期刊论文详细信息
Israel Journal of Health Policy Research
Israeli medical students’ perceptions of six key medical specialties
Josh E Schroeder3  Alex Avidan5  Uriel Elchalal1  Yoram G Weiss5  Rachel Yaffa Zisk-Rony2  Howard Tandeter4  Charles Weissman5 
[1] Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Hebrew University Hadassah School of Medicine, Jerusalem, Israel;Henrietta Szold Hebrew University Hadassah School of Nursing, Jerusalem, Israel;Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Hebrew University Hadassah School of Medicine, Jerusalem, Israel;Department of Family Medicine, School of Continuing Medical Education Ben Gurion University School of Medicine, Be’er Sheva, Israel;Department of Anesthesiology and Critical Care Medicine, Hadassah-Hebrew University Medical Center, Hebrew University Hadassah School of Medicine, POB 12000, Jerusalem 91120, Israel
关键词: Marketing research;    Medical students;    Medical specialties;    Residency;    Medical education;   
Others  :  804804
DOI  :  10.1186/2045-4015-2-19
 received in 2013-01-24, accepted in 2013-05-03,  发布年份 2013
PDF
【 摘 要 】

Background

Choosing a medical specialty requires medical students to match their interests and social-cultural situations with their perceptions of the various specialties.

Objectives

Examine Israeli 6th-year medical students’ perceptions of six key specialties: pediatrics, orthopedic surgery, anesthesiology, obstetrics/gynecology, general surgery and family medicine.

Methods

Questionnaires distributed to 355 6th-year students from three successive classes (2008–2010) of 6th-year students at the Hebrew University – Hadassah School of Medicine, Jerusalem, Israel and the 2010 class of the Ben Gurion University School of Medicine, Be’er Sheva, Israel.

Results

Responses were obtained from 234 students, for a response rate of 66%. Pediatrics and obstetrics/gynecology were the specialties most often under positive career consideration by individual students. Anesthesiology and general surgery were least often under positive career consideration and were viewed as being in a workforce crisis. Pediatrics and family medicine, found to be especially popular among women, were perceived by 58% and 78% of respondents, respectively, as providing reasonable ratios of lifestyle to income. None of the students thought the same about general surgery and only 28% thought so about anesthesiology. Pediatrics and obstetrics/gynecology were reported to afford a controllable lifestyle by 63% and 8%, respectively, With respect to positive career considerations and lifestyle perceptions, there were no differences between the opinions of men and women students. Differences between genders arose in responses to queries of whether a specialty was interesting and challenging. Women were more likely than men to perceive pediatrics and family medicine as interesting and challenging while men were more likely to think that general and orthopedic surgery are interesting and challenging.

Conclusions

Knowing the medical students’ perceptions of the various specialties should help in understanding the maldistribution of physicians among the various specialties. Such data can also be an important input into the efforts of the healthcare leadership to promote a specialty distribution that matches the population’s evolving needs.

【 授权许可】

   
2013 Weissman et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140708065631465.pdf 462KB PDF download
Figure 2. 32KB Image download
Figure 1. 36KB Image download
【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】
  • [1]Sringer K, Kerpelman J, Skorikov V: Career preparation: a longitudinal, process-oriented examination. J Vocat Behav 2011, 79:158-169.
  • [2]Borges NJ, Savicka MI: Personality and medical specialty choice: a literature review and integration. J Career Assessment 2002, 10:362-380.
  • [3]Petrides KV, McManus IC: Mapping medical careers: questionnaire assessment of career preferences in medical school applicants and final-year students. BMC Med Educ 2004, 1:4-18.
  • [4]Weissman C, Zisk-Rony RY, Schroeder JE, Weiss YG, Avidan A, Elchalal U, Tandeter H: Medical specialty considerations by medical students early during their clinical experience. Israel J Health Policy Res 2012, 1:13. BioMed Central Full Text
  • [5]Weissman C, Schroder JE, Weiss Y, Elchalal U, Tandeter H, Zisk-Rony RY: Using marketing research concepts to investigate specialty selection by medical students. Med Educ 2012, 46:974-982.
  • [6]Dorsey ER, Jarjoura D, Rutecki GW: The influence of controllable lifestyle and sex on the specialty choices of graduating U.S. medical students, 1996–2003. Acad Med 2005, 80:791-796.
  • [7]Sanfey HA, Saalwachter-Schulman AR, Nyhof-Young JM, Eidelson B, Mann BD: Influences on medical student career choice: gender or generation? Arch Surg 2006, 141:1086-1094.
  • [8]Dorsey ER, Jarjovra D, Rutecki GW: Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 2003, 296:1173-1178.
  • [9]Gierberg E: Gender similarities in doctors’ preferences–and gender differences in final specialization. Soc Sci Med 2002, 54:591-605.
  • [10]Lambert TW, Goldacre MJ, Edwards C, Parkhouse J: Career preferences of doctors who qualified in the United Kingdom in 1993 compared with those of doctors qualifying in 1974, 1977, 1980, and 1983. BMJ 1996, 13:19-24.
  • [11]Medical Manpower 2009. http://www.health.gov.il/download/docs/units/meida/manpower2009/3.pdf webcite. Accessed 30 December 2010
  • [12]Avlonitis GJ, Hart SJ, Tzokas NX: An analysis of product deletion scenarios. J Product Innovation Manag 2000, 17:41-56.
  • [13]Miller G, Bamboat ZM, Allen F: Impact of mandatory resident work hour limitations on medical students’ interest in surgery. J Am Coll Surg 2004, 199:615-619.
  • [14]Stablie BE: The surgeon: a changing profile. Arch Surg 2008, 143:345-350.
  • [15]Jordan J, Brown JB, Russell G: Choosing family medicine: what influences medical students? Can Fam Phys 2003, 49:1131-1137.
  • [16]Pagno PA, McGaha AL, Crosely PW: Results of the 2010 national resident matching program: family medicine. Fam Med 2010, 42:552-561.
  • [17]Morra DJ, Reghehr G, Ginsbirg S: Medical students, money, and career selection: students’ perception of financial factors and remuneration in family medicine. Fam Med 2009, 41:105-110.
  • [18]Lu DJ, Hakes J, Bai M, Tolhurst H, Dickinson JA: Rural intentions: factors affecting the career choices of family medicine graduates. Can Fam Phys 2008, 54:1016-1017.
  • [19]Wass CT, Timothy TR, Randle DW: Recruitment of house staff into Anesthesiology: a reevaluation of factors responsible for house staff selecting anesthesiology as a career and individual training program. J Clin Anesth 2003, 15:289-294.
  • [20]Weissman C, Eidelman LA, Pizov R, Matot I, Klein N, Cohn R: The Israeli anesthesiology workforce. Isr Med Assoc 2006, 8:255-260.
  • [21]Orbach-Zinger S, Rosenbum R, Svetsky S, Staiman A, Eidelman LA: Attitudes to anesthesiology residency among medical students in the American and the Israeli programs at the Sackler Faculty of Medicine, Tel Aviv University. Isr Med Assoc J 2011, 13:485-487.
  • [22]Garcia-Sedeno M, Navarro JI, Menacho I: Relationship between personality traits and vocational choice. Psychol Rep 2009, 105:633-642.
  • [23]Su R, Rounds J, Armstrong PI: Men and things, women and people: a meta-analysis of sex differences in interests. Psychol Bull 2009, 135:859-884.
  • [24]Correll SJ: Gender and the career choice process: the role of biased self-assessments. Am J Sociol 2001, 106:1691-1730.
  • [25]Businger A, Viliger P, Sommer C, Furrer M: Argument for and against a career in surgery: a quantitative analysis. Ann Surg 2010, 252:390-396.
  • [26]Leong FTL, Hardin EE, Gaylor M: Career specialty choice: a combined research-intervention project. J Voc Behavior 2005, 67:69-86.
  文献评价指标  
  下载次数:39次 浏览次数:28次