Pan Meirong, Yue Xinxin, Tang Ni, Cao Qingjiu, Si Tianmei
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Haidian District, No. 51 Hua Yuan Bei Road, Beijing, 100191, China.
Acad Psychiatry. 2025 Sep 5. doi: 10.1007/s40596-025-02207-6.
The study aimed to explore factors influencing Chinese medical students' career choices, especially in choosing child and adolescent psychiatry (CAP) as their specialty.
A 23-item online survey was conducted among third-year medical students at Peking University Health Science Center to explore the factors currently influencing their career choices, as well as their preferences and factors that influence the choice of CAP as a career specialty. Their preferences for CAP-focused curricula were also surveyed.
Of the 169 students surveyed, 149 (88.17%) responded. Over 80% of the students began contemplating their future career choices, even before their undergraduate studies commenced. Sixty (40.27%) students showed moderate to high interest in CAP, and the top three factors that rendered CAP most attractive included interest in helping society (58.33%), having opportunities to work with children and adolescents (56.67%), and working in an interesting field (53.33%). The primary obstacle to choosing CAP as a specialty was the burden of working with patients and their parents (70.79%). Among the students interested in CAP, 85.00% were interested in engaging with CAP through clinical internships and practical training. Curricula related to psychotherapy, consultation liaison, and psychopharmacology were identified as the most attractive areas.
Positive attitudes toward CAP were found among the responders. To better align with the career development needs of medical students and promote workforce development in the CAP specialty, early career exposure to CAP, such as encompassing clinical clerkships, specialized internships, and interdisciplinary education, should be given more consideration in undergraduate curriculum systems.
本研究旨在探讨影响中国医科学生职业选择的因素,尤其是选择儿童与青少年精神病学(CAP)作为其专业的因素。
对北京大学医学部的三年级医学生进行了一项包含23个项目的在线调查,以探究当前影响他们职业选择的因素,以及他们对CAP作为职业专业的偏好和影响因素。还调查了他们对以CAP为重点的课程的偏好。
在169名接受调查的学生中,149名(88.17%)做出了回应。超过80%的学生甚至在本科学习开始之前就开始考虑他们未来的职业选择。60名(40.27%)学生对CAP表现出中度至高兴趣,使CAP最具吸引力的前三个因素包括对帮助社会的兴趣(58.33%)、有机会与儿童和青少年一起工作(56.67%)以及在一个有趣的领域工作(53.33%)。选择CAP作为专业的主要障碍是与患者及其父母打交道的负担(70.79%)。在对CAP感兴趣的学生中,85.00%有兴趣通过临床实习和实践培训参与CAP相关工作。与心理治疗、会诊联络和精神药理学相关的课程被认为是最具吸引力的领域。
在受访者中发现了对CAP的积极态度。为了更好地满足医科学生的职业发展需求并促进CAP专业的劳动力发展,本科课程体系应更多地考虑让医科学生早期接触CAP,如包括临床见习、专业实习和跨学科教育。