How do we choose our specialty?
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《加拿大医疗协会学报》
Among second-year residents who completed the survey, those who chose family medicine claimed that the most important factors were the doctor– patient relationship, and workload flexibility and predictability; the least important factors included prestige, earning potential and research potential. Residents enrolled in specialties reported being influenced mostly by the level of intellectual stimulation and challenge; prestige and earning potential played a greater role than they did for family medicine residents.
There were also differences between male and female residents. In family medicine, female trainees were more likely than their male counterparts to choose level of intellectual stimulation and challenge, doctor– patient relationship, and workload flexibility and predictability as important influences, whereas the opposite was true for ability to pursue non-work-related interests, training opportunities and earning potential. Among residents in specialty training programs, female trainees were again more likely than the male residents to choose doctor– patient relationship as an important influence, whereas more male than female residents chose training opportunities, workload flexibility and predictability, influence of a mentor, ability to pursue non-work-related interests, earning potential, research opportunities and prestige.
The results give some insight into how today's medical trainees select which career path to follow. Although factors such as earning potential and prestige played an important role for some, most residents were influenced by their interest level in a particular field and the level of intellectual challenge involved as well as by lifestyle issues such as workload predictability and flexibility. These survey results support the current view that today's trainees are more interested in factors related to lifestyle than to prestige, and they may help explain the decreased interest in fields such as cardiac surgery and neurosurgery, which were previously highly competitive.(Mark O. Baerlocher)
There were also differences between male and female residents. In family medicine, female trainees were more likely than their male counterparts to choose level of intellectual stimulation and challenge, doctor– patient relationship, and workload flexibility and predictability as important influences, whereas the opposite was true for ability to pursue non-work-related interests, training opportunities and earning potential. Among residents in specialty training programs, female trainees were again more likely than the male residents to choose doctor– patient relationship as an important influence, whereas more male than female residents chose training opportunities, workload flexibility and predictability, influence of a mentor, ability to pursue non-work-related interests, earning potential, research opportunities and prestige.
The results give some insight into how today's medical trainees select which career path to follow. Although factors such as earning potential and prestige played an important role for some, most residents were influenced by their interest level in a particular field and the level of intellectual challenge involved as well as by lifestyle issues such as workload predictability and flexibility. These survey results support the current view that today's trainees are more interested in factors related to lifestyle than to prestige, and they may help explain the decreased interest in fields such as cardiac surgery and neurosurgery, which were previously highly competitive.(Mark O. Baerlocher)