Metheny W P, Blount H, Holzman G B
Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta.
Obstet Gynecol. 1991 Aug;78(2):308-12.
We surveyed senior students at 11 medical schools to identify the criteria they used in considering obstetrics and gynecology (OBG) as a career. Nearly half (49.6%) of the students responded. Their demographic characteristics compared well with national figures. Regression analyses identified 15 significant predictors of specialty choice among the 445 students who ranked OBG as one of their top four choices. More women than men chose OBG. Students attracted to the specialty liked contact with (mostly healthy) patients. They expressed strong beliefs on reproductive issues and perceived a need for more obstetrician-gynecologists. They associated their interests in operative procedures with certain risks and responsibilities. Physicians in OBG modestly affected their decision. Students who chose a different specialty wanted more variety in disease and patient mix. They wanted a more controllable life-style, particularly in residency training. They felt that the insurance costs and the risk of lawsuit detracted from OBG. These findings offer a stimulus for discussion between students and their advisors. Students need sufficient exposure to the specialty to help them assess the value they place on these specialty characteristics.
我们对11所医学院校的高年级学生进行了调查，以确定他们在考虑将妇产科作为职业时所采用的标准。近一半（49.6%）的学生做出了回应。他们的人口统计学特征与全国数据相比情况良好。回归分析在将妇产科列为前四大选择之一的445名学生中确定了15个专业选择的显著预测因素。选择妇产科的女生多于男生。被该专业吸引的学生喜欢与（大多健康的）患者接触。他们对生殖问题表达了强烈的信念，并认为需要更多的妇产科医生。他们将自己对手术操作的兴趣与特定的风险和责任联系起来。妇产科医生对他们的决定影响不大。选择其他专业的学生希望疾病种类和患者群体更多样化。他们希望有更可控的生活方式，尤其是在住院医师培训期间。他们认为保险费用和诉讼风险不利于妇产科。这些发现为学生及其导师之间的讨论提供了契机。学生需要充分了解该专业，以帮助他们评估自己对这些专业特征的重视程度。
