Clinical family physician and teacher at the Clinique universitaire de médecine de famille (CUMF) de Notre-Dame (Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal) in Quebec.
Family medicine resident at the CUMF de Saint-Eustache (Centre intégré de santé et de services sociaux des Laurentides) in Quebec.
Can Fam Physician. 2019 Jul;65(7):e316-e320.
To identify specific factors occurring during family medicine (FM) rotations that were associated with a change in intention to pursue FM.
Transversal descriptive study. A self-administered questionnaire was distributed on SurveyMonkey between September 2015 and April 2016.
Family medicine rotation sites affiliated with the University of Montreal in Quebec.
Medical students who were conducting their rotations at participating sites and who had not yet chosen their residency specialty.
Specific factors occurring during a rotation that influenced medical students' intention to pursue FM in residency.
In the sample population, it was found that the FM rotation was generally highly appreciated by study participants, and that it improved the FM specialty's image while positively influencing the participants' intention to pursue FM. The degree of exposure to different areas of practice, overall atmosphere, the presence of role models, and the desire to return to the rotation site to practise were all moderately associated with a positive change in intention to pursue FM. There was a weak association between pursuing FM and participants' perception of physicians' interest in their work, rural rotation sites, positive interactions with physicians, perceptions of the rotation's level of difficulty, and degree of satisfaction with the final assessment. The results for other factors were not statistically significant. Concerning a negative change in the intention to pursue FM in residency, 2 factors were identified: the absence of a role model and lack of interest in returning to the rotation site. New positive factors were identified: overall atmosphere and the desire to return to the rotation site to practise.
Several factors related to the FM rotations appeared to act as prime motivators for change toward pursuing FM. This could support the development of an assessment tool and the improvement of FM rotations.
确定家庭医学实习期间出现的特定因素，这些因素与改变从事家庭医学的意愿有关。
横断面描述性研究。2015 年 9 月至 2016 年 4 月期间，在 SurveyMonkey 上分发了一份自我管理问卷。
魁北克省蒙特利尔大学附属家庭医学实习地点。
在参与地点进行实习但尚未选择居住专业的医学生。
在实习期间影响医学生从事家庭医学住院医师意愿的特定因素。
在样本人群中，研究参与者普遍高度评价家庭医学实习，家庭医学专业形象得到改善，同时积极影响参与者从事家庭医学的意愿。接触不同实践领域的程度、整体氛围、榜样的存在以及返回实习地点实践的愿望与积极改变从事家庭医学的意愿中度相关。从事家庭医学与参与者对医生对其工作的兴趣、农村实习地点、与医生的积极互动、对实习难度的看法以及对最终评估的满意度的看法之间存在弱关联。其他因素的结果没有统计学意义。关于从事家庭医学住院医师的意愿的负面变化，确定了 2 个因素：缺乏榜样和缺乏返回实习地点的兴趣。确定了新的积极因素：整体氛围和返回实习地点实践的愿望。
与家庭医学实习相关的几个因素似乎是促使从事家庭医学意愿发生变化的主要动机。这可以支持评估工具的开发和家庭医学实习的改进。
