Motivational factors influencing student intentions to practise in underserved areas: Authors' reply

Abbiati, Milena; Savoldelli, Georges Louis; Baroffio, Anne; Bajwa, Nadia Masood

doi:10.1111/medu.14263

Cited by 2 publications

(4 citation statements)

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“…This project will allow us to better understand the individual and contextual factors influencing Swiss medical students’ career path, from students’ intention at the end of medical school to postgraduate medical training and final specialization. This study will deepen preliminary findings on the relative influence and interaction of static and dynamic variables such as gender, work-life balance, and students’ medical specialty perceptions [ 12 , 32 - 36 ]. The fact that the study is conducted in all Swiss medical schools will also pinpoint the differences between the various Swiss medical schools and, in particular, the effects of new medical master’s programs regarding career choice and location of practice.…”

Section: Discussionmentioning

confidence: 99%

“…Beyond the regulation system, there is often an imbalance between students’ wishes, the need for specialists, and the positions available, leading to shortages in some specialties and high levels of competition in others [ 11 ]. Furthermore, once specialization is achieved, concentrations in certain types of practice (private outpatient rather than hospital based) and in certain geographic areas (advantaged urban rather than rural or disadvantaged urban areas) are unbalanced [ 12 ]. Consequently, there is a growing effort to better understand what factors contribute to the physician workforce shortage and misdistribution.…”

Section: Introductionmentioning

confidence: 99%

“…The Swiss Medical Career Choice study is the continuation of 2 preliminary studies [ 12 , 36 ]. We will explore the role of students’ individual static and dynamic features as well as that of the educational organizational context and training institution culture on career choice, that is, specialty, type, and place of practice, from medical school to postgraduate training.…”

Section: Introductionmentioning

confidence: 99%

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Exploring Medical Career Choice to Better Inform Swiss Physician Workforce Planning: Protocol for a National Cohort Study

Abbiati,

Nendaz,

Cerutti

et al. 2024

JMIR Res Protoc

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Background A medical student’s career choice directly influences the physician workforce shortage and the misdistribution of resources. First, individual and contextual factors related to career choice have been evaluated separately, but their interaction over time is unclear. Second, actual career choice, reasons for this choice, and the influence of national political strategies are currently unknown in Switzerland. Objective The overall objective of this study is to better understand the process of Swiss medical students’ career choice and to predict this choice. Our specific aims will be to examine the predominately static (ie, sociodemographic and personality traits) and predominately dynamic (ie, learning context perceptions, anxiety state, motivation, and motives for career choice) variables that predict the career choice of Swiss medical school students, as well as their interaction, and to examine the evolution of Swiss medical students’ career choice and their ultimate career path, including an international comparison with French medical students. Methods The Swiss Medical Career Choice study is a national, multi-institution, and longitudinal study in which all medical students at all medical schools in Switzerland are eligible to participate. Data will be collected over 4 years for 4 cohorts of medical students using questionnaires in years 4 and 6. We will perform a follow-up during postgraduate training year 2 for medical graduates between 2018 and 2022. We will compare the different Swiss medical schools and a French medical school (the University of Strasbourg Faculty of Medicine). We will also examine the effect of new medical master’s programs in terms of career choice and location of practice. For aim 2, in collaboration with the Swiss Institute for Medical Education, we will implement a national career choice tracking system and identify the final career choice of 2 cohorts of medical students who graduated from 4 Swiss medical schools from 2010 to 2012. We will also develop a model to predict their final career choice. Data analysis will be conducted using inferential statistics, and machine learning approaches will be used to refine the predictive model. Results This study was funded by the Swiss National Science Foundation in January 2023. Recruitment began in May 2023. Data analysis will begin after the completion of the first cohort data collection. Conclusions Our research will inform national stakeholders and medical schools on the prediction of students’ future career choice and on key aspects of physician workforce planning. We will identify targeted actions that may be implemented during medical school and may ultimately influence career choice and encourage the correct number of physicians in the right specialties to fulfill the needs of currently underserved regions. International Registered Report Identifier (IRRID) DERR1-10.2196/53138

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring Medical Career Choice to Better Inform Swiss Physician Workforce Planning: Protocol for a National Cohort Study

Abbiati,

Nendaz,

Cerutti

et al. 2024

JMIR Res Protoc

Self Cite

View full text Add to dashboard Cite

show abstract

“…This project will allow us to better understand the individual and contextual factors influencing Swiss medical students' career path, from students' intention at the end of medical school to postgraduate medical training and final specialization. This study will deepen preliminary findings on the relative influence and interaction of static and dynamic variables such as gender, work-life balance, and students' medical specialty perceptions [12,[32][33][34][35][36]. The fact that the study is conducted in all Swiss medical schools will also pinpoint the differences between the various Swiss medical schools and, in particular, the effects of new medical master's programs regarding career choice and location of practice.…”

Section: Overviewmentioning

confidence: 94%

Exploring Medical Career Choice to Better Inform Swiss Physician Workforce Planning: Protocol for a National Cohort Study (Preprint)

Abbiati,

Nendaz,

Cerutti

et al. 2023

Preprint

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BACKGROUND Medical student career choice directly influences the physician workforce shortage and the misdistribution of resources. Individual and contextual factors related to career choice have been evaluated separately, but their interaction over time is unclear. Secondly, actual career choice, reasons for this choice, and the influence of national political strategies are currently unknown in Switzerland. OBJECTIVE The overall objective is to better understand the process of Swiss medical student career choice and to predict this choice. Our specific aims will examine (1) the static and dynamic variables that predict the career choice of Swiss medical school students as well as their interaction, and (2) the evolution of Swiss medical students’ career choice and their ultimate career path including an international comparison with French medical students. METHODS We will conduct a longitudinal national investigation over 4 years for 4 cohorts of medical students across all Swiss medical schools. Data will be collected using questionnaires at Years 4 and 6 and we will perform a follow-up during postgraduate training year 2 for medical graduates between 2018 and 2022. For Aim 2, in collaboration with the Swiss Institute for Medical Education (SIME) we will implement a national career choice tracking system and identify the final career choice of 2 cohorts of medical students who graduated from 4 Swiss medical schools in 2010-2012. Data analysis will be conducted using inferential statistics and machine learning approaches will be used to refine the predictive model. RESULTS We will explore the dynamic factors influencing Swiss medical students’ career paths from students’ intention to postgraduate medical training and final specialization. We will also identify the relative influence of factors such as gender, motives for specific career choices, individual factors (personality traits, motivation, anxiety) and contextual factors (learning context perceptions). We will assess the differences between different Swiss medical schools and examine the effect of new medical master programs in terms of career choice and location of practice. Finally, using machine learning approaches we will develop a model to predict final career choice of future Swiss medical students. CONCLUSIONS Our research will inform national stakeholders and medical schools on the prediction of students’ future career choice and on key aspects of physician workforce planning. We will identify targeted actions that may be implemented during medical school and may ultimately influence career choice and encourage the correct number of physicians, in the right specialties, to fulfill the needs of currently underserved regions. Potentially, these results could contribute to better management of the medical workforce by balancing future physician distribution and in turn increase the healthcare system efficiency and meet the needs of Swiss society.

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Motivational factors influencing student intentions to practise in underserved areas: Authors' reply

Cited by 2 publications

References 5 publications

Exploring Medical Career Choice to Better Inform Swiss Physician Workforce Planning: Protocol for a National Cohort Study

Exploring Medical Career Choice to Better Inform Swiss Physician Workforce Planning: Protocol for a National Cohort Study

Exploring Medical Career Choice to Better Inform Swiss Physician Workforce Planning: Protocol for a National Cohort Study (Preprint)

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