Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, South Kargar Avenue, Tehran, Iran.
Arch Iran Med. 2010 Nov;13(6):509-15.
The purpose of this study was to determine career preferences of medical students at the time of entering medical school compared with interns who were graduating; and to determine what factors influence the choice of a special discipline as a career.
A cross-sectional, questionnaire-based survey study involving freshmen and interns at Tehran University of Medical Sciences was conducted in 2006 - 2007. Respondents anonymously completed a specialties questionnaire developed by Feifel et al. The questionnaire was translated into Persian (Farsi) and several items were modified based on the circumstances.
The response rate was 91 (73%) among freshmen and 137 (77%) among interns. Forty-six freshman students (50%) and 71 interns (51.8%) indicated that they had not developed a strong decision about any particular field of medicine and needed more time. The preferred specialties among freshmen were surgery and internal medicine; whereas graduating students were more interested in "other specialties". There was no significant difference between pediatrics, gynecology, psychiatry, and general practice among the two groups. There was a significant difference in rating when it came to "anticipated income", "prestige" and "helping patients" of which interns were less interested compared to freshmen in these three areas.
Approximately one-half of the medical students were unclear about their future goals. The experience of medical school may play a role in diminishing students' interest in surgery and internal medicine as prospective careers.
本研究旨在比较医学生入学时与即将毕业的实习医生的职业偏好，并确定影响选择专业作为职业的因素。
2006 年至 2007 年，我们在德黑兰医科大学进行了一项横断面、基于问卷的调查研究，涉及新生和实习生。受访者匿名填写了由 Feifel 等人开发的专业问卷。问卷被翻译成波斯语（法尔西语），并根据情况修改了几个项目。
新生的应答率为 91 名（73%），实习医生的应答率为 137 名（77%）。46 名新生（50%）和 71 名实习医生（51.8%）表示，他们对任何特定的医学领域都没有做出强烈的决定，需要更多的时间。新生首选的专业是外科和内科；而即将毕业的学生对“其他专业”更感兴趣。在儿科、妇科、精神病学和全科医学方面，两组之间没有显著差异。在“预期收入”、“声望”和“帮助患者”方面，实习医生的评分明显低于新生，这三个方面他们的兴趣较低。
大约一半的医学生对自己的未来目标还不清楚。医学学校的经历可能在减少学生对手术和内科作为潜在职业的兴趣方面发挥作用。
