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影响医学生选择骨科职业的因素:综合分析。

Factors that influence medical students' decision to pursue a career in orthopaedics: a comprehensive analysis.

机构信息

Faculty of Medicine, Mutah University, Al-karak, Jordan.

Department of Orthopedics, Jordan University Hospital, P.O. Box: 13046, Amman, 11942, Jordan.

出版信息

Int Orthop. 2024 May;48(5):1139-1147. doi: 10.1007/s00264-024-06132-5. Epub 2024 Mar 4.

DOI:10.1007/s00264-024-06132-5
PMID:38436709
Abstract

PURPOSE

Selecting a postgraduate medical or surgical specialty is a significant decision for medical students, influenced by factors such as demographics, academic performance, satisfaction, work environments, personal aspirations, passion for a specific specialty, exposure to different fields during medical education, lifestyle considerations, financial factors, job market conditions, and prospects. Our research focused on orthopaedic surgery, a highly competitive specialty with many applicants and a low acceptance rate. We aimed to investigate the factors that contribute to the sustained interest in this specialty despite the challenges of securing a residency position. Hence, this study aims to examine the potential factors that influence students' decision to pursue a career as an orthopaedic surgeon.

METHODS

This cross-sectional study explores the perspectives and attitudes of 211 fifth-year medical students towards orthopaedic surgery after completing their clinical rotation at Mutah University's School of Medicine in 2022. The inclusion criteria for the study were limited to fifth-year medical students who successfully finished the orthopaedic rotation. A questionnaire was employed to evaluate students' firm commitment to orthopaedics as a prospective career and the degree of their current interest in the specialty.

RESULTS

The study involved 210 participants, with 99 selecting orthopaedics as their specialty and 111 pursuing alternatives. Furthermore, 41.4% expressed the intention to apply for orthopaedic residencies. Factors impacting orthopaedics selection included family/peer input (p = 0.002), prestige (p = 0.002), research prospects (p = 0.005), leadership potential (p = 0.011). Chi-square analysis showed associations between choosing orthopaedics and male gender (p = 0.028), parental occupation in musculoskeletal fields (p = 0.038), and elective rotations (p = 0.016).

CONCLUSION

This study examines the factors that influence medical students' career preferences in orthopaedic surgery, highlighting the significance of familial and peer influences, job prestige perceptions, gender considerations, parental involvement, elective rotations, research and teaching potential assessments, and aspirations for leadership roles. These findings reveal the complex array of factors that guide medical students toward orthopaedic surgery.

摘要

目的

选择医学研究生专业(医学或外科)是医学生的一项重要决策,受到人口统计学因素、学业成绩、满意度、工作环境、个人抱负、对特定专业的热情、医学教育期间接触不同领域的机会、生活方式的考虑、财务因素、就业市场状况和前景等因素的影响。我们的研究集中在骨科手术,这是一个竞争激烈的专业,有很多申请者,但接受率很低。我们旨在调查尽管在获得住院医师职位方面面临挑战,但仍对该专业保持持续兴趣的因素。因此,本研究旨在研究影响学生选择成为骨科医生的潜在因素。

方法

本横断面研究探讨了 2022 年在 Mutah 大学医学院完成临床轮转的 211 名五年级医学生对骨科手术的看法和态度。该研究的纳入标准仅限于成功完成骨科轮转的五年级医学生。采用问卷调查评估学生对骨科作为未来职业的坚定承诺程度以及对该专业的当前兴趣程度。

结果

该研究共纳入 210 名参与者,其中 99 名选择骨科作为专业,111 名选择其他专业。此外,41.4%的人表示有意申请骨科住院医师。选择骨科的因素包括家庭/同伴的影响(p=0.002)、声誉(p=0.002)、研究前景(p=0.005)、领导潜力(p=0.011)。卡方分析显示,选择骨科与男性性别(p=0.028)、父母从事肌肉骨骼领域的职业(p=0.038)和选修轮转(p=0.016)之间存在关联。

结论

本研究考察了影响医学生骨科手术职业偏好的因素,强调了家庭和同伴影响、工作声誉认知、性别考虑、父母参与、选修轮转、研究和教学潜力评估以及领导角色抱负的重要性。这些发现揭示了指导医学生选择骨科的一系列复杂因素。

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