Chuck J M
Department of Family Practice, Kaiser Permanente Medical Offices, Fairfield, California, USA.
West J Med. 1996 Mar;164(3):228-30.
The number of medical school applications continues to rise despite recent reports of decreased physician job satisfaction. To better understand this paradoxical trend, I surveyed 84 premedical students about their expectations of a medical career. Almost all respondents anticipated that as physicians they would be able to cure, heal, and help their patients (98%) and that their work would be intellectually satisfying (95%). Most anticipated that their jobs would be prestigious (83%) and even fun (73%). Far fewer than half the respondents would be discouraged from pursuing a medical career by the fear of being sued (38%), business worries (22%), or administrative duties (20%). Comparison of the student responses with results of a physician job satisfaction survey carried out the same year showed that the students, as a group, were modestly idealistic with respect to the daily work of being a physician and somewhat naive about the problems caused by various business and administrative issues. I conclude that premedical students could be better informed about the current reality of being a physician and that practicing physicians are responsible for providing this education.
尽管最近有报道称医生工作满意度下降，但医学院的申请人数仍在持续增加。为了更好地理解这一矛盾趋势，我对84名医学预科学生进行了调查，询问他们对医学职业的期望。几乎所有受访者都预计，作为医生，他们能够治愈、治疗并帮助患者（98%），并且他们的工作在智力上会令人满意（95%）。大多数人预计他们的工作会有声望（83%），甚至有趣（73%）。因担心被起诉（38%）、商业担忧（22%）或行政职责（20%）而放弃追求医学职业的受访者远不到一半。将学生的回答与同年进行的医生工作满意度调查结果进行比较后发现，作为一个群体，学生们对于医生的日常工作略显理想化，对各种商业和行政问题所引发的问题也有些天真。我得出结论，医学预科学生可以更多地了解当前医生职业的现实情况，而执业医生有责任提供这种教育。
