Heikkilä Teppo J, Hyppölä Harri, Vänskä Jukka, Halila Hannu, Kujala Santero, Virjo Irma, Sumanen Markku, Kosunen Elise, Mattila Kari
Unit of Primary Health Care, Hospital District of Northern Savo, P.O. Box 1777, FI 70211, Kuopio, Finland.
Emergency Department, Kuopio University Hospital, P.O. Box 1777, FI 70211, Kuopio, Finland.
BMC Med Educ. 2016 Apr 26;16:125. doi: 10.1186/s12909-016-0643-z.
In Finland the number of medical specialists varies between specialties and regions. More regulation of the post-graduate medical training is planned. Therefore, it is important to clarify what predicts doctors' satisfaction with their chosen specialty.
A random sample contained 50% of all Finnish doctors under 70 years of age. The respose rate was 50.5%. Working-age specialists were asked to value their motives when choosing a specialty. They were also asked if they would choose the same specialty again. The odds ratios for not choosing the same specialty again were tested.
Diversity of work was the most important motive (74% of respondents). Seventeen percent of GPs would not choose the same specialty again, compared to 2% of ophthalmologists and 4% of pediatricians. A major role of Diversity of work and Prestigious field correlated with satisfaction whereas Chance with dissatisfaction with the specialty.
Motives and issues related to the work and training best correlate with satisfaction with the specialty.
When the numbers of Finnish postgraduate medical training posts become regulated, a renewed focus should be given to finding the most suitable speciality for each doctor. Information about employment and career advice should play an important role in this.
在芬兰，医学专科医生的数量因专业和地区而异。计划对毕业后医学培训进行更多规范。因此，明确是什么因素预测医生对所选专业的满意度很重要。
随机样本包含所有70岁以下芬兰医生的50%。回复率为50.5%。要求在职专科医生评估他们选择专业时的动机。还询问他们是否会再次选择相同的专业。对不再选择相同专业的优势比进行了测试。
工作多样性是最重要的动机（74%的受访者）。17%的全科医生不会再次选择相同的专业，相比之下，眼科医生为2%，儿科医生为4%。工作多样性和有声望的领域与满意度相关，而机会则与对专业的不满相关。
与工作和培训相关的动机及问题与对专业的满意度关联最大。
当芬兰毕业后医学培训岗位数量得到规范时，应重新关注为每位医生找到最合适的专业。就业信息和职业建议应在其中发挥重要作用。
