Osiyemi A, Fasola O, Anjorin I, Adeyemo O, Ilori T
Department of Family Medicine, University College Hospital, Ibadan, Nigeria.
Department of Community Medicine, College of Medicine, University of Ibadan, Nigeria.
Ann Ib Postgrad Med. 2020 Dec;18(2):135-140.
One of the strategies adopted to improve interest in family medicine (FM) by many regions was the introduction of undergraduate family medicine training into the Medical School Curriculum. However, medical students' interest in FM has been reportedly low ranging from 3 - 29%.
This study described the pattern of medical students' specialty choices and assessed factors associated with interest in FM specialization among them.
Using a cross-sectional study design, total sampling of fourth to sixth-year medical students undergoing family medicine rotation as of November 2017 (N= 412) was done. The response rate was 75% (N=309). A pre-validated semi-structured, self-administered questionnaire was utilized to assess factors associated with respondents' interest in 12 medical specialties including FM.
The respondents were predominantly male (67.3%), with a mean age of 23 (± 7.9) years. Most (83.4%) of them had at least one parent with tertiary school education. Fifteen (4.9%) of the respondents indicated a current interest in specializing in FM while 112 (36.2%) would consider FM in the future. A higher proportion of those with family members with FM specialization (28.6%) expressed current interest in FM while the female gender was associated with future consideration of FM.
There is a low interest in FM specialization among medical students and this may be attributable to the fact that FM undergraduate training is relatively new in Nigeria. Further research on the role of mentorship and preceptorship on specialty choices of medical students needs to be carried out.
许多地区为提高对家庭医学(FM)的兴趣所采取的策略之一是将本科家庭医学培训纳入医学院课程。然而,据报道医学生对家庭医学的兴趣较低,在3%至29%之间。
本研究描述了医学生专业选择的模式,并评估了与他们对家庭医学专业兴趣相关的因素。
采用横断面研究设计,对截至2017年11月正在接受家庭医学轮转的四至六年级医学生进行全样本抽样(N = 412)。应答率为75%(N = 309)。使用经过预验证的半结构化自填问卷来评估与受访者对包括家庭医学在内的12个医学专业兴趣相关的因素。
受访者以男性为主(67.3%),平均年龄为23岁(±7.9)。他们中的大多数(83.4%)至少有一位父母受过高等教育。15名(4.9%)受访者表示目前有兴趣专攻家庭医学,而112名(36.2%)受访者将来会考虑选择家庭医学。有家庭成员从事家庭医学专业的受访者中,有更高比例(28.6%)表示目前对家庭医学感兴趣,而女性与将来考虑选择家庭医学相关。
医学生对家庭医学专业的兴趣较低,这可能归因于家庭医学本科培训在尼日利亚相对较新。需要进一步研究导师指导在医学生专业选择中的作用。