资格的医生投身精神科事业很重要。
了解医学生和刚获得资格的医生对精神科的哪些方面感兴趣,并确定何种兴趣特征适合从事精神科工作。
来自阿姆斯特丹自由大学医学院和乌得勒支大学医学院的医学生和刚获得资格的医生完成了一份问卷,该问卷调查了为何选择包括精神科在内的某些专业作为未来职业,还考察了医学职业47个方面的吸引力。
约30%的学生表示有兴趣成为精神科医生。一年级学生中的兴趣略高,但在医学培训过程中有所下降。约6%的刚获得资格的医生实际从事精神科工作,更大比例的人希望在五年内成为精神科医生。对精神科感兴趣的人与不感兴趣的人在兴趣特征上有所不同,且男女之间也存在差异。
医学生对精神科职业的兴趣在医学培训过程中下降。这与对医学其他任何职业兴趣的普遍下降一致,可能反映了当前对单一医学专业的日益关注。对精神科职业感兴趣的人的兴趣特征更多地在于交流和社会心理领域,集中在长期治疗过程中发展的关系上,而非医学技术方面。在获得医生资格后,对精神科感兴趣的女性往往会对即兴发挥、诊断和药物治疗产生兴趣。