CAREER MOTIVATION AMONG STUDENTS OF DIFFERENT UNDERGRADUATE MEDICAL INSTITUTES: A REVIEW OF EXISTING PERCEPTIONS
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Abstract
OBJECTIVES: To explore future career prospects among undergraduate medical students from different institutes and to review existing perceptions among them.
METHODS: This descriptive cross-sectional study was conducted in six different medical colleges of Pakistan from January 2017 to June 2017 including two public and four private sector medical colleges. A structured and pre-validated questionnaire was used to collect the data. Data was analyzed using SPSS 21 and Epi info 7.
RESULTS: Out of 164 students, 75 (45.8%) were males and 89 (54.2%) were females. The public and private sector students distribution was 72 (43.9%) and 92 (56.10%) respectively. Mean age was 22.63±1.99 years. Out of 143 (87.2%) students responding to do specialization, 88 (53.7%) wanted to go abroad while 55 (33.5%) were interested in local training. Upon making rural work obligatory, 111 (68%) showed willingness to work with maximum (n=57/111; 51.35%) wanted to serve the under-privileged community. Majority (n=139; 85%) of the students had no intention to change the profession and maximum (n=55; 33.54%) opted for the field of Medicine as specialization. In factors, own decision by students and gender-based impact on specialization in both sectors had a significant relationship with different motivational aspects (p-value = <0.01).
CONCLUSION: The study revealed that majority of the students wanted to do specialization and preferred going abroad for specialization than opting for local training. About two-third of students were willing to join rural setting, if made obligatory and almost all wanted to be in medical profession throughout the life.
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References
World Population Review. World Population Prospects (2017 Revision) - United Nations population estimates and projections. [Accessed on: March 30, 2019]. Available from URL: http://worldpopulationreview.com/countries/pakistan-population/.
Pakistan Bureau of Statistic. Provisional province wise population by sex and rural/urban census - 2017 Pakistan. [Accessed on: March 30, 2019]. Available from URL: http://www.pbs.gov.pk/sites/default/files//DISTRICT_WISE_CENSUS_RESULTS_CENSUS_2017.pdf.
Pakistan Medical and Dental Council (PM&DC). Recognized medical colleges in Pakistan. [Accessed on: March 30, 2019]. Available from URL: http://www.pmdc.org.pk/AboutUs/RecognizedMedicalDentalColleges/tabid/109/Default.aspx.
Global health workforce alliance. Pakistan: establishing an HRH coordination process. [Accessed on: March 30, 2019]. Available from URL: https://www.who.int/workforcealliance/knowledge/resources/CCF_CaseStudy_Pakistan.pdf.
Aly Z, Taj F. Why Pakistani medical graduates must remain free to emigrate. PLoS Med 2008;5(1):e2. DOI: 10.1371/journal.pmed.0050002.
Sierles FS, Taylor MA. Decline of U.S. medical student career choice of psychiatry and what to do about it. Am J Psychiatry 1995;152(10):1416-26. DOI: 10.1176/ajp.152.10.1416.
Edmund NO, Kenechi AU, Uchenna CA, Ntat CI, Benedict NA, Ngozi E. Specialty preferences among final year medical students in medical schools of southeast Nigeria: need for career guidance. BMC Med Educ 2016;16:259(2016). DOI: 10.1186/s12909-016-0781-3.
Baharvand M, Moghaddam EJ, Pouretemad H, Alavi K. Attitudes of Iranian Dental Students Toward Their Future Careers: An Exploratory Study. J Dent Educ 2011;75(11):1489-95.
Shahab F, Hussain H, Inayat A, Shahab A. Attitudes of medical students towards their career - perspective from Khyber-Pukhtunkhwa. J Pakistan Med Assoc 2013; 63(8):1017-20.
Biggs J. Postgraduate medical training in Pakistan: observations and recommendations. J Coll Physicians Surg Pak 2008;18(1):58-63.
Aslam M, Taj T, Mirza W, Ammar A, Muzaffar S, Kauten JR. Specialty choices of medical students and house officers in Karachi, Pakistan. East Mediterr Health J 2011;17(1):74-9. DOI: 10.26719/2011.17.1.74.
American Academy of Family Physicians (AAFP). Choosing a Medical Specialty. [Accessed on: May 13, 2018]. Available from URL: https://www.aafp.org/medical-school-residency/medical-school/specialty.html.
Diwan V, Minj C, Chhari N, De Costa A. Indian medical students in public and private sector medical schools: are motivations and career aspirations different? – Studies from Madhya Pradesh, India. BMC Med Educ 2013;13(127). DOI: 10.1186/1472-6920-13-127.
Malik N, Jan GuD, Niazi M, Aftab N, Bakhat S, Rashid T. Factors Affecting Career Choices of Newly Admitted and Graduating Medical Students. J Rawal Med Coll 2017;21(2):177-81.
Alam K, Safdar CA, Munir TA, Ghani Z. Teaching obstetrics and gynaecology to male undergraduate medical students: student's perception. J Ayub Med Coll Abbottabad 2014;26(4):539-42.
Alsubaie N, Aldhofaian HS, Alhuwaimel L, Ruxshan N, Alghamdi F, Shamia A, et al. Specialty Preferences and the Factors Influencing Them Among Pre-Clerkship Medical Students: The First Study from Alfaisal University-College of Medicine, Saudi Arabia. Cureus 2016;8(11):e894. DOI: 10.7759/cureus.894.
Boyle V, Shulruf B, Poole P. Influence of gender and other factors on medical student specialty interest. N Z Med J 2014;127(1402):78-87.
Stahn B, Harendza S. Role models play the greatest role - a qualitative study on reasons for choosing postgraduate training at a university hospital. GMS Z Med Ausbild 2014;31(4):1-15. DOI: 10.3205/zma000937.
Ray RA, Young L, Lindsay DB. The influences of background on beginning medical students’ perceptions of rural medical practice. BMC Medical Education 2015;15:58. DOI: 10.1186/s12909-015-0339-9.
Budhathoki SS, Zwanikken PA, Pokharel PK, Scherpbier AJ. Factors influencing medical students' motivation to practice in rural areas in low-income and middle-income countries: a systematic review. BMJ Open 2017;7(2):e013501. DOI: 10.1136/bmjopen-2016-013501.
Royston PJ, Mathieson K, Leafman J, Ojan-Sheehan O. Medical student characteristics predictive of intent for rural practice. Rural Remote Health 2012;12:2107.
Huntington I, Shrestha S, Reich NG, Hagopian A. Career intentions of medical students in the setting of Nepal's rapidly expanding private medical education system. Health Policy Plan 2012;27(5):417-28. DOI: 10.1093/heapol/czr052.
Larkins S, Michielsen K, Iputo J, Elsanousi S, Mammen M, Graves L, et al. Impact of selection strategies on representation of underserved populations and intention to practice: international findings. Med Educ 2015;49(1):60-72. DOI: 10.1111/medu.12518.
Puddey IB, Mercer A, Playford DE, Pougnault S, Riley GJ. Medical student selection criteria as predictors of intended rural practice following graduation. BMC Med Educ 2014;14:218. DOI: 10.1186/1472-6920-14-218.