Factores relacionados con la elección de una especialidad en médicos residentes mexicanos

Gutiérrez-Cirlos, Carlos; Naveja, J. Jesús; Leenen, Iwin; Sánchez‐Mendiola, Melchor

doi:10.24875/gmm.17002959

Cited by 6 publications

(7 citation statements)

References 22 publications

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“…These results agree with many other previous reports that show a trend towards an increasing feminization of medical practice and some specialties [27, 28]. Men tend to choose surgical specialties more often than women, as has been documented [6–9, 11, 22, 29].…”

Section: Discussionsupporting

confidence: 93%

“…Nonetheless, in-demand medical specialties for the epidemiologic landscape of the country like geriatrics and radio-oncology have limited appeal. In a recent study of first-year core specialties’ Mexican residents, a comprehensive questionnaire was applied to identify factors that have an influence on the specialty choice [11]. The findings showed that choices were made during the last years of undergraduate training and that the type of patient was determinant for choosing Peds, while a well-defined academic program was determinant for internal medicine.…”

Section: Discussionmentioning

confidence: 99%

“…A controllable lifestyle, financial factors, and free time were found to be important factors in medical students and doctors in a Brazilian study [4]. Other fundamental aspects are personality traits [11, 19–22], the possibility of further studying a subspecialty program [11], and the specialty prestige [17, 23, 24]. It has been previously reported that if the parents are physicians, this could also influence specialty choice [9].…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire (Additional file 1) was designed to evaluate acknowledged factors influencing the choice of a medical specialty. The process of instrument development was as follows: a literature review about instruments related to the construct of interest was performed in the major databases; the identified questionnaires were evaluated and selected by a group of experts (clinicians with experience and graduate degrees in education); the group selected the appropriate items; feedback was obtained about the items’ quality and clarity from a group of scholars at the Department of Medical Education, UNAM Faculty of Medicine; upon group consensus the final instrument was integrated to provide content validity [4, 11, 12]. The final version included 35 items, divided into two sections: a) demographic features (18 items), including whether they chose or not a core specialty (general surgery “GS”, gynecology and obstetrics “OBG/GYN”, internal medicine “IM”, family medicine “FM” and pediatrics “Peds”), in which case they were asked if the specialty was predominantly surgical or medical; and b) factors related to specialty selection (17 items), this section used a Likert-like scale, from non-determinant (zero) to most determinant (three).…”

Section: Methodsmentioning

confidence: 99%

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Specialty choice determinants among Mexican medical students: a cross-sectional study

et al. 2019

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BackgroundThe choice of medical specialty is related to multiple factors, students’ values, and specialty perceptions. Research in this area is needed in low- and middle-income countries, where the alignment of specialty training with national healthcare needs has a complex local interdependency. The study aimed to identify factors that influence specialty choice among medical students.MethodsSenior students at the National Autonomous University of Mexico (UNAM) Faculty of Medicine answered a questionnaire covering demographics, personal experiences, vocational features, and other factors related to specialty choice. Chi-square tests and factor analyses were performed.ResultsThe questionnaire was applied to 714 fifth-year students, and 697 provided complete responses (response rate 81%). The instrument Cronbach’s alpha was 0.8. The mean age was 24 ± 1 years; 65% were women. Eighty percent of the students wanted to specialize, and 60% had participated in congresses related to the specialty of interest. Only 5% wanted to remain as general practitioners. The majority (80%) wanted to enter a core specialty: internal medicine (29%), general surgery (24%), pediatrics (11%), gynecology and obstetrics (11%) and family medicine (4%). The relevant variables for specialty choice were grouped in three dimensions: personal values that develop and change during undergraduate training, career needs to be satisfied, and perception of specialty characteristics.ConclusionsSpecialty choice of medical students in a middle-income country public university is influenced by the undergraduate experience, the desire to study a subspecialty and other factors (including having skills related to the specialty and type of patients).

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Specialty choice determinants among Mexican medical students: a cross-sectional study

et al. 2019

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“…¿Qué tan importantes son para usted los siguientes factores para elegir una especialidad?». Se presentaron 18 factores extraídos de estudios realizados en médicos residentes en otros países [2,3,10]. Cada factor tuvo cuatro alternativas de respuesta en escala de Likert (nada importante, poco importante, importante, y muy importante).…”

Section: Instrumento De Medición De Variablesunclassified

Motivos para la elección y preferencias de la especialidad médica en médicos generales del Perú

et al. 2020

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Objetivo: describir los factores que influyen en la elección de la especialidad médica en médicos generales en Perú y calcular la distribución de postulantes y vacantes en el examen de residentado médico en el 2018. Materiales y métodos: estudio descriptivo en médicos generales que asistieron a un evento que tuvo por objetivo informar sobre las especialidades médicas, realizado por el Colegio Médico del Perú. Durante dicho evento, se distribuyó un cuestionario autoaplicado para recolectar las variables de interés. Los análisis estadísticos se realizaron con el programa Stata v14. Resultados: se incluyeron 298 participantes, de los cuales, el 54,4% fueron mujeres, 46,3% tenían menos de 28 años, 59,8% estudió su pregrado en Lima y 52,3% culminaron sus estudios entre 2014-2016. El 49,7%, 46,6%, y 3,7% prefirió elegir una especialidad quirúrgica, clínica, y alguna otra, respectivamente. Entre los factores para elegir a qué especialidad médica postular, aquellos considerados importantes o muy importantes por la mayor parte de los encuestados fueron: la alta probabilidad de conseguir empleo (98,7%), tener retos intelectuales (94,9%), ver casos interesantes (93,2%), y tener buenos ingresos económicos (90,8%). Las especialidades con mayor cantidad de postulantes para cada vacante fueron cirugía plástica y dermatología, mientras que las que tuvieron menos postulantes que vacantes fueron medicina familiar y medicina interna. Conclusiones: los factores económicos y académicos son los más importantes para la elección de una especialidad médica, en el contexto donde las especialidades del primer nivel de atención tienen pocos postulantes. Esto permite entender mejor este proceso, informar adecuadamente a los médicos sobre las especialidades disponibles, e impulsar estrategias para aumentar el interés de los médicos en especialidades necesarias en el país.

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Satisfaction survey with the teaching of graduates of the Postgraduate course in Internal Medicine

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2020

Rev. Nac. (Itauguá)

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Factores relacionados con la elección de una especialidad en médicos residentes mexicanos

Cited by 6 publications

References 22 publications

Specialty choice determinants among Mexican medical students: a cross-sectional study

Specialty choice determinants among Mexican medical students: a cross-sectional study

Motivos para la elección y preferencias de la especialidad médica en médicos generales del Perú

Satisfaction survey with the teaching of graduates of the Postgraduate course in Internal Medicine

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