Dupuis Sébastien, Martel Alexis, Arfa Taha, Valma Joannah, Williamson David R, Perreault Marc M
PharmD, MSc, is with the Faculté de pharmacie, Université de Montréal, and the Pharmacy Department, Hôpital du Sacré-Coeur de Montréal, Montréal, Quebec.
PharmD, is with the Pharmacy Vandergoten and Zaccara, Saint-Eustache, Quebec.
Can J Hosp Pharm. 2016 May-Jun;69(3):209-15. doi: 10.4212/cjhp.v69i3.1557. Epub 2016 Jun 30.
The Canadian Society of Hospital Pharmacists promotes the recruitment of residency-trained pharmacists for work in hospitals and related health care settings. However, Quebec hospitals are still hiring non-residency trained pharmacists, in part because of a severe shortage of hospital pharmacists. To date, no studies have examined the factors influencing the career choices of fourth-year pharmacy students in Canada.
To identify motivating factors and barriers influencing students' decision to pursue a hospital pharmacy residency.
All 186 fourth-year students in the Faculty of Pharmacy, Université de Montréal, were invited by e-mail to participate in a validated and institutionally approved survey that was available online between March and May 2014.
Of the 138 respondents who returned a completed survey (74% response rate), 36 (26%) planned to apply for a hospital pharmacy residency. Those planning to apply for a residency were older (p = 0.037) and had more hospital work experience (36% versus 3%, p < 0.001) than those not planning to apply. The most important motivators for pursuing a residency were potential gains in knowledge (reported by 88% of respondents, whether or not they were planning to pursue a residency), experience (80%), and self-confidence (62%). The most frequently reported barriers were recognition that a hospital pharmacy residency is a highly demanding program (65%), having work available upon graduation from the undergraduate program (43%), and financial obligations (34%). Hospital experiential rotations influenced, either positively or negatively, 23 (72%) of the 32 students who changed their decision to pursue or not pursue residency training over the course of their studies.
The potential gain in knowledge and experience acquired through residency, the fact that it is considered a highly demanding program, and having work available upon graduation from undergraduate studies were the most influential factors in fourth-year pharmacy students' decision of whether to pursue a hospital pharmacy residency.
加拿大医院药剂师协会推动招聘经过住院医师培训的药剂师到医院及相关医疗保健机构工作。然而，魁北克的医院仍在招聘未经过住院医师培训的药剂师，部分原因是医院药剂师严重短缺。迄今为止，尚无研究探讨影响加拿大四年级药学专业学生职业选择的因素。
确定影响学生决定攻读医院药房住院医师培训的激励因素和障碍。
通过电子邮件邀请蒙特利尔大学药学院的所有186名四年级学生参与一项经过验证且经机构批准的调查，该调查于2014年3月至5月在线提供。
在138名返回完整调查问卷的受访者中（回复率为74%），36人（26%）计划申请医院药房住院医师培训。计划申请住院医师培训的学生比不打算申请的学生年龄更大（p = 0.037），且有更多医院工作经验（分别为36%和3%，p < 0.001）。攻读住院医师培训的最重要激励因素是知识的潜在收获（88%的受访者表示，无论他们是否计划攻读住院医师培训）、经验（80%）和自信心（62%）。最常提到的障碍是认识到医院药房住院医师培训是一个要求很高的项目（65%）、本科毕业后有工作机会（43%）以及经济负担（34%）。医院实习轮转对32名在学习过程中改变是否攻读住院医师培训决定的学生中的23人（72%）产生了积极或消极的影响。
通过住院医师培训获得知识和经验的潜在收获、该培训被认为是一个要求很高的项目这一事实，以及本科毕业后有工作机会，是四年级药学专业学生决定是否攻读医院药房住院医师培训的最有影响力的因素。
