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Article: Career choice and influential factors among medical students majoring in psychiatry in China

TitleCareer choice and influential factors among medical students majoring in psychiatry in China
Authors
KeywordsCareer choice
Medical students
Psychiatry major
Medical education
Specialty choice
Issue Date2021
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcmededuc/
Citation
BMC Medical Education, 2021, v. 21 n. 1, p. article no. 183 How to Cite?
AbstractBackground: The undergraduate program of psychiatry has been widely established in recent years to improve the education and recruitment of psychiatrists in China. We aim to investigate the career choice of medical students majoring in psychiatry in China and the influential factors. Method: This multicenter study was conducted in 26 medical schools in China from May to October of 2019. Participants included 4610 medical students majoring in psychiatry and 3857 medical students majoring in clinical medicine. Multivariable logistic regression was used to investigate the influential factors of students’ choices of psychiatry at matriculation and as a career. Results: 44.08% of psychiatry majored students gave psychiatry as a first choice at matriculation, and 56.67% of them would choose psychiatry as a career, which was in sharp contrast to the proportion of clinical medicine majored students who would choose psychiatry as a career (0.69%). Personal interest (59.61%), suggestions from family members (27.96%), and experiencing mental problems (23.19%) were main reasons for choosing psychiatry major at matriculation. Personal interest (odds ratio [OR] = 2.12, 95% confidence interval [CI] = 1.87–2.40), experiencing a psychiatry clerkship (OR = 1.99, 95% CI = 1.28–3.08), being female (OR = 1.50, 95% CI = 1.30–1.68), experiencing mental problems (OR = 1.33, 95% CI = 1.28–1.56), and suggestions from family members (OR = 1.25, 95% CI = 1.08–1.46) correlated positively with students’ choice of psychiatry as career. Students who lacked psychiatry knowledge (OR = 0.49, 95% CI = 0.29–0.85) or chose psychiatry because of lower admission scores (OR = 0.80, 95% CI = 0.63–0.97) were less likely to choose psychiatry as a career. Conclusion: More than half of psychiatry majored medical school students planned to choose psychiatry as their career, whereas very few students in the clinic medicine major would make this choice. Increasing students’ interest in psychiatry, strengthening psychiatry clerkships, and popularizing psychiatric knowledge are modifiable factors to increase the psychiatry career intention. The extent to which medical students’ attitudes toward psychiatry can be changed through medical school education and greater exposure to psychiatry will need further investigation.
Persistent Identifierhttp://hdl.handle.net/10722/308335
ISSN
2018 Impact Factor: 1.87
2020 SCImago Journal Rankings: 0.809
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorZhang, YJ-
dc.contributor.authorYuan, K-
dc.contributor.authorChang, SH-
dc.contributor.authorYan, W-
dc.contributor.authorQue, JY-
dc.contributor.authorDeng, JH-
dc.contributor.authorGong, YM-
dc.contributor.authorLuo, JM-
dc.contributor.authorYang, SC-
dc.contributor.authorAn, CX-
dc.contributor.authorKang, YM-
dc.contributor.authorXu, HS-
dc.contributor.authorWang, YM-
dc.contributor.authorZhang, LF-
dc.contributor.authorZhang, WF-
dc.contributor.authorSong, YL-
dc.contributor.authorXu, DW-
dc.contributor.authorLiu, HZ-
dc.contributor.authorWang, WQ-
dc.contributor.authorLiu, CX-
dc.contributor.authorYang, WQ-
dc.contributor.authorZhou, L-
dc.contributor.authorZhao, JB-
dc.contributor.authorYu, MY-
dc.contributor.authorChen, JY-
dc.contributor.authorTang, H-
dc.contributor.authorPeng, J-
dc.contributor.authorZhang, XJ-
dc.contributor.authorXu, Y-
dc.contributor.authorZhang, N-
dc.contributor.authorKuang, L-
dc.contributor.authorLi, ZJ-
dc.contributor.authorWang, YH-
dc.contributor.authorShi, J-
dc.contributor.authorRan, MS-
dc.contributor.authorBao, YP-
dc.contributor.authorShi, L-
dc.contributor.authorLu, L-
dc.date.accessioned2021-11-25T07:17:46Z-
dc.date.available2021-11-25T07:17:46Z-
dc.date.issued2021-
dc.identifier.citationBMC Medical Education, 2021, v. 21 n. 1, p. article no. 183-
dc.identifier.issn1472-6920-
dc.identifier.urihttp://hdl.handle.net/10722/308335-
dc.description.abstractBackground: The undergraduate program of psychiatry has been widely established in recent years to improve the education and recruitment of psychiatrists in China. We aim to investigate the career choice of medical students majoring in psychiatry in China and the influential factors. Method: This multicenter study was conducted in 26 medical schools in China from May to October of 2019. Participants included 4610 medical students majoring in psychiatry and 3857 medical students majoring in clinical medicine. Multivariable logistic regression was used to investigate the influential factors of students’ choices of psychiatry at matriculation and as a career. Results: 44.08% of psychiatry majored students gave psychiatry as a first choice at matriculation, and 56.67% of them would choose psychiatry as a career, which was in sharp contrast to the proportion of clinical medicine majored students who would choose psychiatry as a career (0.69%). Personal interest (59.61%), suggestions from family members (27.96%), and experiencing mental problems (23.19%) were main reasons for choosing psychiatry major at matriculation. Personal interest (odds ratio [OR] = 2.12, 95% confidence interval [CI] = 1.87–2.40), experiencing a psychiatry clerkship (OR = 1.99, 95% CI = 1.28–3.08), being female (OR = 1.50, 95% CI = 1.30–1.68), experiencing mental problems (OR = 1.33, 95% CI = 1.28–1.56), and suggestions from family members (OR = 1.25, 95% CI = 1.08–1.46) correlated positively with students’ choice of psychiatry as career. Students who lacked psychiatry knowledge (OR = 0.49, 95% CI = 0.29–0.85) or chose psychiatry because of lower admission scores (OR = 0.80, 95% CI = 0.63–0.97) were less likely to choose psychiatry as a career. Conclusion: More than half of psychiatry majored medical school students planned to choose psychiatry as their career, whereas very few students in the clinic medicine major would make this choice. Increasing students’ interest in psychiatry, strengthening psychiatry clerkships, and popularizing psychiatric knowledge are modifiable factors to increase the psychiatry career intention. The extent to which medical students’ attitudes toward psychiatry can be changed through medical school education and greater exposure to psychiatry will need further investigation.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcmededuc/-
dc.relation.ispartofBMC Medical Education-
dc.rightsBMC Medical Education. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectCareer choice-
dc.subjectMedical students-
dc.subjectPsychiatry major-
dc.subjectMedical education-
dc.subjectSpecialty choice-
dc.titleCareer choice and influential factors among medical students majoring in psychiatry in China-
dc.typeArticle-
dc.identifier.emailRan, MS: msran@hku.hk-
dc.identifier.authorityRan, MS=rp01788-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12909-021-02622-x-
dc.identifier.pmid33766012-
dc.identifier.pmcidPMC7992123-
dc.identifier.scopuseid_2-s2.0-85103424383-
dc.identifier.hkuros322246-
dc.identifier.volume21-
dc.identifier.issue1-
dc.identifier.spagearticle no. 183-
dc.identifier.epagearticle no. 183-
dc.publisher.placeUnited Kingdom-

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