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Understanding medical students' interests in family medicine in Vietnam: A qualitative study
Thai Thi Ngoc Thuy1, Anselme Derese2, Truong Thanh Nam3
1MD, MSc, Vice-Head and Lecturer, Department of Family Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Background And Objectives:
Family medicine has recently been introduced into undergraduate training programs after more than 10 years of only being available for postgraduate doctors in Vietnam. The aim of this study was to explore the perceptions of sixth-year medical students towards family medicine and the factors that influence their career choice for - or against - family medicine.
Method:
The authors used a qualitative approach with a criterion sampling technique, including 36 participants in eight interviews and four focus group discussions, with thematical analysis.
Results:
Most students could explain well what they had learned about family medicine but showed little interest in it. Only a few of the interviewees indicated they would choose a career in family medicine. The following factors influenced their career choice: valuing continuing care, the doctor-patient relationship and work-life balance; family medicine clinical rotation and teachers' roles; and related health policies offering a clear practice pathway and patient allocation to capable family doctors.
Discussion:
The students' perceptions of family medicine were positive, but their interests in and intention to pursue a career in family medicine were still low after a clinical rotation. The authors concluded that the family medicine rotation should be maintained, family medicine should become more prominent in more components of the medical curriculum, and health policies to support and encourage becoming a family doctor are necessary.
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