Raaii Farzaneh, Tajaddini Shahrad, Saberinia Amin, Ahmadi Zarandi Mohammad Hossein
Department of Psychiatry, School of Medicine , Shahid Beheshti Hospital ,Kerman University of Medical Sciences, Kerman, Iran.
Department of Emergency Medicine, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
Arch Acad Emerg Med. 2025 Jul 14;13(1):e62. doi: 10.22037/aaemj.v13i1.2607. eCollection 2025.
Although emergency medicine is crucial globally, it remains underdeveloped in Iran, facing low recruitment rates. This study aimed to explore barriers deterring Iranian general practitioners (GPs) from pursuing emergency medicine as a specialty.
A cross-sectional survey was conducted in Kerman, Iran, in 2023. Data were collected from GPs using a structured questionnaire assessing demographic characteristics and barriers to choosing emergency medicine. Statistical analyses, including chi-square and Mann-Whitney U-tests, were performed.
198 GPs were involved in this study. 95.5% of the participants cited a mismatch between income and workload as the primary deterrent, while high psychological stress (87.4%) and limited private sector opportunities (86.9%) were also significant barriers. Additionally, 82.8% reported high burnout levels, with frequent night shifts (81.8%) and long working hours (75.3%) as contributing factors. Demographic analysis showed younger GPs and those with fewer years since graduation perceived financial and emotional strains more strongly, indicating that early-career physicians may feel more vulnerable to these challenges. Further, GPs lacking emergency department experience rated career uncertainties higher, suggesting unfamiliarity with the field might amplify negative perceptions. Rural GPs emphasized high patient loads and exposure risks, while urban GPs noted stress from crowded settings.
Findings highlight financial and workload issues as major deterrents to choosing emergency medicine as a specialty. Addressing these concerns through better compensation, work-life balance improvements, and enhanced career prospects could attract more GPs to this specialty.
尽管急诊医学在全球范围内至关重要，但在伊朗仍不发达，面临着低招聘率的问题。本研究旨在探讨阻碍伊朗全科医生（GP）将急诊医学作为专业的障碍。
2023年在伊朗克尔曼进行了一项横断面调查。使用结构化问卷从全科医生那里收集数据，该问卷评估人口统计学特征以及选择急诊医学的障碍。进行了统计分析，包括卡方检验和曼-惠特尼U检验。
198名全科医生参与了本研究。95.5%的参与者认为收入与工作量不匹配是主要阻碍因素，而高心理压力（87.4%）和私营部门机会有限（86.9%）也是重要障碍。此外，82.8%的人报告倦怠程度高，频繁值夜班（81.8%）和工作时间长（75.3%）是促成因素。人口统计学分析表明，年轻的全科医生以及毕业年限较少的医生更强烈地感受到经济和情感压力，这表明早期职业医生可能更容易受到这些挑战的影响。此外，缺乏急诊科经验的全科医生对职业不确定性的评分更高，这表明对该领域不熟悉可能会加剧负面看法。农村全科医生强调患者负荷高和暴露风险，而城市全科医生则指出拥挤环境带来的压力。
研究结果突出了经济和工作量问题是选择急诊医学作为专业的主要阻碍因素。通过更好的薪酬、改善工作与生活平衡以及增强职业前景来解决这些问题，可能会吸引更多全科医生从事这一专业。
