与医学学生关于内科的职业选择相关的因素
Karen E Hauer1, Steven J Durning, Walter N Kernan
1Department of Medicine, University of California, San Francisco, 533 Parnassus Ave, U137, Box 0131, San Francisco, CA 94143-0131, USA. khauer@medicine.ucsf.edu
医学院的学生 医学院的学生
科学领域:
- 医学教育 医学教育
- 医生劳动力 医生劳动力
- 内部医学 职业生涯 内部医学
背景情况:
- 医学学生对内部医学 (IM) 职业的兴趣下降可能会加剧美国医生劳动力短缺.
- 一般IM对于老年人来说至关重要,学生的兴趣特别下降.
- 影响医学学生IM职业选择的因素尚不清楚.
研究的目的:
- 调查医学学生关于内部医学职业生涯的决策过程.
- 确定影响这些职业选择的可修改因素.
主要方法:
- 在11所美国医学院的1177名四年级医学学生进行了基于网络的横截面调查.
- 收集的数据包括人口统计,债务,教育经验和IM的职业选择.
- 使用因子分析和后勤回归来分析IM职业选择的影响.
主要成果:
- 23.2%的学生计划IM职业生涯,只有2.0%选择一般IM.
- 核心IM职位在小专业IM (48.8%) 中比一般IM (19.4%) 更具吸引力.
- 影响IM职业选择的关键因素包括教育经验,患者护理性质和生活方式.
结论:
- 医学学生喜欢IM教学,但对IM作为职业有保留.
- 对IM患者的积极印象,实践环境和内科医生的生活方式增加了IM追求的可能性.
- 解决学生对IM实践和生活方式的看法,可能有助于加强内科医生的员工队伍.
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