Roubidoux Marilyn A, Packer Marie M, Applegate Kimberly E, Aben Gerald
Department of Radiology, University of Michigan Health System, Ann Arbor, MI 48109, USA.
J Am Coll Radiol. 2009 Apr;6(4):246-53. doi: 10.1016/j.jacr.2008.11.014.
Women are underrepresented in radiology. The aim of this study was to measure first-year medical students' level of interest in radiology and their attitudes toward factors that could affect residency specialty choices to further understand how to recruit women into radiology careers.
First-year medical students were administered surveys before and after a 7-week required introductory radiology course. Students rated interest in radiology on a scale ranging from 0 to 10 (low to high). Ten factors that could affect residency choice ("competitive residency," "shorter residency," "role models," "more jobs," "above average income," "flexible work hours," "work is technological," "work is visual," "intellectual challenge," and "more patient contact") were each rated as negative, neutral, or positive. Correlations between level of interest in radiology and the 10 factors were analyzed using Spearman's coefficients.
The mean levels of interest in radiology were 4.5 for men and 4.0 for women (P = .38) among 116 precourse respondents and 5.2 for men and 4.3 for women (P = .11) among 80 postcourse respondents. The factors most frequently rated as having a positive impact on residency choice were "flexible work hours," "intellectual challenge," "role models," and "more patient contact." Compared with men, women less frequently rated "work is technological" (20% vs 43%; P = .0002) and "work is visual" (50% vs 72%; P = .03) as having a positive impact and more frequently rated "more patient contact" (89% vs 77%; P = .02) as having a positive impact. For women, the strongest correlation between level of interest in radiology and the 10 factors was for "role models" (correlation coefficient = .30, P = .03).
Interest in radiology did not differ by gender. Opportunities in radiology for flexible hours, intellectual challenge, patient care, and mentoring should be promoted early in medical education to female students to maintain and increase their interest in radiology.
放射科领域女性从业者占比过低。本研究旨在衡量一年级医学生对放射科的兴趣水平以及他们对可能影响住院医师专业选择因素的态度,以进一步了解如何吸引女性投身放射科职业。
在为期7周的放射科必修入门课程前后,对一年级医学生进行问卷调查。学生们对放射科的兴趣按0至10分进行评分(分数越低兴趣越低,分数越高兴趣越高)。对可能影响住院医师选择的10个因素(“竞争激烈的住院医师项目”“住院医师培训时间较短”“榜样”“工作岗位更多”“收入高于平均水平”“工作时间灵活”“工作具有技术性”“工作具有可视性”“智力挑战”以及“与患者接触更多”)分别评定为负面、中性或正面。使用斯皮尔曼系数分析对放射科的兴趣水平与这10个因素之间的相关性。
在116名课程开始前的受访者中,男性对放射科的平均兴趣水平为4.5分,女性为4.0分(P = 0.38);在80名课程结束后的受访者中,男性为5.2分,女性为4.3分(P = 0.11)。被认为对住院医师选择有积极影响的因素中,出现频率最高的是“工作时间灵活”“智力挑战因素”“榜样”以及“与患者接触更多”。与男性相比,女性较少认为“工作具有技术性”(20% 对43%;P = 0.0002)和“工作具有可视性”(50% 对72%;P = 0.03)有积极影响,而更多认为“与患者接触更多”(89% 对77%;P = 0.02)有积极影响。对女性而言,对放射科的兴趣水平与这10个因素之间最强的相关性在于“榜样”(相关系数 = 0.30,P = 0.03)。
对放射科的兴趣不存在性别差异。应在医学教育早期向女学生宣传放射科在工作时间灵活性、智力挑战、患者护理以及指导方面的机会,以维持并提高她们对放射科的兴趣。