¿Por qué la elección de la especialidad se ha transformado en un dilema actual para la salud pública?
Objective: Characterize advanced medical students the choice of medical specialty and the headquarters where to do it. Meet the opinion regarding very in-demand specialties and little in-demand specialties. Material and methods: a descriptive, crosssectional study was performed. Used an anonymous se...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=9703 |
| Sumario: | Objective: Characterize advanced medical students the choice of medical specialty and the headquarters where to do it. Meet the opinion regarding very in-demand specialties and little in-demand specialties. Material and methods: a descriptive, crosssectional study was performed. Used an anonymous self-administered survey, via internet. Included intention specialization, chosen specialty, reason for choice of venue, knowledge of the system of residences, opinion on very in-demand and little-in
demand specialties and strategies to reduce this gap. Statistical analysis: measures of central tendency, dispersion and Fisher's exact test. Results: 102 students, 59% women were included. Average age: 24.6 years (DS±4. 24). 64% considered that having partner or children influences the decision to specialize. 98% think of developing expertise because they do not feel qualified to perform with the obtained knowledge. 83% would make residence, by considering it as the best way of specialization and do not know another way; 10% after a "sabbatical"; 9% for the
"experience of being resident". 51% have chosen clinical specialty, 10% surgical; 34% clinical-surgical and 5% public health. At the time of choosing specialty 78% favors adequate training; 58% personal/professional growth; free time 52.5%; and
21% categorizes the grant of financial assistance, 68% knows 'something' about the system of residences. 49.5% chose the specialty in clinical cycle; 19%. to pursue any matter; 16% in Final Practice and 18% have not chosen yet. 93% considered that
"motivating teachers favor the choice"; 91% think that "the lack of information about
medical practice (province and country) can deter many students". As for the little indemand specialties: schedules, holidays, compatibility of work and family life and
malpractice were more frequent for intensive therapy and neonatology; for clinician: the low-paying, bureaucratic overload and breadth of knowledge; for family medicine: little prestige; recognition by the team of health and society, meager pay, little professional development future, be boring and little possibility of investigating. The chosen of the very-in demand specialties were influenced by: schedules, holidays; work and family life and economic retribution (Dermatology, Psychiatry and Anesthesia). They suggest that possible solutions would be to improve residence programs 77% ; ensure work output by State 58%; to arrange in order the specialties 51%; to improve economic scholarships 46.5% and that schools emphasize these specialties 42%. Conclusions: Most of the surveyed students think of getting a specialty because they do not feel qualified to serve as physicians. In general, they know little about the system of residences and when choosing the specialty prioritize prestige, leisure and personal life, compensation, malpractice and breadth of knowledge. Teachers and motivators study plans at the faculty, to improve residencies, job, best scholarship programs and rank are some alternatives for some of the less chosen specialties. |
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