Faculty of Medicine, Department of Anesthesiology, Critical Care and Pain Management, Hebrew University of Jerusalem, Hadassah - Hebrew University Medical Center, Kiryat Hadassah POB 12000, Jerusalem, 91120, Israel.
Hospital Administration, Hadassah-Hebrew University Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
BMC Med Educ. 2023 Apr 20;23(1):268. doi: 10.1186/s12909-023-04241-0.
Healthcare systems often face shortages of certain medical specialists due to lack of interest among medical students. We questioned a common "one solution fits all" approach to this problem which involves monetary incentives to lure students to these specialties. Instead, we used the marketing principle the "consumer knows best" to explore ways of elucidating the reasons and proposing solutions for such shortages.
A convenience sample of Israeli 6th-year medical students and interns completed questionnaires to determine why they thought three specialties (geriatrics, anesthesiology, emergency medicine) were unpopular and their ideas on increasing their appeal.
119 6th-year students and 84 interns completed questionnaires. Geriatrics was reported having a problematic patient population; not being interesting and challenging; and not considered prestigious by colleagues and the populace. This contrasts with emergency medicine which, although considered prestigious, has difficult working conditions both during and after residency accompanied by much pressure at work. Although, improvements in lifestyle and remuneration were thought by students and interns as possibly making these specialties more attractive, reducing the pressure at work and decreasing on-call obligations were designated by the students/interns as ways to increase emergency medicine's and anesthesiology's appeal. Half the students replied that anesthesiology would be more appealing if work was in shifts (< 16 h), while 60% replied so for emergency medicine and only 18% for geriatrics. 90% of students reported that control over lifestyle would make emergency medicine more attractive while 55% and 48% replied positively for anesthesiology and geriatrics, respectively.
Using the concept "consumer knows best" provided additional insight into the specialty selection process. Students/interns have specialty-specific opinions as to why some specialties are unpopular. Their ideas about attracting more students to these specialties were also specialty-dependent, i.e. "one solution does not fit all". These observations render problematic a single solution aimed at ameliorating the workforce shortages of multiple specialties. Instead, these results advocate a differential approach wherein the lack of appeal of each unpopular specialty is analyzed individually and the students'/interns' (the "consumers") ideas sought resulting in solutions tailored to address each specialty's lack of attractiveness.
None.
由于医学生缺乏兴趣，医疗系统经常面临某些医学专家短缺的问题。我们对解决这个问题的一种常见的“一刀切”方法提出质疑，这种方法涉及通过经济激励来吸引学生选择这些专业。相反，我们使用了营销原则“消费者最懂”，来探索阐明这些短缺原因并提出解决方案的方法。
我们对以色列的 6 年级医学生和实习医生进行了方便样本调查，以确定他们认为三个专业（老年医学、麻醉学、急诊医学）不受欢迎的原因，以及他们对增加这些专业吸引力的想法。
共有 119 名 6 年级学生和 84 名实习医生完成了问卷。老年医学被认为患者群体有问题；不有趣和具有挑战性；而且在同事和民众中不受重视。这与急诊医学形成鲜明对比，尽管急诊医学被认为是有声望的，但在住院医师期间和之后的工作条件都很艰难，工作压力也很大。虽然学生和实习医生认为改善生活方式和薪酬可能会使这些专业更具吸引力，但减少工作压力和减少值班义务被学生/实习医生视为增加急诊医学和麻醉学吸引力的方法。一半的学生回答说，如果工作时间为轮班（<16 小时），麻醉学将更具吸引力，而 60%的学生对急诊医学和 60%的学生对急诊医学和 48%的学生对老年医学有这样的回答。90%的学生表示，控制生活方式将使急诊医学更具吸引力，而 55%和 48%的学生分别对麻醉学和老年医学做出了积极的回答。
使用“消费者最懂”的概念为专业选择过程提供了额外的见解。学生/实习医生对某些专业不受欢迎的原因有专业特定的看法。他们对吸引更多学生到这些专业的想法也依赖于专业，即“一种解决方案并不适合所有专业”。这些观察结果使得旨在改善多种专业劳动力短缺的单一解决方案变得成问题。相反，这些结果提倡采用差异化方法，即单独分析每个不受欢迎的专业缺乏吸引力的原因，并寻求学生/实习医生（“消费者”）的想法，从而提出针对每个专业缺乏吸引力的解决方案。
无。
Zotero 插件
