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Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates
CONTEXT: The delineation between selection of surgery and non-surgery residency programmes could provide a pragmatic view of the influences on medical graduates' careers. This would also help coordinators and educators of residency programmes in surgery to further understand the dynamics of spe...
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Published in: | Journal of postgraduate medicine (Bombay) 2003-07, Vol.49 (3), p.197-200; discussion 201 |
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Main Author: | |
Format: | Article |
Language: | English |
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Online Access: | Get full text |
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Summary: | CONTEXT: The delineation between selection of surgery and non-surgery
residency programmes could provide a pragmatic view of the influences
on medical graduates' careers. This would also help coordinators and
educators of residency programmes in surgery to further understand the
dynamics of specialty selection. AIMS: To identify the different
factors that influence the graduates to select surgical specialties in
Pakistan. SETTINGS AND DESIGNS: A cross-sectional survey was conducted
in 4 teaching hospitals of Karachi between July 1999 and January 2001.
SUBJECTS and METHODS: A total of 455 residents in 1-5 years of
residency programmes were contacted. Three hundred and forty-one
residents consented to the interview. Residents who were registered
both with the College of Physicians and Surgeons of Pakistan (CPSP) and
the Post Graduate Medical Education (PGME) office of the selected
hospitals were included in this study. STATISTICAL METHOD USED:
Logistic regression analysis. RESULTS: Final multivariate analysis
identified 4 factors that remained significantly associated with the
selection of surgical specialty: deriving gratification from direct
patient care (adjusted odds ratio [aOR] = 5.79; 95% confidence interval
[CI]: 1.24, 26.99), procedure-based medical practice (aOR = 2.85; 95%
CI: 1.23, 6.61), nature of clinical problems (aOR = 3.39; 95% CI: 1.47,
7.84), and lack of consideration of stress during professional work
(aOR = 2.27, 95%CI: 1.25, 4.13). CONCLUSIONS: Direct patient care is
perceived to be an integral part of surgery residency and immediate
patient outcome is a positive influence in selecting surgical
specialty. The inclination towards surgery appeared to be determined by
the type of procedures and technical skills involved in its practice.
The nature of clinical problems is an important determinant of the
choice of specialty. Stress was not perceived to be an important
influencing factor for those who decided to select surgical
specialties. |
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ISSN: | 0022-3859 |