Factors Determining Pakistani Medical Students’ Career Preference for General Practice Residency Training

Bilal, Muhammad; Haseeb, Abdul; Mari, Anum; Arshad, Mohammad Hussham; Khan, Munad; Ahmed, Ayesha; Jeoffrey, Ramsha; Saleem, Zainab; Irfan, Muhammad Abrar; Khan, Arsalan Aamir; Husain, Sana; Najeeb, Simrah; Garib, Amal Fuad; Attarwala, Fatema Mustafa; Mankani, Muhammad Hasnain

doi:10.7759/cureus.3114

“…In France, another study showed that about 20% of students chose a career in PHC after graduation 19 . In Pakistan, the result was similar to the present study: in a survey of 1,400 final-year medical students, in eight medical schools, it was verified that 24.1% of the respondents reported an interest in working in PHC 20 .…”

Section: Discussionsupporting

confidence: 89%

Factors associated with career intention in primary health care among medical students

Miranda

¹

,

Santos

²

,

Pertile

³

et al. 2021

Rev. bras. educ. med.

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Introduction: Health assistance reorganization has been oriented, since the Unified Health System (SUS) creation, by a proposal of expansion and strengthening of Primary Health Care (PHC). In this context, the scarcity of trained professionals is considered one of the main challenges for PHC consolidation. Among the career options after graduation, most physicians choose to seek focal specializations to work in other health care levels. Objective: Therefore, this quantitative study aims to analyze the prevalence and associated factors of medical students’ interest in following a career in PHC. Method: A cross-sectional study was conducted with medical students attending the last two years in four medical schools in the state of Minas Gerais, Brazil. A total of 524 students participated by answering a self-administered questionnaire, which was prepared by the authors, including questions regarding sociodemographic and economic profile, interaction with PHC during undergraduate school, career intention and intention to attend the Family and Community Medicine Residency (FCMR) program. Results: The results showed that 26.3% of the respondents indicated interest in following a career in PHC, a higher percentage when compared to previous studies. Regarding PHC being a temporary work choice, 79,3% of the participants indicated that they intend to work in this field after graduation. Ten percent of the students informed they intend to attend the FCMR program. Among the factors associated with the intention to work in PHC, a successful PHC experience during undergraduate school stands out. Conclusion: The results should be taken into consideration by health and medical education managers, fostering strategies that promote successful PHC experiences, encouraging learning-service integration and including students in a consolidated PHC network during undergraduate school. Initiatives such as increasing the workload in PHC during undergraduate school, increasing the number of FMC specialized teachers and health network improvement in the municipalities where these Higher Education Institutions are located can be powerful actions toward increasing the graduating students’ interest to work in PHC.

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“…2003 [32] USA (O) QT 111 Forth year 69.0% 60.8% NA 14 Good Barber S. 2018 [33] UK (O) QT & QL 280 Final and penultimate years 89.0% 51.0% NA 14 Good Bien A. 2019 [34] Germany (O) QT 361 Fourth, fifth or final year 70.9% 33.4% NA 12 Average Bilal M. 2018 [35] Pakistan (NO) QT 1400 Final year 100% 33.0% 24 14 Good Chen YC. 2014 [36] Taiwan (NO) QT 405 Interns 91.4% 59.4% 26.81 (3.44) 17 Very good Correia Lima de Souza L. 2015 [37] Brazil (NO) QT 1225 Medical students and doctors 79.2% 37.5% 24 14 Good Diderichsen S. 2013 [38] Sweden (O) QT 372 Final year 89.0% 42.0% 27.5 15 Good Du J.…”

Section: Resultsmentioning

confidence: 99%

Factors influencing medical students’ choice of specialization: A gender based systematic review

Levaillant

¹

,

Levaillant

²

,

Lerolle

³

et al. 2020

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Background Students’ choice of medical specialties has evolved throughout year, with a growing interest in quality of life and in technological specialties. We investigated the repartition of such choices in the world and its influencing factors with a focus on the gender's influence, for helping policy-makers to deal with medical shortage and territorial to specialty disconnect. Methods A systematic search was conducted on MEDLINE and Scopus from January 2010 to January 2020. Data extraction and analysis followed JBI and PRISMA recommendations. The selected articles had to focus on medical students, detail their choice of specialty, and look for factors influencing their choice. Articles were excluded if they only assessed the attractiveness of a specialty, or evaluated a public policy. This review was registered on PROSPERO, CRD 42020169227. Findings 751 studies were screened, and fifty-four were included. Surgery and internal medicine were the most wanted specialties, both in occidental and non-occidental countries. The main factors influencing the choice of specialty were lifestyle, work-life balance and discipline interest, with variation across different countries. Gender clearly affected this choice with 63.7% of men willing radiology and 14.7% of men in obstetrics and gynecology. Interpretation Influential factors vary with specialty and are affected by the country of residence. Gender has a great impact in students’ willingness to work in specific specialties. Policymakers should adapt their appealing strategies according to the country and the medical discipline concerned. Funding The authors have no support or funding to report.

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“…Na França, outro estudo evidenciou que cerca de 20% dos estudantes escolheram uma carreira na APS após a graduação 19 . No Paquistão, o resultado foi similar ao presente estudo: em uma pesquisa com 1.400 estudantes de Medicina do último ano, em oito escolas de Medicina, identificou-se que 24,1% dos entrevistados referiam o interesse em atuar na APS 20 .…”

Section: Métodosunclassified

“…Outros fatores não avaliados neste trabalho são descritos na literatura como influências positivas na intenção de carreira em APS, como: comprometimento e atitudes empáticas 25,40 , interações com pacientes, profissionais da saúde 28,41 e comunidade 20,41,42 , questões financeiras 41,42 , bom equilíbrio entre vida profissional e pessoal 42,43 , valorização das relações médico-paciente de longo prazo 18,28,43 , prestar cuidados em diferentes fases de vida 18,42 , vivenciar atendimentos em área rural 5,18 e possibilidade de atuar com medicina preventiva 20 .…”

Section: Métodosunclassified

Fatores associados à intenção de carreira na atenção primária à saúde entre estudantes de Medicina

Miranda

¹

,

Santos

²

,

Pertile

³

et al. 2021

Rev. bras. educ. med.

2

0

View full text Add to dashboard Cite

Introduction: Health assistance reorganization has been oriented, since the Unified Health System (SUS) creation, by a proposal of expansion and strengthening of Primary Health Care (PHC). In this context, the scarcity of trained professionals is considered one of the main challenges for PHC consolidation. Among the career options after graduation, most physicians choose to seek focal specializations to work in other health care levels. Objective: Therefore, this quantitative study aims to analyze the prevalence and associated factors of medical students’ interest in following a career in PHC. Method: A cross-sectional study was conducted with medical students attending the last two years in four medical schools in the state of Minas Gerais, Brazil. A total of 524 students participated by answering a self-administered questionnaire, which was prepared by the authors, including questions regarding sociodemographic and economic profile, interaction with PHC during undergraduate school, career intention and intention to attend the Family and Community Medicine Residency (FCMR) program. Results: The results showed that 26.3% of the respondents indicated interest in following a career in PHC, a higher percentage when compared to previous studies. Regarding PHC being a temporary work choice, 79,3% of the participants indicated that they intend to work in this field after graduation. Ten percent of the students informed they intend to attend the FCMR program. Among the factors associated with the intention to work in PHC, a successful PHC experience during undergraduate school stands out. Conclusion: The results should be taken into consideration by health and medical education managers, fostering strategies that promote successful PHC experiences, encouraging learning-service integration and including students in a consolidated PHC network during undergraduate school. Initiatives such as increasing the workload in PHC during undergraduate school, increasing the number of FMC specialized teachers and health network improvement in the municipalities where these Higher Education Institutions are located can be powerful actions toward increasing the graduating students’ interest to work in PHC.

show abstract

Factors Determining Pakistani Medical Students’ Career Preference for General Practice Residency Training

Cited by 14 publications

References 16 publications

Factors associated with career intention in primary health care among medical students

Factors associated with career intention in primary health care among medical students

Factors influencing medical students’ choice of specialization: A gender based systematic review

Fatores associados à intenção de carreira na atenção primária à saúde entre estudantes de Medicina

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