Asistan Hekimlerde Tıpta Uzmanlık Alanı Seçimi, Kariyer Planları ve İçsel Motivasyon: Kesitsel Bir Çalışma

Öz

Bu çalışma, bir üniversite hastanesinde görev yapan asistan hekimlerin çalışma koşulları, uzmanlık seçimini etkileyen faktörler, kariyer planları ve içsel motivasyon düzeylerini değerlendirmek amacıyla yapılmıştır. Kesitsel ve tanımlayıcı tipte tasarlanan bu çalışma, 1 Şubat–30 Nisan 2026 tarihleri arasında yürütülmüştür. Çalışmaya 152 asistan hekim dahil edilmiştir. Veriler, araştırmacılar tarafından hazırlanan sosyodemografik veri formu ve Türkçe geçerlik-güvenirliği yapılmış İçsel Motivasyon Ölçeği ile toplanmıştır. İstatistiksel analizlerde ki-kare testi, Kruskal–Wallis testi, tek yönlü ANOVA ve Spearman korelasyon analizi kullanılmıştır. Katılımcıların çoğunluğu kadın (%62.5) ve dahili bilimlerde görevli asistanlar idi (%68.4). Haftalık çalışma süresi 60 saatin üzerinde olanların oranı %27.0 idi. Çalışma koşullarından memnuniyetin, hem uzmanlık alanına (p<0.001) hem de haftalık çalışma süresine (p<0.001) göre anlamlı farklılık gösterdiği saptandı. Cerrahi bilimlerde çalışanlarda memnuniyet düzeyi daha düşükken, temel bilimlerde en yüksek olduğu belirlendi. Haftalık çalışma süresi arttıkça memnuniyetin azaldığı görüldü. İçsel motivasyon puanları ile çalışma koşullarından memnuniyet arasında zayıf düzeyde anlamlı pozitif korelasyon saptandı (ρ=0.197, p=0.015). Asistan hekimlerde çalışma koşulları ve iş yükü, mesleki memnuniyet üzerinde belirleyici faktörlerdir. Çalışma saatlerinin azaltılması ve çalışma ortamının iyileştirilmesi, memnuniyet ve içsel motivasyonun artırılmasına katkı sağlayabilir.

Anahtar Kelimeler

• Asistan hekimler
• Çalışma koşulları
• İçsel motivasyon
• Kariyer seçimi
• İş yükü

Destekleyen Kurum

Yazarlar bu çalışmanın herhangi bir finansal destek almadığını beyan etmişlerdir.

Etik Beyan

Çalışma, Eskişehir Osmangazi Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (Karar no: 60, Tarih: 06.01.2026).

Medical Specialty Choice, Career Plans, and Intrinsic Motivation Among Medical Residents: A Cross-Sectional Study

Öz

Resident physicians are exposed to demanding working conditions that may influence their satisfaction, motivation, and career intentions. This study aimed to evaluate working conditions, factors affecting specialty choice, career plans, and intrinsic motivation among resident physicians. This cross-sectional descriptive study was conducted between February 1 and April 30, 2026, among 152 resident physicians working at a university hospital. Data were collected using a researcher-developed sociodemographic questionnaire and the Turkish version of the Intrinsic Motivation Scale. Statistical analyses included chi-square test, Kruskal–Wallis test, one-way ANOVA, and Spearman correlation analysis. The majority of participants were female (62.5%) and working in internal medicine departments (68.4%). A total of 27.0% reported working more than 60 hours per week. Satisfaction with working conditions differed significantly according to specialty (p<0.001) and weekly working hours (p<0.001), with lower satisfaction observed among surgical residents and those with higher workloads. A weak but statistically significant positive correlation was found between intrinsic motivation and satisfaction with working conditions (ρ=0.197, p=0.015). No significant differences were observed in intrinsic motivation scores according to academic career intention or working hours. Working conditions and workload are key determinants of satisfaction among resident physicians. Improving working hours and working environments may contribute to enhanced satisfaction and intrinsic motivation, potentially supporting physician retention and career development.

Anahtar Kelimeler

• Resident physicians
• Working conditions
• Intrinsic motivation
• Career choice
• Workload

Destekleyen Kurum

The authors declared that this study received no financial support.

Etik Beyan

The study was approved by Eskisehir Osmangazi University Noninterventional Clinical Research Ethical Committee (Decision no: 60, Date: 06. 01.2026).

Kaynakça

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