ქართ | Eng

ISSN 2449-2396 (Print) | E ISSN 2449-2612 (Online)

JEL Classifications: I10, I11, I18


https://doi.org/10.35945/gb.2022.13.013



MEDICAL STUDENTS’ CAREER CHOICE AND ATTITUDES TOWARDS FAMILY MEDICINE

Author: Tengiz Verulava | Published: 2022-05-17 | Pages: 92-98

Full Text

For Citation: Verulava, T. (2022). Medical Students’ Career Choice and Attitudes Towards Family Medicine. Globalization and Business. 13, 92-98 (In Georgian). https://doi.org/10.35945/gb.2022.13.013

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


Keywords

Family Medicine, Medical Education, Medical Students, Career Choice


References

Bland, C. J., Meurer, L. N., & Maldonado, G. (1995). Determinants of primary care specialty choice: a non-statistical meta-analysis of the literature. Acad Med, 70 (7), 620-641.

Bowman, M. A., Haynes, R. A., Rivo, M. L., Killian, C.D. & Davis, P. H. (1996). Characteristics of medical students by level of interest in family practice. Fam Med. 28 (10), 713-719.

Canadian Resident Matching Service. Reports and statistics (2010). R-1 match reports. Ottawa, ON: Canadian Resident Matching Service.

Chan, B. T. (2002). From perceived surplus to perceived shortage: what happened to Canada’s physician workforce in the 1990’s? Ottawa, ON: Canadian Institute for Health Information.

Feldman, K., Woloschuk, W., Gowans, M., Delva, D., Brenneis, F., Wright, B., et al. (2008). The difference between medical students interested in rural family medicine versus urban family or specialty medicine. Can J Rural Med. 13 (2), 73-79.

Ferguson, G., Richardson, H. C., & Redfern, N. (2000). A study of junior doctors to investigate the factors that influence career decisions. Br J Gen Pract. 50 (455), 483-485.

Fincher, R. M., Lewis, L. A., & Jackson, T. W. (1994).  Why students choose a primary care or nonprimary care career. The Specialty Choice Study Group. Am J Med 1994; 97 (5), 410-417.

Health Care in Canada. Health care in Canada Survey (2001). Toronto, Ont: Health Care in Canada.

https://docs.google.com/forms/d/14IzgKeWkgx_d4MLXLcC2drhm8M65Nh5wVz2QMRsQ94o/edit#responses

Jordan, J., Brown, J. B., & Russell, G. (2003). Choosing family medicine. What influences medical students? Can Fam Physician. 49, 1131-1137.

Kahn, N. B., Schmittling, G. T., & Graham, R. (1999). Results of the 1999 National Resident Matching Program: family practice. Fam Med. 31(8), 551-558.

Kasperski, M. J. (2001). Where have all the family doctors gone? Response to the George Panel on Health Professional Human Resources Report. Toronto, Ont: Ontario College of Family Physicians.

Kassebaum, D.G., Szenas, P.L., & Schuchert, M. K. (1996). Determinants of the generalist career intentions of 1995 graduating medical students. Acad Med. 71(2), 198-209.

Lawson, S. R., Hoban, J.D., & Mazmanian, P. E. (2004). Understanding primary care residency choices: a test of selected variables in the Bland-Meurer model. Acad Med. 79 (10 Suppl), S36-9.

Lefevre, J. H., Roupret, M., Kerneis, S., & Karila, L. (2010). Career choices of medical students: a national survey of 1780 students. Med Educ. 44 (6), 603-612.

Mcleod, S., Szafran, O., & Duerksen, K. (2012). Factors influencing medical students' choice of family medicine: Effects of rural versus urban background. Canadian family physician. 58(11):e649-e657.

Newton, D. A., Grayson, M.S., & Whitley, T. W. (1998). What predicts medical student career choice? J Gen Intern Med. 13(3), 200-203.

Pugno, P. A., McPherson, D.S., Schmittling, G.T., & Kahn, N. B. (2000). Results of the 2000 National Resident Matching Program: family practice. Fam Med. 32 (8), 543-550.

Research Group on Disparities of Health Care resources; Principle Investigator: Yuko Takeda, MD; Mie University Graduate School of Medicine. 

Robertson, S. (1997). Little room for error in Canada’s postgraduate training system. Can Med Assoc J. 156, 682-684.

Rosser, W. (2002). The decline of family medicine as a career choice. Can Med Assoc J. 166 (11), 1419-1420.

Sarma, S., Thind, A., & Chu, M. K. (2011). Do new cohorts of family physicians work less compared to their older predecessors? The evidence from Canada. Soc Sci Med. 72 (12), 2049-2058. Epub 2011 May 11.

Schafer, S., Shore, W., French, L., Tovar, J., Hughes, S., & Hearst, N. (2000). Rejecting family practice: why medical students switch to other specialties. Fam Med. 32 (5), 320-325.

Scott, I., Gowans, M., Wright, B., Brenneis, F., Banner, S., & Boone, J. (2011). Determinants of choosing a career in family medicine. CMAJ. 183(1), E1-8.

Senf, J. H., Campos-Outcalt D, Kutob R. (2003). Factors related to the choice of family medicine: a reassessment and literature review. J Am Board Fam Pract. 16 (6), 502-12.

Skinner, B. D., & Newton, W. P. (1999). A long-term perspective on family practice residency match success: 1984-1998. Fam Med. 31(8), 559-565.

Verulava, T., Beruashvili, D., Jorbenadze, R., & Eliava, E. (2019). Evaluation of patient referrals to family physicians in Georgia. Family Medicine & Primary Care Review. 21 (2), 180-183.

Verulava, T., Dangadze, B., Jorbenadze, R., Lordkipanidze, A., Karimi, L., Eliava, E., & Maglakelidze, T. (2020). The Gatekeeper Model: patient’s view on the role of the family physician. Family Medicine & Primary Care Review. 22(1), 75–79.

 Verulava, T., Jorbenadze, R., & Karimi, L. (2020). Patients’ perceptions about access to health care and referrals to family physicians in Georgia. Archives of the Balkan Medical Union. 55(4), 642-650. https://doi.org/10.31688/ABMU.2020.55.4.11

Verulava, T. (2018), Primary health care challenges in Georgia. Globalization and Business. European University. (5), 259-262

Verulava, T. (2020). Health Policy Challenges in Georgia: Organizational and Financial Perspectives on Medical Services. Shota Rustaveli National Science Foundation. Tbilisi, 2020. Blades DS, 5.

Verulava, T. (2021). The primary health care system and its role in raising health capital. Shota Rustaveli National Science Foundation. Tbilisi.

Verulava, T., & Jorbenadze R. (2020). Primary health care gatekeeping and referrals: Patients' perspectives on the role of the family physician. Economics and Business. 12 (1).

Wright, B., Scott, I., Woloschuk, W., Brenneis, F., & Bradley, J. (2004). Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine. CMAJ. 170 (13), 1920-4.

Zink, T., Center, B., Finstad, D., Boulger, J. G., Repesh, L. A., Westra, R., et al. (2010). Efforts to graduate more primary care physicians and physicians who will practice in rural areas: examining outcomes from the University of Minnesota-Duluth and the Rural Physician Associate program. Acad Med. 85 (4), 599-604.

Globalization & Business European University European University European University mes.gov.ge erih plus mes.gov.ge EBSCO index copernicus Google Scholar Crossref Open Academic Journals Index ISSN WorldCat Microsoft Academic Dimensions DRJI The National Parliamentary Library of Georgia Internet Archive