Characteristics of medical students who would like to be a generalist physician and contribute to remote area medicine

Tani, Kenji; Okura, Yoshihiro; Tabata, Ryo; Yuasa, Shino; Kawaminami, Shingo; Nakanishi, Yoshinori; Kawahito, Keisuke; Inaba, Kaori; Kageji, Teruyoshi; Tanaka, Hiroki; Suzuki, Yoshihiro; Yamaguchi, Harutaka

doi:10.2152/jmi.64.210

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…Previous studies have shown that factors that positively influence medical students' intentions for general and family medicine include sex (being female) (14,15), age (being older) (8,14,15), background (rural background) (14-16), admission from hometown (9), existence of a role model (17,18), intent for rural practice (9,16), work-life balance (9,19,20), interest in clinical diagnostic reasoning (7,8), interest in community-oriented practice (7,8), involvement in preventive medicine (7,8), and lower interest in research (16,21). In addition, it has been demonstrated that community-based medical education among undergraduates increases attitudes toward rural medicine in Japan (22)(23)(24)(25). Our previous studies have shown that community-based practice is meaningful in increasing motivation, which leads to desire for working in remote area medicine, and that motivation may affect students' course after graduation (22,23).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it has been demonstrated that community-based medical education among undergraduates increases attitudes toward rural medicine in Japan (22)(23)(24)(25). Our previous studies have shown that community-based practice is meaningful in increasing motivation, which leads to desire for working in remote area medicine, and that motivation may affect students' course after graduation (22,23). These findings suggest that education to raise interest in medicine in remote areas is important in increasing interest in work, and in the recruitment of medical students with a high affinity for rural medicine.…”

Section: Discussionmentioning

confidence: 99%

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Feelings toward medicine in remote areas among medical students aiming to become generalists : A comparison with other specialists

et al. 2023

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Geographic maldistribution of physicians is a serious problem in Japan, resulting in a few physicians in remote areas. We distributed questionnaires to 396 medical students at Tokushima University from 2013 to 2016. We examined the intensity of medical students toward medicine in remote areas by using a visual analog scale and investigated what medical specialty they chose after two years of clinical training. The intensity of interest in medicine and the intensity of willingness to contribute to it in remote areas were statistically higher among medical students who intended to choose general medicine. After graduation, only five participants chose to specialize in general medicine. Of the 14 medical students who originally chose general medicine, six chose internal medicine, three chose general medicine, and the others chose surgery, neurosurgery, anesthesiology, orthopedics, or emergency medicine. This study demonstrated that medical students who intend to choose general medicine have a higher intensity of willingness to contribute to medicine in remote areas, indicating that the support program for these students to become general practitioners after graduation increases the number of physicians in remote areas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Feelings toward medicine in remote areas among medical students aiming to become generalists : A comparison with other specialists

et al. 2023

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“…Geographically remote areas with a poor infrastructure have particular difficulty attracting GPs (17). The availability of adequate accommodation, age, relationship status, childcare, employment opportunities for the spouse, communitybased practices and tailored training programs involving clinical internships are associated with greater readiness to work in a rural region (18)(19)(20)(21).…”

Section: Socio-demographic Factorsmentioning

confidence: 99%

Attitudes of medical students to general practice: a multinational cross-sectional survey

et al. 2020

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Background A shortage of general practitioners (GPs) is common to many European countries. To counteract this, it is essential to understand the factors that encourage or discourage medical students from choosing to become a GP Objective To evaluate medical students’ attitudes towards general practice and to identify factors that discourage them from considering a career as a GP. Methods In this multinational cross-sectional online survey, 29 284 students from nine German, four Austrian and two Slovenian universities were invited to answer a questionnaire consisting of 146 closed and 13 open-ended items. Results Of the 4486 students that responded (response rate: 15.3%), 3.6% wanted to become a GP, 48.1% were undecided and 34.6% did not want to be a GP. Significant predictors for interest in becoming a GP were higher age [odds ratio (OR) = 1.06; 95% confidence interval (CI) = 1.02–1.10], positive evaluation of the content of a GP’s work (OR = 4.44; 95% CI = 3.26–6.06), organizational aspects (OR = 1.42; 95% CI = 1.13–1.78), practical experience of general practice (OR = 1.66; 95% CI = 1.08–2.56) and the country of the survey [Slovenian versus German students (Reference): OR = 2.19; 95% CI = 1.10–4.38; Austrian versus German students (Reference): OR = 0.50; 95% CI = 0.32–0.79]. Conclusion Strategies to convince undecided students to opt for a career as a GP should include a positive representation of a GP’s work and early and repeated experience of working in a general practice during medical school.

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The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review

Ohta¹,

Ryu²,

Sano

2021

IJERPH

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Community-based medical education (CBME) offers vital support to healthcare professionals in aging societies, which need medical trainees who understand comprehensive care. In teaching comprehensive care practices, CBME can involve citizens from the relevant community. This research synthesizes the impact of the involvement of communities on the learning of medical trainees in CBME. We conducted a systematic review, in which we searched ten databases from April 1990 to August 2020 for original articles in Japan regarding CBME involving citizens and descriptively analyzed them. The Kirkpatrick model was used to categorize the outcomes. Our search for studies following the protocol returned 1240 results; 21 articles were included in this systematic review. Medical trainees reported satisfaction with the content, teaching processes, and teachers’ qualities. Medical trainees’ attitudes toward community and rural medicine improved; they were motivated to become family physicians and work in communities and remote areas. This review clarified that citizen involvement in CBME had an effective impact on medical trainees, positively affecting perceptions of this type of education, as well as improving trainees’ knowledge about and attitude toward community and rural medicine.

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Characteristics of medical students who would like to be a generalist physician and contribute to remote area medicine

Cited by 4 publications

References 15 publications

Feelings toward medicine in remote areas among medical students aiming to become generalists : A comparison with other specialists

Feelings toward medicine in remote areas among medical students aiming to become generalists : A comparison with other specialists

Attitudes of medical students to general practice: a multinational cross-sectional survey

The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review

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