Motives influencing students’ preferences for obstetrics and gynaecology speciality: A cross-sectional multi-site Swiss study

Fehlmann, Aurore; Abbiati, Milena; Dällenbach, Patrick; Savoldelli, Georges Louis

doi:10.1016/j.ejogrb.2019.04.036

Cited by 14 publications

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“…In both analyses, we found a similar aggregation of motivational factors. 1,3 This supports our epistemological assumption that medical career choice is part of a addressing negative medical student perceptions during these experiences may increase practise in underserved areas. 5 As in other European countries, Swiss students tend to study in their region of origin as a result of cultural and language differences despite the fact that physical proximity to urban areas is not a hindrance.…”

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confidence: 67%

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

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Editor-We welcome the comments on our article 'Motivational factors influencing student intentions to practise in underserved areas.' 1,2 We concur with our colleagues that the identifying of motivational factors closely linked with intention to practise in underserved areas is a complicated task. It is challenging to disentangle the concurrent effects of practice type and specialty career choice.

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confidence: 67%

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

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“…2009 [39] New Zealand (O) QT 87 First to fifth year 0.25% 37.0% NA 11 Average Enoch L. 2013 [40] USA (O) QT 145 Forth year 88.0% 54.0% 26.2 (1.6) 12 Average Fehlmann A. 2019 [41] Switzerland (O) QT 1749 Final year 56.0% 37.0% NA 15 Good Grasreiner D. 2018 [42] Germany (O) QT 720 First to sixth year 13.1% 24.9% 24 11 Average Gutierrez-Cirlos C. 2019 [43] Mexico (NO) QT 697 Final year 81.0% 35.0% 24 (1) 13 Good Hamid S. 2019 [44] Pakistan (NO) QT 314 Fourth and final year 54.5% NA 22.63 (1.473) 12 Average Ibrahim M. 2014 [45] UK (O) QT 641 Final year and graduate 12.0% 44.0% NA 12 Average Ie K. 2018 [46] Japan (NO) QT 1408 Final year students' 74.0% 66.3% 24 14 Good Kawamoto R. 2016 [47] Japan (NO) …”

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confidence: 99%

Factors influencing medical students’ choice of specialization: A gender based systematic review

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Background Students’ choice of medical specialties has evolved throughout year, with a growing interest in quality of life and in technological specialties. We investigated the repartition of such choices in the world and its influencing factors with a focus on the gender's influence, for helping policy-makers to deal with medical shortage and territorial to specialty disconnect. Methods A systematic search was conducted on MEDLINE and Scopus from January 2010 to January 2020. Data extraction and analysis followed JBI and PRISMA recommendations. The selected articles had to focus on medical students, detail their choice of specialty, and look for factors influencing their choice. Articles were excluded if they only assessed the attractiveness of a specialty, or evaluated a public policy. This review was registered on PROSPERO, CRD 42020169227. Findings 751 studies were screened, and fifty-four were included. Surgery and internal medicine were the most wanted specialties, both in occidental and non-occidental countries. The main factors influencing the choice of specialty were lifestyle, work-life balance and discipline interest, with variation across different countries. Gender clearly affected this choice with 63.7% of men willing radiology and 14.7% of men in obstetrics and gynecology. Interpretation Influential factors vary with specialty and are affected by the country of residence. Gender has a great impact in students’ willingness to work in specific specialties. Policymakers should adapt their appealing strategies according to the country and the medical discipline concerned. Funding The authors have no support or funding to report.

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“…Existing studies show that students’ specialty choices can be driven by internal motives (intrinsic motivation) such as personal abilities, interest in helping patients and intellectual challenge, and by external motives (extrinsic motivation) such as salary, status and workload . The importance of each of these factors differs according to gender and specialty …”

Section: Introductionmentioning

confidence: 99%

“…16,17 The importance of each of these factors differs according to gender [18][19][20][21][22] and specialty. [23][24][25][26][27] To our knowledge, there have been no studies conducted in high-income countries specifically analysing the impacts of motivational factors on intentions to practise in UAs. In this nationwide study, our aim was to describe medical students' intentions to practise in UAs at the end of medical school training, to identify the motivational factors that drive these intentions, and to determine if certain motivational factors and gender discriminate between students who intend to practise in UAs and those who do not.…”

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confidence: 99%

Motivational factors influencing student intentions to practise in underserved areas

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Context Exploring student intentions to practise in underserved areas (UAs) is necessary to inform the planning and training of the future medical workforce in order to increase effectiveness and fulfil societal needs. However, little is known about the motivational factors influencing these intentions. This paper explores medical students’ intentions to practise in UAs and the motivational factors predicting these intentions. Methods Eligible participants included graduating medical students from four of the five Swiss medical schools, who self‐reported specialty choice, intentions to practise in UAs, and motives that explained their career choices. Chi‐squared analysis was used to compare site, gender, specialty choice and UA practice intention. Motives were aggregated to obtain motivational factors using a principal component analysis with varimax rotation. Logistic regression was used to predict the effects of these motivational factors and of gender on UA practice intention. Results Of 1749 students included in the study, 240 (13.7%) expressed an intention to practise in UAs (62.1% of whom intended to practise in rural areas) and 719 (41.1%) were undecided. In those who wished to practise in UAs, general practice (21.6%) was the most preferred specialty. Motivational factors influencing specialty choice were intellectual challenge, work variety, work conditions and enthusiasm (Kaiser‐Meyer‐Olkin index 0.79, P < .001, 49.0% of variance explained). Students motivated by work variety (odds ratio [OR] 1.4, 95% confidence interval [CI] 1.2‐1.7) and by work conditions (OR 1.3, 95% CI 1.1‐1.6) were more likely to choose UAs and those motivated by intellectual challenge (OR 0.4, 95% CI 0.3‐0.5) were less likely. Undecided students’ motivations were very similar to those of students interested in working in UAs. Conclusions The actual number of Swiss students interested in working in UAs is low and is probably insufficient to meet current societal needs. Work variety and work conditions appear to be factors that might attract interested and undecided students towards working in UAs.

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Motives influencing students’ preferences for obstetrics and gynaecology speciality: A cross-sectional multi-site Swiss study

Cited by 14 publications

References 36 publications

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

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

Factors influencing medical students’ choice of specialization: A gender based systematic review

Motivational factors influencing student intentions to practise in underserved areas

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