Choices in career specialisation among junior doctors working in tertiary care centres in Sri Lanka: trends and determinants

Fernando, Deepika; Manchanayaka, M. A. N.

doi:10.4038/jccp.v47i1.7766

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Obstetrics and Gynecology 12 ( studies from Asian countries, 'internal medicine' was reported as the first choice. [27][28][29] A study among firstyear medical students in China, Sri Lanka, Nepal, India, and Malaysia reported that 'surgery' and 'internal medicine' were the top two choices [13]. The choices varied by region and countries globally [27].…”

Section: Choice Of Specialist Trainingmentioning

confidence: 99%

House officers’ specialist career choices and motivators for their choice– a sequential mixed-methods study from Malaysia

et al. 2022

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Purpose Shortage and maldistribution of medical specialists hamper healthcare quality. The specialist career choices of house officers determines the future composition of healthcare systems. We studied house officers’’ specialist career choices and motivators for their choice. Participants and methods We conducted online in-depth interviews among seven house officers using an interview guide developed based on a literature review. The transcripts were analyzed. Major themes were identified. A 33-item questionnaire was developed, and the main and sub-themes were identified as motivators for specialist career choice. An online survey was done among 185 house officers. Content validation of motivators for specialist choice was done using exploratory factor analysis. First, second and third choices for a specialist career were identified. Multinomial logistic regression analyses were done to determine the socio-demographic factors and motivators associated with the first choice. Results HOs perceived that specialist training opportunities provide a wide range of clinical competencies through well-structured, comprehensive training programs under existing specialist training pathways. Main challenges were limited local specialist training opportunities and hurdles for ‘on-contract’ HO to pursue specialist training. Motivators for first-choice specialty were related to ‘work schedule’, ‘patient care characteristics’, ‘specialty characteristics’, ‘personal factors’, ‘past work experience’, ‘training factors’, and ‘career prospects.’ House officers’ first choices were specialties related to medicine (40.5%), surgery (31.5%), primary care (14.6%), and acute care (13.5%). On multivariate analysis, “younger age”, “health professional in the family”, “work schedule and personal factors”, “career prospects” and “specialty characteristics” were associated with the first choice. Conclusions Medical and surgical disciplines were the most preferred disciplines and their motivators varied by individual discipline. Overall work experiences and career prospects were the most important motivators for the first-choice specialty. The information about motivational factors is helpful to develop policies to encourage more doctors to choose specialties with a shortage of doctors and to provide career specialty guidance.

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Section: Choice Of Specialist Trainingmentioning

confidence: 99%

House officers’ specialist career choices and motivators for their choice– a sequential mixed-methods study from Malaysia

et al. 2022

View full text Add to dashboard Cite

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“…In several studies from Asian countries, 'internal medicine' was reported as the rst choice. [19][20][21] A study among rst year medical students in China, Sri Lanka, Nepal, India, and Malaysia reported that 'surgery' and 'internal medicine' were the top two choices. [13] The choices varied by regions and countries globally.…”

Section: Choice Of Specialist Trainingmentioning

confidence: 99%

House officers’ specialist career choices and motivators for their choice– a sequential mixed methods study from Malaysia

Nadarajah

Shankar

Jayaraman

et al. 2022

Preprint

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Background: Shortage and maldistribution of medical specialists hampers healthcare quality. The specialist career choices of house officers determine the composition healthcare system. We studied house officers’’ specialist career choices and motivators for their choice. Methods: An exploratory sequential mixed methods study was done from July to December 2020 among house officers working in Hospital Selayang, Selangor, Malaysia. We conducted online in-depth interviews among seven house officers using an interview guide developed based on a literature review. The transcripts were analyzed thematically. A 33-item questionnaire was developed, and the main and sub themes identified as motivators for specialist career choice. An online survey was done among a random sample of 185 house officers. Content validation of motivators for specialist choice was done using exploratory factor analysis. First, second and third choice for specialist career were identified. Multinomial logistic regression analyses were done to determine the socio-demographic factors and motivators associated with first choice. Results: Two major themes identified from the in-depth interviews with house officers. Perceptions about specialist training opportunities were positive as they gain wide range of clinical competencies through a well-structured, comprehensive training programs under existing specialist training pathways. However, limited availability of Malaysian local university training opportunities and challenges of ‘on-contract’ to pursue specialist training were the main challenges. The motivational factors for first-choice specialty were related to ‘work schedule’, ‘patient care characteristics’, ‘specialty characteristics’, ‘personal factors’, ‘past work experience’, ‘training factors’, and ‘career prospects.’ Overall Cronbach’s alpha for the questionnaire on motivators was 0.85. Exploratory factor analyses retained 26 out of 33 items in seven constructs with a 64.9% variance. House officers’ first choice were specialties related to medicine (40.5%), surgery (31.5%), primary care (14.6%) and acute care (13.5%). On multivariate analysis, “younger age”, “health professional in family”, “work schedule and personal factors”, “career prospects” and “specialty characteristics” were associated with first choice. Conclusions: Specialties related to medical and surgical disciplines were most preferred disciplines. Motivators for first choice varied by disciplines. The information motivational factors are helpful to develop policies to encourage more doctors to choose specialties with shortage of doctors and to provide career specialty guidance.

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Choices in career specialisation among junior doctors working in tertiary care centres in Sri Lanka: trends and determinants

Cited by 2 publications

References 8 publications

House officers’ specialist career choices and motivators for their choice– a sequential mixed-methods study from Malaysia

House officers’ specialist career choices and motivators for their choice– a sequential mixed-methods study from Malaysia

House officers’ specialist career choices and motivators for their choice– a sequential mixed methods study from Malaysia

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