Kar Sitanshu Sekhar, Ramalingam Archana, Premarajan K C, Roy Gautam
Department of Preventive and Social Medicine, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India.
Int J Prev Med. 2014 Nov;5(11):1468-74.
Inadequate attention to management and institutional reforms is an important barrier to achieving universal health coverage. Skilled and motivated public health managers in adequate numbers are an important requirement to overcome this hurdle. However, what are the career choices of medical students? Are they interested in Community Medicine and Public Health? To document the career choices of MBBS students and their perceptions toward Community Medicine as a career option.
A cross sectional survey was carried out among 226 MBBS students (III, V and VII semesters) studying in a tertiary care teaching hospital of South India during July-October 2011. A pre-tested semi-structured questionnaire was used, and information was collected on socio-demographic variables, choice of specialty and reasons for preference. Qualitative content analysis of student feedback was done by categorization and interpretation of data in terms of common themes.
Of the 226 available students, 204 (90.3%) students returned the completely filled questionnaires. Of them, 101 (49.5%) were girls. The mean (standard deviation) age of the participants was 20.13 (±1.3) years. Almost all (92.1%) wanted to pursue post-graduation in India and Internal medicine was the most preferred career choice (30.9%). The qualitative responses for opinion about Community Medicine as a career choice were interpreted under two themes; those that were favorable and those not so favorable.
There is limited preference for Community Medicine as a career choice. curriculum modification and explanation of career path after post-graduation in Community Medicine will help to generate interest in the subject.
对管理和体制改革的关注不足是实现全民健康覆盖的一个重要障碍。要有足够数量技术娴熟且积极性高的公共卫生管理人员是克服这一障碍的一项重要要求。然而，医学生的职业选择是什么呢？他们对社区医学和公共卫生感兴趣吗？旨在记录医学学士学生的职业选择及其对社区医学作为一种职业选择的看法。
2011年7月至10月期间，对在印度南部一家三级护理教学医院学习的226名医学生（第三、五和七学期）进行了横断面调查。使用了经过预测试的半结构化问卷，并收集了关于社会人口统计学变量、专业选择及偏好原因的信息。通过对数据按照共同主题进行分类和解释，对学生反馈进行了定性内容分析。
在226名可参与的学生中，204名（90.3%）学生返回了完全填写好的问卷。其中，101名（49.5%）是女生。参与者的平均（标准差）年龄为20.13（±1.3）岁。几乎所有（92.1%）学生都想在印度攻读研究生学位，内科是最受欢迎的职业选择（30.9%）。关于社区医学作为一种职业选择的定性回答按照两个主题进行了解释；那些持赞成态度的和那些不太赞成的。
作为一种职业选择，对社区医学的偏好有限。课程修改以及对社区医学研究生毕业后职业道路的解释将有助于激发对该学科的兴趣。
