What influence do courses at medical school and personal experience have on interest in practicing family medicine? – Results of a student survey in Hessia

Bien, Antonia; Ravens-Taeuber, Gisela; Stefanescu, Maria-Christina; Gerlach, Ferdinand M.; Güthlin, Corina

doi:10.3205/zma001217

Cited by 10 publications

(4 citation statements)

References 26 publications

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“…Para muitas delas, principalmente as que pertencem aos extratos da classe média, o encontro com a MFC (e a vivência em comunidades periféricas) foi o ponto de partida para a construção de uma leitura de mundo mais concreta sobre desigualdades sociais, determinantes sociais de saúde e funcionamento das estruturas de poder. Foram, inclusive, abertas oportunidades de releitura de seus locais de privilégio de classe 22 .…”

Section: Resultsunclassified

“…Esse afeto-vínculo é uma motivação para seguir naquela comunidade e dialoga com o "não acaso dos caminhos", aumentando as potencialidades micropolíticas do encontro com o outro 15,17 . O equilíbrio trabalho-vida é um dos principais fatores avaliados em diversos países como quesito de satisfação com o trabalho por médicos de família e comunidade e graduandos interessados na área [20][21][22][23][24] . O contentamento dos profissionais com o trabalho está relacionado com uma maior qualidade da atenção prestada, melhores desfechos e satisfação dos pacientes 24,[26][27][28] .…”

Section: Resultsunclassified

“…A potência de engravidar e amamentar reserva às mulheres também a responsabilidade com o tempo do relógio biológico, e isso impacta os próximos passos da carreira. Esses limites e negociações da maternidade, além do foco em satisfação pessoal, atuam nas trajetórias das carreiras médicas, tornando-as descontínuas21,22,23,24 . Muitas médicas que priorizam a formação antes da família acabam não tendo filhos (apesar de desejarem), ficando com famílias menores do que gostariam e, mesmo, com problemas de fertilidade 20 (figuras 2 e 4).…”

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Entrecruzamento de desigualdades: gênero e maternidade na carreira de médicas de família e comunidade

et al. 2022

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O estudo da crescente feminização da área da Medicina de Família e Comunidade coloca na agenda de estudiosos a preocupação com os fatores e impactos dessa tendência nas trajetórias das carreiras das médicas, principalmente daquelas que estão exercendo suas atividades em áreas periféricas. O objetivo do estudo do qual resulta este artigo foi compreender como as médicas justificam suas escolhas e permanências no exercício da Medicina de Família e Comunidade, mesmo em contextos considerados potencialmente violentos. Realizamos uma investigação de caráter qualitativo, que dialogou com aspectos da cartografia, a partir de entrevistas realizadas com oito médicas de família que se fixaram em áreas de alta vulnerabilidade social em uma capital brasileira. A análise dos enunciados apontou para o gênero como o eixo marcador de diferença, destacando o empuxo exercido pela maternidade, o conceito gênero em sua dinâmica interseccional. Identificamos que a responsabilização pelo cuidado permanece impactando o processo decisório das mulheres, (re)definindo o equilíbrio entre vida pessoal/familiar e trabalho e (de)limitando as trajetórias de suas carreiras.

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Entrecruzamento de desigualdades: gênero e maternidade na carreira de médicas de família e comunidade

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“…Those who have chosen the speciality and identify a GP role model are more likely to have trained at a university where family medicine was encouraged, and individuals were more likely to be satisfied with their career choice [ 22 ]. Exposure to GP role models through high quality, early placements positively influences students’ views on a career in the speciality [ 50 , 51 , 59 , 60 ] and relationships with GP role models have a lasting effect on a decision to choose a career in general practice [ 46 , 55 , 61 ]. GP role models are crucial in a matching process between understanding the role of a GP and increasing understanding of the self, resulting in a desire to enter family medicine [ 24 ].…”

Section: Theme Four: the Influence Of Role Modelling On Career Choicementioning

confidence: 99%

The impact of role modelling on the future general practitioner workforce: a systematic review

Lamb

Burford

Alberti

2022

Education for Primary Care

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Role modelling has been identified as an important phenomenon in medical education. Key reports have highlighted the ability of role modelling to support medical students towards careers in family medicine although the literature of specific relevance to role modelling in speciality has not been systematically explored. This systematic review aimed to fill this evidence gap by assimilating the worldwide literature on the impact of role modelling on the future general practitioner (GP) workforce. A systematic search was conducted in Medline, Embase, Scopus, Web of Science, Cochrane, ERIC and CINAHL, and all authors were involved in the article screening process. A review protocol determined those articles selected for inclusion, which were then quality assessed, coded and thematically analysed. Forty-six articles were included which generated four broad themes: the identity of role models in general practice, role modelling and becoming a doctor, the impact of role modelling on attitudes towards the speciality, and the subsequent influence on behaviours/career choice. Our systematic review confirmed that role modelling in both primary and secondary care has a crucial impact on the future GP workforce, with the potential to shape perceptions, to attract and deter individuals from the career, and to support their development as professionals. Role modelling must be consciously employed and supported as an educational strategy to facilitate the training of future GPs.

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

Levaillant

Lerolle

et al. 2020

EClinicalMedicine

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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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What influence do courses at medical school and personal experience have on interest in practicing family medicine? – Results of a student survey in Hessia

Cited by 10 publications

References 26 publications

Entrecruzamento de desigualdades: gênero e maternidade na carreira de médicas de família e comunidade

Entrecruzamento de desigualdades: gênero e maternidade na carreira de médicas de família e comunidade

The impact of role modelling on the future general practitioner workforce: a systematic review

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

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