Nieman L Z, Holbert D, Bremer C C, Nieman L J
Office of Medical Education, Medical College of Pennsylvania, Philadelphia.
Fam Med. 1989 Sep-Oct;21(5):359-63.
Medical Students who are deciding which specialty to enter sometimes do not choose the one they actually prefer. The purposes of this study were to compare specialty preferences of students with their choices, as well as to identify the factors on which decisions about entering family medicine are based. Of North Carolina's 429 third-year medical students, 59% responded in 1985 to a career preferences questionnaire that assessed the process of specialty decision making. Internal medicine was the most frequently chosen specialty when another was preferred. The frequency with which family practice was the career choice was affected little by differences between preferences and choices. Six factors were identified, with the curriculum as the major factor separating those who chose family practice from those who chose other primary care or non-primary care specialties. Based on these results, six suggestions are offered for medical school administrators and faculty desiring to increase the number of students selecting family practice.
正在决定进入哪个专业领域的医科学生有时不会选择他们真正喜欢的专业。本研究的目的是比较学生的专业偏好与其实际选择，以及确定决定进入家庭医学领域所基于的因素。在北卡罗来纳州的429名三年级医科学生中，59%的学生在1985年回复了一份职业偏好问卷，该问卷评估了专业选择过程。当学生更喜欢其他专业时，内科是最常被选择的专业。家庭医学作为职业选择的频率受偏好与选择之间差异的影响很小。确定了六个因素，其中课程设置是将选择家庭医学的学生与选择其他初级保健或非初级保健专业的学生区分开来的主要因素。基于这些结果，为希望增加选择家庭医学专业的学生数量的医学院管理人员和教师提供了六条建议。
