Using medical specialty and selection criteria clusters to study specialty selection by Israeli medical students

被引:8
作者
Weiss, Yoram G. [1 ]
Zisk-Rony, Rachel Yaffa [4 ]
Tandeter, Howard [2 ]
Elchalal, Uriel [3 ]
Avidan, Alex [1 ]
Schroeder, Josh E. [5 ]
Weissman, Charles [1 ]
机构
[1] Hebrew Univ Jerusalem, Hadassah Med Sch, Med Ctr, Dept Anesthesiol & Crit Care Med,Hadassah Hebrew, POB 12000, IL-91120 Jerusalem, Israel
[2] Ben Gurion Univ Negev, Joyce & Irving Goldman Sch Med, Dept Family Med, Beer Sheva, Israel
[3] Hebrew Univ Jerusalem, Hadassah Med Sch, Hadassah Hebrew Univ, Dept Obstet & Gynecol,Med Ctr, Jerusalem, Israel
[4] Hebrew Univ Jerusalem, Hadassah Henrietta Szold Sch Nursing, Jerusalem, Israel
[5] Hebrew Univ Jerusalem, Hadassah Med Sch, Hadassah Hebrew Univ, Dept Orthoped Surg,Med Ctr, Jerusalem, Israel
关键词
Medical students; Medical education; Residency; Medical specialty selection; Career choice; Internship; Choosing a medical specialty; THEORETICAL-MODEL; FAMILY MEDICINE; CAREER; CHOICE; CARDIOLOGY; DETERMINANTS; WORKFORCE; RESIDENCY;
D O I
10.1186/s12909-017-0854-y
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Background: During their final year of medical school, Israeli students must consider which specialty to choose for residency. Based on the vocational counseling literature we presumed that choices are made by selecting from a cluster of related specialties while considering professional and socio-economic issues. Methods: Questionnaires distributed to final-year medical students at two Israeli medical schools ascertained inclinations toward various medical specialties and the importance of various selection criteria. Analysis focused on seven specialties where >20% of students reported they had positive inclinations. For each such specialty, the specialty and selection criteria query were compared using unpaired two-tailed Student's t-tests to determine differences between students with positive inclinations toward the specialty with those not so inclined. These data were placed in tables, with the significant differences highlighted to facilitate visual recognition of cluster patterns. Results: Completed questionnaires were obtained from 317 of 455 students. Students often had positive inclinations toward more than one specialty (specialty clusters) associated with a group of selection criteria (selection criteria clusters). For example, interest in internal medicine was clustered with interest in internal medicine subspecialties, cardiology and research. Furthermore, there was a "reciprocal" aspect to some specialty cluster patterns. For example, those interested in internal medicine had little interest in surgical specialties. Selection criteria clusters revealed occupational interests and socio-environmental factors associated with the specialty clusters. For example, family medicine, which clustered with pediatrics and psychiatry, had a sub-cluster of: Bedside specialty with family orientation affording long-term patient care. Another sub-cluster was time for childrearing and family, only daytime work and outpatient care. Clusters also revealed students' perceptions that differed from expected: Cardiology is changing from a cognitive to a procedure-oriented subspecialty, clustering not only with internal medicine and its subspecialties but also with emergency medicine, surgical subspecialties and anesthesiology. Conclusions: The concept that career choice involves selecting from a cluster of related specialties provides information about the specialties students might be considering. Moreover, students are not only looking for individual aspects of a specialty, but for a package including clusters of socio-economic and occupational features. Practically, examining clusters can help in career counseling of medical students and assist residency program directors in marketing their specialties.
引用
收藏
页数:12
相关论文
共 50 条
[21]   Impact of parental status on US medical student specialty selection [J].
Georgia Mae Morrison ;
Bianca L. Di Cocco ;
Rebecca Goldberg ;
Audrey H. Calderwood ;
Allison R. Schulman ;
Brintha Enestvedt ;
Jessica X. Yu .
Archives of Women's Mental Health, 2023, 26 :785-791
[22]   What Motivates [or not] Medical Students to Choose Emergency Medicine as Their Specialty? [J].
Pelaccia, T. ;
Roy, P-M ;
Douillet, D. ;
Bilbault, P. ;
Abbiati, M. .
ANNALES FRANCAISES DE MEDECINE D URGENCE, 2019, 9 (04) :221-228
[23]   Lifestyle Factors and Primary Care Specialty Selection: Comparing 2012-2013 Graduating and Matriculating Medical Students' Thoughts on Specialty Lifestyle [J].
Clinite, Kimberly L. ;
DeZee, Kent J. ;
Durning, Steven J. ;
Kogan, Jennifer R. ;
Blevins, Terri ;
Chou, Calvin L. ;
Diemer, Gretchen ;
Dunne, Dana W. ;
Fagan, Mark J. ;
Hartung, Paul J. ;
Kazantsev, Stephanie M. ;
Mechaber, Hilit F. ;
Paauw, Douglas S. ;
Wong, Jeffrey G. ;
Reddy, Shalini T. .
ACADEMIC MEDICINE, 2014, 89 (11) :1483-1489
[24]   Changes in Radiology Due to Artificial Intelligence That Can Attract Medical Students to the Specialty [J].
Liu, David Shalom ;
Abu-Shaban, Kamil ;
Halabi, Safwan S. ;
Cook, Tessa Sundaram .
JMIR MEDICAL EDUCATION, 2023, 9
[25]   Specialty preferences and factors affecting the choices of postgraduate specialty among undergraduate medical students [J].
Mohamed, Elsadig Yousif .
PAKISTAN JOURNAL OF MEDICAL SCIENCES, 2022, 38 (06) :1431-1435
[26]   How attending and resident reactions influence medical student specialty selection [J].
Buchanan, Diamond ;
Solano, Quintin P. ;
Singleterry, Marquise D. ;
Tubbs, Darrell ;
Ozuna-Harrison, Rico ;
Evans, Julie ;
Matusko, Niki ;
Liebert, Cara ;
Dedhia, Priya H. ;
Mazer, Laura ;
Sandhu, Gurjit .
GLOBAL SURGICAL EDUCATION - JOURNAL OF THE ASSOCIATION FOR SURGICAL EDUCATION, 2023, 3 (01)
[27]   Personality Types of Medical Students in Terms of Their Choice of Medical Specialty: Cross-Sectional Study [J].
Tobiaszewska, Malgorzata ;
Koweszko, Tytus ;
Jurek, Jonasz ;
Mikolap, Karolina ;
Gierus, Jacek ;
Mikulski, Jantoni ;
Waszkiewicz, Napoleon .
INTERACTIVE JOURNAL OF MEDICAL RESEARCH, 2024, 13
[28]   Social dominance theory and medical specialty choice [J].
Lepiece, Brice ;
Reynaert, Christine ;
van Meerbeeck, Philippe ;
Dory, Valerie .
ADVANCES IN HEALTH SCIENCES EDUCATION, 2016, 21 (01) :79-92
[29]   The impact of volunteering with a student-run free clinic on medical student specialty selection [J].
Thomson, Kyle B. ;
Mirpuri, Pranav ;
Chen, Melissa .
BMC MEDICAL EDUCATION, 2022, 22 (01)
[30]   What should medical students do to choose their specialty? [J].
Aboshady, Omar Ali ;
Zenhom, Maha Saad ;
Nasr, Abdelrahman Ashraf .
PAN AFRICAN MEDICAL JOURNAL, 2015, 22