MEDICAL STUDENTS’ CAREER CHOICE AND ATTITUDES TOWARDS FAMILY MEDICINE

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Abstract

In order to provide high quality primary health care system, qualified family doctors are needed. An extremely low number of properly qualified family physicians is a worldwide problem. Countries are using various strategies in order to solve this problem, for instance, they are encouraging medical students to choose family medicine as a profession. Despite these attempts, family medicine still struggles with a lack of interest, while the determination to choose a special career is increasing. According to studies, a very small number of undergraduate medical students chose family medicine as a profession. The decision to become a family doctor is influenced by the following characteristics: age, sex, family status, rural life. Studies show that students who choose family medicine are more likely to be socially oriented, instead of seeking leadership opportunities, they have a strong desire to help people and have an opportunity to take a residency in an easy way and obtain a doctor's certificate in a relatively short period of time. Students who choose the doctor’s profession are influenced by the following factors: prestige, intellectual level, payment method, income, researching opportunities, and faculty status, work-life balance. Compared to family doctors, specialists can get quite high salary for performing “high-tech” procedures. The aim of the research is to assess the attitude of medical students towards the family doctor profession, and to find out the reasons that influence medical students’ choice. According to our study, In Georgia, like in many countries, the specialization of family medicine suffers from a lack of interest, which has a negative impact on the number of properly qualified family doctors. According to our study only 2.9% of students expressed interest in the family doctor profession. The decision to become a family doctor is influenced by numerous factors: a duration of residency, an ability to form long-term relationships with patients, the influence of family or community, an ability to solve multiple medical problems, the simplicity of medical practice, an opportunity to find a job, the advantage of working in rural areas, an ability to balance career and personal life. The family doctor profession is less popular in Georgia, which is mainly caused by society’s stereotypical attitudes. To popularize the family doctor profession, it is necessary to introduce effective methods of their financing, to develop a flexible model of family medicine residency education, which would be based on the improvement of a continuous, professional practice.
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医学生对家庭医学的职业选择与态度
为了提供高质量的初级卫生保健系统,需要合格的家庭医生。合格的家庭医生数量极低是一个世界性的问题。各国正在采用各种策略来解决这一问题,例如,他们鼓励医科学生选择家庭医学作为职业。尽管有这些尝试,家庭医学仍然缺乏兴趣,而选择一种特殊职业的决心正在增加。根据研究,很少有医科本科生选择家庭医学作为职业。决定成为一名家庭医生受以下特征的影响:年龄、性别、家庭状况、农村生活。研究表明,选择家庭医学的学生更有可能具有社会性,而不是寻求领导机会,他们有强烈的帮助人的愿望,并且有机会在相对较短的时间内轻松地获得住院医师资格,并获得医生证书。选择医生职业的学生受以下因素的影响:声望、智力水平、支付方式、收入、研究机会、教师地位、工作与生活的平衡。与家庭医生相比,专家可以通过实施“高科技”手术获得相当高的薪水。本研究的目的是评估医学生对家庭医生职业的态度,并找出影响医学生选择的原因。根据我们的研究,在格鲁吉亚,像在许多国家一样,家庭医学专业化受到缺乏兴趣的影响,这对合格家庭医生的数量产生了负面影响。根据我们的研究,只有2.9%的学生表示对家庭医生这个职业感兴趣。决定成为一名家庭医生受到许多因素的影响:住院时间长,与病人建立长期关系的能力,家庭或社区的影响,解决多种医疗问题的能力,医疗实践的简单性,找到工作的机会,在农村地区工作的优势,平衡职业和个人生活的能力。家庭医生职业在格鲁吉亚不太受欢迎,这主要是由于社会的刻板印象造成的。推广家庭医生职业,需要引入有效的家庭医生融资方式,发展灵活的家庭医学住院医师教育模式,这将以持续的专业实践为基础。
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