Bilal Muhammad, Haseeb Abdul, Mari Anum, Hussham Arshad Mohammad, Ali Khan M Raafe, Ahmed Ayesha, Jeoffrey Ramsha, Saleem Zainab, Irfan Muhammad Abrar, Aamir Khan Arsalan, Husain Sana, Najeeb Simrah, Fuad Garib Amal, Mustafa Attarwala Fatema, Hasnain Mankani Muhammad
Medicine, Dow University of Health Sciences (DUHS), Karachi, PAK.
Medicine, The Wright Center for Graduate Medical Education, Scranton, USA.
Cureus. 2018 Aug 6;10(8):e3114. doi: 10.7759/cureus.3114.
Background Few studies have explored factors affecting preference of medical students towards general practice as a career choice. We conducted a survey in Karachi across various public and private sector medical colleges to examine factors associated with students' general practice career aspirations in Karachi, Pakistan. Methods From January to March 2018, we distributed a 21-item questionnaire to final year medical students in eight medical schools. The survey asked students about their top three career preferences from 19 specialty fields, their demographics and their career priorities. Multivariable logistic regression was used to determine the effect of each item. Results A total of 1400 responses were obtained. The top five specialty fields chosen by students with their numbers were: internal medicine, 898 (64.2%); general practice, 337 (24.1%); pediatrics, 449 (32.1%); surgery, 380 (27.2%); and emergency medicine, 243 (17.4%). The "intent to inherit existing practice" and "other academic or professional experiences prior to medical school" had a positive association with choosing general practice while "having a physician parent'' had a negative association among the medical students demographics after adjusting for other covariates in the multivariable logistic regression. Medical students who ranked "clinical diagnostic reasoning", "community-oriented practice", "involvement in preventive medicine", and "frequent patient communication" as highly important were more likely to choose general practice, whereas, "access to advanced medical fields", "mastering advanced procedures", and "depth rather than breadth of practice" were less likely to be associated with general practice aspiration. Conclusion The study's results depicted limited interest of family medicine as a career option in graduating students, and pointed out the factors that likely influence the choice of general practice as a career are clinical diagnostic reasoning, community-oriented practice and preventive medicine.
背景 很少有研究探讨影响医学生选择全科医学作为职业的因素。我们在卡拉奇的各类公立和私立医学院校进行了一项调查，以研究与巴基斯坦卡拉奇医学生全科医学职业抱负相关的因素。方法 2018年1月至3月，我们向8所医学院校的最后一年医学生发放了一份包含21个条目的问卷。该调查询问了学生从19个专业领域中选出的前三个职业偏好、他们的人口统计学信息以及职业优先事项。采用多变量逻辑回归来确定每个条目的影响。结果 共获得1400份回复。学生选择的前五个专业领域及人数分别为：内科，898人（64.2%）；全科医学，337人（24.1%）；儿科学，449人（32.1%）；外科学，380人（27.2%）；急诊医学，243人（17.4%）。在多变量逻辑回归中对其他协变量进行调整后，“继承现有诊所的意愿”和“医学院校之前的其他学术或专业经历”与选择全科医学呈正相关，而“有医生父母”在医学生人口统计学因素中呈负相关。将“临床诊断推理”“以社区为导向的实践”“参与预防医学”和“频繁的医患沟通”列为非常重要的医学生更有可能选择全科医学，而“进入先进医学领域的机会”“掌握先进操作”以及“实践的深度而非广度”与全科医学抱负的关联较小。结论 该研究结果表明，家庭医学作为即将毕业学生的职业选择兴趣有限，并指出了可能影响选择全科医学作为职业的因素是临床诊断推理、以社区为导向的实践和预防医学。
