REASONS FOR CHOOSING SPECIALTY AFTER GRADUATION AMONG STUDENTS OF A PRIVATE MEDICAL COLLEGE IN PAKISTAN

1970 ◽  
Vol 7 (2) ◽  
pp. 90-94 ◽  
Author(s):  
Imran Shaikh ◽  
Khola Noreen ◽  
Nadia Khalid ◽  
Riasat Ali Nehra ◽  
Kauser Aftab Khan ◽  
...  

Background: Diverse factors influence the career choice of undergraduate medical students. This study was carried out to identify career preferences and factors influencing their selection among undergraduate medical students Methods: The descriptive cross sectional study was conducted among under graduate students. Final MBBS medical students (84) were interviewed. They were interviewed for career preference after finishing medical school and then for reasons of choosing a specific specialty. All information gathered was on voluntary basis. Anonymity and confidentiality was maintained. The study was approved by the college ethical review committee Results: Out of total 84 students 61 (72.6%, males & females) decided about the specialty in final year while 23 (27.4%, males & females) were undecided in choosing their specialty. Among those who have decided in males (n=13) Internal Medicine was the first choice with 68.4% (n=13), general surgery 63% (n=12) followed by Pediatrics 31.6% (n=7). Among females n=31, internal medicine was the first choice with 59% (n=31), Pediatrics 38% (n=16) followed by Family Medicine 38% (n=16) and General Surgery 35% (n=15). Regarding factors influencing choice of specialty personal interest is the top factor in males & females with 72%(n=44), content of specialty 16% (n=10), role model and close interaction with patients15% (n=9), financial reward ranks fourth13% (n=8) and intellectual challenge & desire practice setting 11.5% (n=7). Among undecided for specialty (males & females) n=23, most of the students are of the opinion that insufficient information is the top most reason (56%) n=13, followed by lack of guidance (43%) n =10, lack of role model (39%) n=9 is the third leading factor for being undecided. Conclusion: The trend of preferring Clinical over Basic Sciences is evident in the study. Interestingly Family medicine was also a preferred specialty among females. In improving the health outcomes Pakistan needs Family physicians trained to provide low cost services at community level.

Author(s):  
Ellen Tieko Tsugami Dalla Costa ◽  
Débora Dornelas Belchior Costa Andrade ◽  
Conrado Carvalho Horta Barbosa

Avaliar a influência de uma matriz curricular na percepção dos discentes de medicina sobre medicina de família e comunidade e na escolha por essa especialidade. Estudo qualitativo-quantitativo de cunho exploratório e transversal, efetuado por meio de questionário semiestruturado com acadêmicos do primeiro e do décimo-segundo semestres de medicina de um centro universitário brasileiro. Foram realizadas as análises descritivas e não paramétricas, com um nível de significância de 5%. Egressos conheciam bem a especialidade medicina de família e comunidade, ao contrário dos que estavam iniciando o curso. Dentre os fatores curriculares estudados, apenas o contato com um profissional modelo médico de família e comunidade foi estatisticamente significante para a escolha pela carreira (p-valor de 0,02). Este estudo sugere que o contato com médicos de família e comunidade e a inserção precoce e contínua na atenção básica durante a graduação contribuem para o interesse por essa especialidade.Descritores: Educação Médica, Medicina de Família e Comunidade, Currículo. Medical students’ perceptions on family medicineAbstract: To evaluate the influence of a medical program in medical students’ perceptions towards family medicine and in choosing a career in this field. A cross-sectional exploratory and qualitative-quantitative survey accomplished by the application of a semi-structured questionnaire. This research encompasses first and twelfth semesters medical students from a Brazilian university center. We performed a descriptive and a non-parametric analysis, with a significance level of 5%. Family Medicine was not well known by medical students who were beginning their graduation and very well known by those finishing medical school. Among the curriculum aspects studied, only the contact with a family medicine physician role model was statistically significant to affect the graduates’ career choice in family medicine (p-value 0.02). This study suggests that the contact with family physicians and the early and continued insertion in primary care during graduation contribute to a greater interest in this specialty.Descriptors: Medical Education, Family Practice, Curriculum. Percepción de los estudiantes de medicina sobre medicina de família y comunidadResumen: Evaluar la influencia de una matriz curricular en la percepción de los estudiantes de medicina con foco en la medicina de família y comunidade. Estudio cualitativo-cuantitativo de cuño exploratório trabajando la transversalidad, efectuado por medio de cuestionários semi estructurado aplicado a academicos de medicina de una institución universitária brasileña. Fueron realizadas los análisis descriptivas y no paramétricas, con un nível de significancia de un 5%. Egresos conocian bien la especialidad, En oposición a los que estaban iniciando el curso. Entre los factores curriculares estudiados, fué registrado como importante el contacto con un profisional modelo médico de família y comunidad que resultó estadísticamente significante para la elección de esta carrera (p-valor 0,02). Este Estudio sugiere que el contacto con médicos de família y comunidade, la inserción precoz y contínua em los servicios de atención básica durante la graduação contribuyen para despertar el interés por esa especialidad.Descriptores: Educación Médica, Medicina de Família y Comunidad, Currículum.


Author(s):  
Yachna Setu ◽  
Anika Sulania ◽  
Ravi Prakash Jha ◽  
Shelesh Kumar Goel

<p class="abstract"><strong>Background:</strong> Obesity is one of the most serious public health challenge of 21st century. Overweight and obese children are more likely to develop non-communicable diseases (NCDs) like diabetes and cardiovascular diseases (CVDs) in their adolescent age group. For the last few years prevalence of obesity among adolescent has risen dramatically. According to few recent studies, prevalence of obesity is high among medical students. Aims and objectives of the research was to study the prevalence of obesity among undergraduate medical students and to assess the determinants of obesity.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted among 200 undergraduate medical students in a medical college of Delhi. A pre-designed, pretested and semi-structured interview schedule was used. And for anthropometric measurements, digital weighing scale for weight measurement, stadiometer for height measurement and non-stretchable inch tape for waist-circumference/hip-circumference (WC/HC) measurement.  </p><p class="abstract"><strong>Results:</strong> A total of 200 medical students were surveyed for a period of 6 months. It was observed that according to World Health Organization (WHO) Asian – pacific classification of body mass index (BMI), 21% (42/200) were overweight and 29% (58/200) were obese. Among the study participants, socio demographic variables which were found to be associated with increased BMI were mother’s education (p value=0.02), father’s education (p value=0.01) and type of the area (p value=0.03). Occupation of mothers and father was not found to be significantly associated with the BMI.</p><p class="abstract"><strong>Conclusions:</strong> Medical students are our future doctors and role model for the community, so it is very important to modify the dietary and lifestyle factors in order to decrease the prevalence of overweight and obesity among medical students.</p><p> </p>


2016 ◽  
Vol 23 (07) ◽  
pp. 858-863
Author(s):  
Muhammad Luqman Farrukh Nagi ◽  
Syed Tehseen Haider Kazmi ◽  
Khadija Zafar Qureshi ◽  
Kiran Wasiq ◽  
Khadija Sajid ◽  
...  

Psychological stress is prevalent in medical schools and is associated withdepression. The personal and social sacrifices young medical apprentices have to makein order to sustain a fine academic outcome in an exceedingly competitive education setsthem under enormous strain. The estimated prevalence of depression among private medicalstudents has been 19% in United States, 49% in India, and 60% in Pakistan. Pakistan boastshighest prevalence of depression globally among undergraduate private medical students.Additionally a lack of any prior study in this institution, this study aimed to find prevalence ofdepression in the undergraduate private medical college of Lahore. Setting: The subjects werestudents of Shalamar Medical and Dental College, Lahore a private institution, in a metropolitanurban population. Study Design: Cross sectional study based on systematic random samplingtechnique. Methods: A modified, self-administered, structured questionnaire based onGoldberg’s depression scale was distributed to a sample of 240 subjects during March 2014,till October 2014. Higher total scores refer to higher depression levels. Prior to the initiation ofresearch permission was sought from the institution’s ethical review committee. The data entryand analyses were done in SPSS for Windows version 20.0. Results: The response rate was80%. The age of students (n= 164) averaged 21.1 ±1.4 years. The prevalence of depressionamong undergraduate medical students of our setting was almost 63% (n= 122). Thirty onepercent (n=59) were possibly mildly depressed, 9% (n=17) borderline depressed, 19%(n=37) mild to moderate cases, 20% (n=39) moderate to severe cases and 3 % (n=6) wereseverely depressed students. Almost 85% (n= 40) of the students from second year sufferedfrom depression the highest prevalence among all undergraduate medical years. A substantial41% (n= 36) and 42 % (n= 37) of students suffering from depression admitted to the use oftaking stimulants like amphetamines and caffeine respectively. Conclusion: The prevalence ofdepression is highest among the students of second academic year. Terminal illness of a familymember and effect of law and order situation of the country also compromise the mental healthof undergraduate medical students.


2022 ◽  
Author(s):  
Felix Bongomin ◽  
Ronald Olum ◽  
Jonathan Kajjimu ◽  
Andrew Marvin Kanyike ◽  
Linda Atulinda ◽  
...  

Abstract Background There is an unmet need for internal medicine physicians in Uganda owing to the growing burden of diseases. This study aimed at evaluating the factors associated with career choices of undergraduate medical students regarding internal medicine in Uganda. Methods We conducted a cross-sectional study in the first 3 weeks of October 2021 via WhatsApp messenger. Medical students in the 3rd to 5th year of study who had completed internal medicine clinical rotations and pursuing a Bachelor of Medicine and Bachelor of Surgery (MBChB) degree at 7 Ugandan universities (4 public and 3 private) were enrolled. Multivariable logistic regression model was constructed to determine factors associated with a career choice in internal medicine. Results We enrolled 418 participants, median age 24 (interquartile range (IQR): 23 – 26) years, 67.7% were male, and 36.1% had a family member or relative who was a doctor. Most of the students (84.0%) were interested in research. The top three most preferred specialties were internal medicine (52.6%), surgery (51.2%), and obstetrics & gynaecology (51.0%). Overall, 186 (44.5%) participants reported plans to pursue a Master of Medicine degree in internal medicine. Interest in research was the only factor independently associated with 2.5-fold higher odds of pursuing a career in internal medicine (adjusted odds ratio: 2.5, 95% CI: 1.4 — 4.6, p=0.003). About 73% of the participants strongly agreed that internal medicine requires wide reading. Conclusions There is strong interest to pursue a career in internal medicine among Ugandan medical students. We recommend increase in training opportunities in Internal Medicine especially in view of the growing disease burden and increasing population growth.


Author(s):  
Ashrof Raja ◽  
G. Jahnavi ◽  
Satya Ranjan Patra

Background: It is not very clear about the factors that influence the career choices of the undergraduate medical students. Experiences in the college during their curriculum are the strong determinants in developing an attitude to different subjects and attitude plays a very important role in choosing the speciality. This study is sought to find out the career choices of the first year medical students and what influenced them to take up that particular careerMethods: A cross sectional questionnaire based study was conducted in the first semester students of the Madha Medical College. The questionnaire was designed to find out the first choice of speciality, awareness of various subjects taught in a medical college, location preferences, and reasons influencing the preference, education level and occupation of their parents.Results: Out of a total of 150 students 141 (94%) were present on that day who had completed the questionnaire successfully. The mean age of the students was 17.8±0.6 (min=17, max=20). About 54% of the students were females and the rest 46% were males. The students belonging to urban area were 67% and that of rural area were 33%. The reasons quoted by the students for joining the MBBS course were personal interest 82%, parent’s interest 18%. None of the students could correctly answer the number of subjects taught in a medical college during the course. About half of the students did not know the duration of a specialization course after MBBS. The students interested to do specialization were 97% and interested to do IAS, or IPS were 2%. The most preferred career choices among the students were clinical subjects (71%), of which General Medicine and obstetrics & gynecology topped the list, followed by surgery and paediatrics; 24% chose pre-clinical subjects and anatomy was the most favoured, followed by physiology and the least preferred was biochemistry; only 2% were interested in paraclinical subjects of which community medicine, pharmacology and forensic medicine shared equal status but none of them wanted to specialize in pathology and microbiology. Personal interest was rated among 81% of the students in influencing their choice of speciality. After completion of education about 45% of the students wanted to settle in urban area and equal percentage of students in rural area. The students who wanted to settle in India after specialization was 87%, who wanted to go abroad were 7%. About 46% of the students wanted to join the corporate set up after specialization, 36% wanted to become private practitioners. About 46% of the students felt that 1 year is adequate for basic sciences.Conclusion:  The career choices among the students of our institution were biased among the clinical subjects. The choices may change during the course of time which would be followed up. The role modelling by the faculty could be a factor in influencing their choices.


2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Yamin I. Elzain ◽  
Awad Ali Mohamed Ahmed Alawad ◽  
Waleed S. Khan ◽  
Hassan O. Khalil ◽  
Yousif M. Abdelrazig ◽  
...  

2017 ◽  
Vol 59 (3) ◽  
pp. 37
Author(s):  
D T Hagemeister ◽  
A Pal ◽  
U Kristen ◽  
N Mokgosana ◽  
G Joubert

Background: There is a large demand for Family Medicine specialists, yet not enough medical students specialise in this field. This study investigated the interest of undergraduate medical students at the University of the Free State in pursuing a career in Family Medicine, factors associated with this interest, and their opinion of Family Medicine as a specialty. Methods: In this prospective cross-sectional study, anonymous, self-reporting questionnaires, available in English and Afrikaans, were distributed to first- to fifth-year undergraduates. Data were collected on demographic variables and interest in Family Medicine and other disciplines. The students had to rate the likelihood of them selecting 15 different specialties as a future career according to a five-point Likert scale. Opinions concerning Family Medicine were tested with a yes/no response as to the agreement to five statements. Results: Fifth-year students were excluded due to poor response rate (13.6%). The response rate for the first- to fourth-year groups was 86.4%. Interest in Family Medicine decreased from first to third year (22.4, 21.2 and 14.0%, respectively), but increased again in the fourth year (23.3%). Females and speakers of African languages showed the most interest in this field. Medical students, especially first years, generally had poor knowledge regarding Family Medicine. Conclusion: Family Medicine is not a preferred specialty in any of the four year groups, and students had insufficient knowledge of the field. Family Medicine should be introduced earlier into the medical curriculum. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1317977


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elena Zelesniack ◽  
Viktor Oubaid ◽  
Sigrid Harendza

Abstract Background Undergraduate medical education is supposed to equip medical students with basic competences to select any specialty of their choice for postgraduate training. Medical specialties are characterized by a great diversity of their daily work routines and require different sets of competence facets. This study examines the self-assessed competence profiles of final-year undergraduate medical students and their specialty choice for postgraduate training. Students’ profiles, who wish to choose anaesthesiology, internal medicine, or paediatrics, are compared with the physicians’ competence profiles from these three disciplines. Methods In this study, 148 volunteer final-year undergraduate medical students completed the modified requirement-tracking (R-Track) questionnaire for self-assessment of their competence profiles. The R-Track questionnaire contains 63 competence facets assigned to six areas of competence: “Mental abilities”, “Sensory abilities”, “Psychomotor & multitasking abilities”, “Social interactive competences”, “Motivation”, and “Personality traits”. The expression of the different competence facets had to be assessed on a 5-point Likert scale (1: “very low” to 5: “very high”). Additionally, socio-demographic data and the participants’ first choice of a medical speciality for postgraduate education were collected. We used analysis of variance (ANOVA) for mean score comparison of subgroups and least significant difference (LSD) tests for post hoc analysis. Results The competence area with the highest rating was “Motivation” (3.70 ± 0.47) while “Psychomotor & multitasking abilities” received the lowest rating (3.34 ± 0.68). Individual facets of competence ranked from “In need of harmony” (4.36 ± 0.72), followed by “Tactfulness” (4.26 ± 0.64), and “Cooperation/Agreeableness” (4.24 ± 0.53) to “Risk orientation” (2.90 ± 0.92), “Mathematical reasoning” (2.87 ± 1.25), and “Sanctioning” (2.26 ± 0.93). The students’ competence profiles showed 100 % congruence with physicians’ competence profiles of the postgraduate specialty of their choice for internal medicine, 33.3 % for paediatrics, and 0 % for anaesthesiology. Conclusions Undergraduate medical students could define their competence profiles with the modified R-Track questionnaire and compare them with the profile of their desired specialty for postgraduate training to discover possible learning gaps or to detect good specialty matches. A combination of students’ competence self-assessment with an external assessment of students’ facets of competence could provide curricular planners with useful information how to design learning opportunities for specific facets of competence.


2020 ◽  
Author(s):  
Felix Bongomin ◽  
Ronald Olum ◽  
Lydia Nakiyingi ◽  
Lalitha Rejani ◽  
Isaac Ssinabulya ◽  
...  

ABSTRACTBackgroundThe coronavirus-2019 (COVID-19) pandemic continues to impose a significant impact on medical education. We aimed to describe the clinical learning experience of undergraduate medical students undertaking internal medicine clerkship during the COVID-19 pandemic at Makerere University, Uganda.MethodsA descriptive, cross-sectional study among medical students in clinical years of study pursuing the Bachelor of Medicine and Bachelor of Surgery undergraduate degree program was conducted in November 2020. Only 3rd (junior clerks) and 5th (senior clerks) year medical students whose internal medicine clerkships were interrupted by the COVID-19 pandemic were studied.ResultsData of 188 (95%) eligible clinical year students; junior (101, 54.0%) and senior (86, 46.0%) were analysed. Median age was 24 (range: 22-42) years. Majority (70.1%) were male and Ugandan nationals (94.1%). Sixty-four (30.3%) students reported inadequate personal protective equipment, 152 (81.7%) felt at risk of contracting COVID-19, and 127 (67.9%) said it was difficult to observe COVID-19 standard operating procedures. Twenty-two students (11.9%) were discouraged from pursuing a career in internal medicine. Overall, most students reported good or excellent clinical experience pre-COVID-19 era compared to during the COVID-19 era (4.0 vs. 3.5, p<0.0001). Senior clerks significantly believed that the time allocated for the rotation was adequate (p<0.0001) and they were able to complete their study objectives (p<0.001), compared to the junior clerks. Senior clerks believed that learning was difficult when combined with junior clerks (p=0.013). About half of the students (51.4%, n=95) reported clinical teaching should remain as it was in the pre-COVID-19 era.ConclusionsThe COVID-19 pandemic has had a significantly negative effect on the clinical learning experience of the students. There is need to review the current teaching and learning methods to suit teaching and learning during pandemics of highly infectious diseases to ensure safe and effective learning experience.HighlightsNearly half of the medical students reported a negative clinical learning experience during their internal medicine clerkship in the COVID-19 pandemic.Over two-thirds of the participants expressed that it was difficult to observe COVID-19 prevention standard operating procedures during their clinical rotations.Over 80% of the medical students felt at risk of contracting COVID-19 during their clinical rotation.About one-third of the medical students reported inadequacy in personal protective equipment like masks during their rotation.


2020 ◽  
Vol 11 (3) ◽  
pp. e116-e121
Author(s):  
Jorin Lukings ◽  
Amanda Bell ◽  
Karl Stobbe ◽  
Vesa Basha ◽  
Jessie Brazier ◽  
...  

Background: Undergraduate medical students seek as much information as possible as to how residency programs select candidates.  The Canadian Residency Matching Service (CaRMS) website is one of their primary sources of information. Students may be more competitive in the match if they know whether scholarly activity is used in the selection process by their preferred programs, as described on the CaRMS website.. Methods: For all 17 Canadian faculties of medicine, 2019 R1 entry internal medicine, family medicine and pediatrics program descriptions were reviewed on the CaRMS website looking for keywords related to scholarly activity. Results: Forty-one percent of family medicine, 65% of internal medicine and 71% of pediatric programs explicitly stated having interest in applicants with scholarly experience. In Western Canada, 80% of internal medicine and 60% of pediatrics programs included scholarly activity in their CaRMS description of criteria considered in ranking applications. Similarly, in Ontario, 66% of internal medicine and 83% of pediatrics programs mentioned scholarly activity as a valuable quality. In Quebec 100% of family medicine and 50% of pediatrics programs include scholarly activity in their descriptions. Pediatrics and internal medicine programs (100%) in Atlantic Canada mentioned scholarly activities but neither of the two Atlantic Canada internal medicine programs mentioned scholarly activities. Conclusion: Undergraduate medical students can use this project to prioritize extracurricular activities and scholarly work to be competitive for application to family medicine, internal medicine and pediatrics residency programs.  


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