Olsson Caroline, Kalén Susanne, Mellstrand Navarro Cecilia, Ponzer Sari
Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Int J Med Educ. 2019 Feb 28;10:36-42. doi: 10.5116/ijme.5c60.1c63.
To explore an understanding of medical doctors' entire process of specialty choice with a focus on the influence of personal experiences and personality traits on choices made.
A qualitative study was performed. Semi-structured individual interviews were conducted with medical doctors undergoing their specialty training in Sweden about their experiences and personalities. The transcribed interviews were analyzed with an inductive content analysis approach.
A total of 15 medical doctors participated. Three themes were identified using content analysis: To be invited or not, to fit in or not and to contribute or not. Furthermore, the results refute that specialty choice is a long-term, complex process.
First, the importance of being invited to the specialty choice was stressed by the doctors, especially in their early years when they needed to feel valued and trusted. Secondly, the need to fit in was essential to make a sustainable career choice. Finally, the doctors' expressed a will to contribute to the medical field of their chosen specialty. The interviews showed that specialty choice is a long-term, complex process; therefore, one implication for the healthcare sector would be to target the entire chain of medical education to improve recruitment strategies for those specialties with recruitment difficulties. More studies are needed to understand better how positive and negative encounters within the healthcare sector can influence young doctors' specialty choice.
探讨对医生专业选择全过程的理解，重点关注个人经历和性格特征对所做选择的影响。
进行了一项定性研究。对在瑞典接受专业培训的医生就其经历和性格进行了半结构化的个人访谈。对转录的访谈采用归纳式内容分析法进行分析。
共有15名医生参与。通过内容分析确定了三个主题：是否被邀请、是否融入以及是否有贡献。此外，研究结果反驳了专业选择是一个长期、复杂过程的观点。
首先，医生强调了被邀请参与专业选择的重要性，尤其是在早年，那时他们需要感到被重视和信任。其次，融入的必要性对于做出可持续的职业选择至关重要。最后，医生们表达了为所选专业的医学领域做出贡献的意愿。访谈表明专业选择是一个长期、复杂的过程；因此，对医疗保健部门的一个启示是针对医学教育的整个链条，以改进那些存在招聘困难专业的招聘策略。需要更多研究来更好地理解医疗保健部门内的正面和负面经历如何影响年轻医生的专业选择。
