The differences in speciality preferences and career determinant factors between first- and fifth-year medical school students

Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
Asuka UemotoTetsuro Miki

Abstract

In Japan, the imbalance in the medical workforce has caused a deterioration of rural medicine. We explored the differences in speciality preferences and career determinant factors among students to identify keys to increase the recruitment of physicians to rural areas. We conducted a survey of first- and fifth-year medical students, using a questionnaire enquiring about their specialty preference and career determinant factors. The data were analyzed with a chi-square test. A higher percentage of first-year students preferred to be basic medicine scientists, while fifth-year students considered internal medicine subspecialities, obstetrics and gynecology, anesthesia, and ophthalmology to be the most desirable. The factor analysis yielded five factors responsible for these findings; high social approval of the specialty, working hours, income, advice from senior classmates and doctors, and the work environment. The percentage of students who considered rural practice as a choice for thier future plan and had an awareness of the collapse of rural medicine was lower in the fifth-year students than in the first-year students. To increase the medical work force in provincial areas, it is necessary to strengthen not only the medical ...Continue Reading

References

May 30, 2006·Human Resources for Health·Gilles Dussault, Maria Cristina Franceschini
Mar 5, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Howard K RabinowitzJeremy R Wortman
Sep 23, 2009·Medical Education·Michael JonesDavid Prideaux
Dec 21, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Felicia A BarrettMay Nawal Lutfiyya

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