Recruitment of house staff into anesthesiology: factors responsible for house staff selecting anesthesiology as a career and individual training program

Attitudes of Residents and Anesthesiologists Toward Basic Sciences

“…Accordingly, both trainees and attending anesthesiologists acknowledge that an anesthesiologist cannot effectively treat most clinical problems without a detailed knowledge of underlying biological processes; that basic sciences are attached to, and useful for, the practice of anesthesiology; that knowledge of biological mechanisms is one important feature of a good anesthesiologist; and that residency should emphasize the application of basic sciences to clinical practice. Such attitudes are in accordance with previous studies, in which the opportunity for clinical application of basic sciences, specifically physiology and pharmacology, has strongly influenced the choice of anesthesiology as a career (3)(4)(5).…”

“…The clinical application of physiology and pharmacology has been among the most frequently cited reasons for selecting anesthesiology as a career (3)(4)(5). However, during residency, trainees are exposed to many patients, drugs, procedures, and clinical scenarios long before formal instruction is completed.…”

Swiss Student’s Arguments in Favour and against a Career in Primary Care

“…There is a widening gap in income between PCP and specialists; specialists were seen not only to have a greater control over their lives and a wider variety of professional experiences, but also higher incomes [29], and this could be a modifier in students' lack of interest to become a PCP [30]. Besides income, it is the financial uncertainty of the PCP in the future that makes Primary Care unattractive and avoided by students [16,17].…”

“…This statistic is even worse than it seems because, above all, elderly people tend to consult PCP, people aged 65 years and older are more likely to have chronic-care needs, and the elderly are the fastestgrowing age group in Western countries. In Switzerland in 2007, only 1.04% (93/8935) of all residencies was in Primary Care, only 16.03% (4005/24986) of all practicing physicians were PCP, and only 13.96% (139/996) of all newly qualified physicians were specialised in Primary Care [1]. The numbers of PCP per thousand inhabitants in Switzerland decreased from 0.57 in 1990 to 0.45 in 2010.…”

“…In Switzerland, for example, this is due to the national relative value scale for reimbursement (TARMED) since 2004, to nationwide restricted work hours for all residencies beginning January 1st 2005, to an ongoing moratorium on accreditation of new practices since summer 2002, or to the new compensation system for PCP' laboratory service. It is generally acknowledged that loss of job autonomy and income within a speciality make students hesitant to select it [16,17]. In the medical community in Western countries, all these above-mentioned facts have initiated a broad-based discussion about the future of Primary Care and possible corrective actions [11,[18][19][20].…”