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What predicts doctors' satisfaction with their chosen medical specialty? A Finnish national study
Teppo J Heikkilä1, Harri Hyppölä2, Jukka Vänskä3
1Unit of Primary Health Care, Hospital District of Northern Savo, P.O. Box 1777, FI 70211, Kuopio, Finland. teppo.heikkila@fimnet.fi.
Background:
In Finland the number of medical specialists varies between specialties and regions. More regulation of the post-graduate medical training is planned. Therefore, it is important to clarify what predicts doctors' satisfaction with their chosen specialty.
Methods:
A random sample contained 50% of all Finnish doctors under 70 years of age. The respose rate was 50.5%. Working-age specialists were asked to value their motives when choosing a specialty. They were also asked if they would choose the same specialty again. The odds ratios for not choosing the same specialty again were tested.
Results:
Diversity of work was the most important motive (74% of respondents). Seventeen percent of GPs would not choose the same specialty again, compared to 2% of ophthalmologists and 4% of pediatricians. A major role of Diversity of work and Prestigious field correlated with satisfaction whereas Chance with dissatisfaction with the specialty.
Discussion:
Motives and issues related to the work and training best correlate with satisfaction with the specialty.
Conclusions:
When the numbers of Finnish postgraduate medical training posts become regulated, a renewed focus should be given to finding the most suitable speciality for each doctor. Information about employment and career advice should play an important role in this.
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