Wright State University Boonshoft School of Medicine, Dayton, OH 45401-0927, USA.
Med Teach. 2009 Dec;31(12):1086-8. doi: 10.3109/01421590903183787.
Given changing trends in specialty choices among medical students coupled with continued challenges associated with medical specialty decision-making, it is important for medical educators to understand how students make decisions about their medical career. Medical educators should be aware of how medical school-based experiences and interactions such as faculty, courses, and services impact students' specialty choices and decisions.
The study determined if differences in influences on specialty decision-making exist for students entering person-oriented specialties versus technique-oriented specialties.
Three hundred and fifty-six fourth-year medical students completed a questionnaire about how the faculty, curriculum, student services, mentoring and professional development programs, lifestyle considerations, family/friends, and other factors influenced their choice of specialty.
Chi-square analyses indicated that students pursuing person-oriented specialties compared to technique-oriented specialties were moderately more likely to be influenced by their personal physician, by school faculty, and by medical school activities; slightly more likely to be influenced by medical school offices and services; and slightly less likely to be influenced by income expectations.
Students interested in person-oriented specialties versus technique-oriented specialties indicate differences in what influences their specialty choice. This study may be helpful to medical educators and advisors who work with students on specialty decision-making.
考虑到医学生专业选择的变化趋势,以及与医学专业决策相关的持续挑战,医学教育工作者了解学生如何做出医学职业决策非常重要。医学教育工作者应该意识到,学校的经历和师生互动,如教师、课程和服务,如何影响学生的专业选择和决策。
本研究旨在确定对于选择以人为中心的专业和以技术为中心的专业的医学生来说,专业决策的影响因素是否存在差异。
356 名四年级医学生完成了一份关于教师、课程、学生服务、指导和职业发展计划、生活方式考虑、家庭/朋友以及其他因素如何影响他们的专业选择的问卷。
卡方分析表明,与选择以技术为中心的专业的学生相比,选择以人为中心的专业的学生更有可能受到他们的私人医生、学校教师和医学院活动的影响;他们受到医学院办公室和服务的影响略大;而受到收入预期的影响略小。
对以人为中心的专业和以技术为中心的专业感兴趣的学生表示,影响他们专业选择的因素存在差异。这项研究可能对从事学生专业决策的医学教育工作者和顾问有帮助。