Determination of Career Choices and Reasons for Intern Physicians at Dokuz Eylul University Faculty of Medicine

Yıl 2023, , 326 - 336, 31.01.2023

Ahmet Furkan Süner , Elif Işık , Hatice Şimşek Keskin

https://doi.org/10.30621/jbachs.1107827

Öz

Purpose: In this study, it was determined the characteristics and reasons of career choices of intern physicians who are educated at Dokuz Eylul University Faculty of Medicine in the period 2021-2022.

Material and Method: This descriptive study was conducted between August 2021 and February 2022 at the Dokuz Eylul University, Faculty of Medicine. The data were collected online through Google forms with a previously experimented questionnaire. 272 intern physicians answered the questionnaire (reach rate = 83.4%).

Results: Only 27.0% of the intern physicians stated that they wanted to work in the deprivation area, while 89.3% of them thought of becoming a specialist after graduation. 30.9% of the intern physicians stated that they wanted to work at a university after graduation, and 25.7% of them thought of a career abroad. The three departments most frequently stated by interns to write to their first choice are psychiatry (9.4%), dermatology (6.8%) and ophthalmology (6.8%). The first five factors that intern physicians answered as "very influential" on the choice of profession, acceptable working hours (84%), working conditions after specialization (82.9%), occupational satisfaction (78.4), violence against healthcare workers (74.3%), specialization training. conditions (73.6%).

Conclusion: Specialization is the most important career option for medical students after graduation. It is seen that acceptable working hours, working conditions after specialization, job satisfaction, violence against healthcare workers, conditions of specialization training, malpractice lawsuits and high-income opportunities are effective in the selection of specialization.

Anahtar Kelimeler

Career Choice, Specialization, Intern Physician, Abroad

Kaynakça

• 1. OECD. Health at a Glance 2021: OECD Indicators [Internet]. OECD; 2021 [a.yer 20 Mart 2022]. (Health at a Glance). Erişim adresi: https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2021_ae3016b9-en
• 2. 2019/10 Sağlık Hizmeti Sunucularının Basamaklandırılması Hakkında Genelge [İnternet]. [a.yer 21 Mart 2022]. Erişim adresi: https://shgm.saglik.gov.tr/TR,55587/201910-saglik-hizmeti-sunucularinin-basamaklandirilmasi-hakkinda-genelge.html
• 3. Dikici MF, Yaris F, Topsever P, Filiz TM, Gurel FS, Cubukcu M, vd. Factors Affecting Choice of Specialty Among First-year Medical Students of Four Universities in Different Regions of Turkey. Croat Med J. Haziran 2008;49(3):415-20.
• 4. Köksal S, Vehi̇d S, Tunçkale A, Çerçel A, Ergi̇nöz E, Kaypmaz A, vd. Cerrahpaşa Tıp Fakültesi Öğrencilerinin Tıp Eğitimi Ve Mezuniyet Sonrası İle İlgili Tutumları. Cerrahpaşa Tıp Dergisi. 17 Ağustos 2014;30(4):0.
• 5. Dörtyol BG. Tıp Fakültesi Son Sınıf Öğrencilerinin Mezuniyet Sonrası İle İlgili Düşünceleri, Kariyer Seçimleri Ve Etkileyen Faktörler. Tıp Eğitimi Dünyası. 29 Aralık 2017;16(50):12-21.
• 6. Genc G, KAYA A, Genc M. Inönü Üniversitesi Tip Fakültesi ögrencilerinin meslek seçimini etkileyen faktörler. İnönü Üniversitesi Eǧitim Fakültesi Dergisi. 01 Ocak 2007;8:49-63.
• 7. Gökdeni̇z İ, Merdan E. Kişilik İle Kariyer Seçimi Arasındaki İlişkinin İncelenmesi. Aksaray Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 31 Temmuz 2011;3(2):23-36.
• 8. Ergi̇n A, Di̇kbaş E, Bozkurt Aİ, Atçeken G, Gürbüz H, Yilmaz C, vd. Tıp Fakültesi Öğrencilerin Mezuniyet Sonrası Kariyer Seçimi Ve Etkileyen Faktörler. Tıp Eğitimi Dünyası. 01 Haziran 2011;32(32):8-17.
• 9. Diderichsen S, Johansson EE, Verdonk P, Lagro-Janssen T, Hamberg K. Few gender differences in specialty preferences and motivational factors: a cross-sectional Swedish study on last-year medical students. BMC Medical Education. 08 Mart 2013;13(1):39.
• 10. 2020-TUS 1. ve 2. Dönem Değerlendirme Raporu [İnternet]. [a.yer 14 Şubat 2022]. Erişim adresi: https://www.osym.gov.tr/TR,20825/2020-tus-1-ve-2-donem-degerlendirme-raporu.html
• 11. Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, vd. Psychosocial impact of COVID-19. Diabetes Metab Syndr. Ekim 2020;14(5):779-88.
• 12. Tengi̇z Fİ, Babaoğlu AB. Career Preferences of Senior Students in Faculty of Medicine and Factors Affecting These Preferences. Volume: 27, Issue: 1 67-78 [İnternet]. 27 Temmuz 2020 [a.yer 12 Şubat 2022]; Erişim adresi: http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/50955
• 13. How can the migration of health service professionals be managed so as to reduce any negative effects on supply? [Internet]. 2008 [a.yer 27 Şubat 2022]. Erişim adresi: https://www.euro.who.int/en/media-centre/events/events/2008/06/who-european-ministerial-conference-on-health-systems/documentation/background-documents/how-can-the-migration-of-health-service-professionals-be-managed-so-as-to-reduce-any-negative-effects-on-supply
• 14. TTB: Son 9 ayda 702 doktor yurt dışına gitmek için başvurdu [İnternet]. Kamudanhaber İnternet Sitesi. [a.yer 27 Şubat 2022]. Erişim adresi: https://www.kamudanhaber.net/ttb-son-9-ayda-702-doktor-yurt-disina-gitmek-icin-basvurdu
• 15. Stilwell B, Diallo K, Zurn P, Vujicic M, Adams O, Dal Poz M. Migration of health-care workers from developing countries: strategic approaches to its management. Bull World Health Organ. Ağustos 2004;82(8):595-600.
• 16. OECD. International Migration Outlook 2015 [Internet]. Paris: Organisation for Economic Co-operation and Development; 2015 [a.yer 27 Şubat 2022]. Erişim adresi: https://www.oecd-ilibrary.org/social-issues-migration-health/international-migration-outlook-2015_migr_outlook-2015-en
• 17. Zhang Y, Xie S, Wang P, Wang G, Zhang L, Cao X, vd. Factors Influencing Mental Health of Medical Workers During the COVID-19 Outbreak. Front Public Health. 2020;8:491.
• 18. Açıkgöz B, Ekemen A, Zorlu I, Yüksel NA, Ayoğlu FN. Tıp öğrencilerinde uzmanlaşma eğilimi, uzmanlık alan seçimi ve etkileyen faktörler. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2019;12(1):113-25.
• 19. Resident doctors motivation for specialisation choice and working in rural areas - PDF Free Download [İnternet]. [a.yer 13 Şubat 2022]. Erişim adresi: https://docplayer.net/198972370-Resident-doctors-motivation-for-specialisation-choice-and-working-in-rural-areas.html
• 20. Girasek E, Molnár R, Eke E, Szocska M. The medical career choice motivations — Results from a Hungarian study. 2011;
• 21. Zhang L, Qi H, Wang L, Wang F, Huang J, Li F, vd. Effects of the COVID-19 pandemic on acute stress disorder and career planning among healthcare students. Int J Ment Health Nurs. Ağustos 2021;30(4):907-16.
• 22. Dos Santos LM. How Does COVID-19 Pandemic Influence the Sense of Belonging and Decision-Making Process of Nursing Students: The Study of Nursing Students’ Experiences. Int J Environ Res Public Health. Ağustos 2020;17(15):5603.
• 23. 2021-TUS 1. ve 2. Dönem Değerlendirme Raporu [İnternet]. [a.yer 13 Nisan 2022]. Erişim adresi: https://www.osym.gov.tr/TR,22508/2021-tus-1-ve-2-donem-degerlendirme-raporu.html
• 24. Querido SJ, Vergouw D, Wigersma L, Batenburg RS, De Rond MEJ, Ten Cate OTJ. Dynamics of career choice among students in undergraduate medical courses. A BEME systematic review: BEME Guide No. 33. Med Teach. 2016;38(1):18-29.
• 25. Matthias Wismar, Claudia B. Maier, Irene A. Glinos, Gilles Dussault, Josep Figueras. Health professional mobility and health systems: evidence from 17 European countries [Internet]. 2011 [a.yer 27 Şubat 2022]. 630 s. Erişim adresi: https://eurohealthobservatory.who.int/publications/i/health-professional-mobility-and-health-systems-evidence-from-17-european-countries
• 26. Ergebnisse der Ärztestatistik zum 31.12.2016 [Internet]. [a.yer 13 Nisan 2022]. Erişim adresi: https://www.bundesaerztekammer.de/ueber-uns/aerztestatistik/aerztestatistik-der-vorjahre/aerztestatistik-2016/
• 27. Nowrouzi-Kia B. The impact of workplace violence on health care workers’ quality of life. Developmental Medicine & Child Neurology. 2017;59(7):675-675.
• 28. Kowalenko T, Gates D, Gillespie GL, Succop P, Mentzel TK. Prospective study of violence against ED workers. The American Journal of Emergency Medicine. 01 Ocak 2013;31(1):197-205.
• 29. Heponiemi T, Kouvonen A, Virtanen M, Vänskä J, Elovainio M. The prospective effects of workplace violence on physicians’ job satisfaction and turnover intentions: the buffering effect of job control. BMC Health Services Research. 17 Ocak 2014;14(1):19.
• 30. Sun T, Gao L, Li F, Shi Y, Xie F, Wang J, vd. Workplace violence, psychological stress, sleep quality and subjective health in Chinese doctors: a large cross-sectional study. BMJ Open. 01 Aralık 2017;7(12):e017182.
• 31. “Türkiye’nin Sağlığı-2019” Raporu | TTB – Raporlar.Org [İnternet]. [a.yer 27 Şubat 2022]. Erişim adresi: https://www.raporlar.org/turkiyenin-sagligi-2019-raporu-ttb/
• 32. Yalçınoğlu N, Kayı İ, Işık Ş, Tekin A, Zengin Ş, Karabey S. İstanbul Üniversitesi İstanbul Tip Fakültesi Son Sınıf Öğrencilerinin Tip Eğitimi İle İlgili Görüşleri. Journal of Istanbul Faculty of Medicine. 75(3):41-5.
• 33. Gąsiorowski J, Rudowicz E, Safranow K. Motivation towards medical career choice and future career plans of Polish medical students. Adv Health Sci Educ Theory Pract. Ağustos 2015;20(3):709-25.
• 34. Yarış F, M. Topbaş M, Çan G, Özoran Y. Karadeniz Teknik Üniversitesi Tıp Fakültesi Öğrencilerinin Tıp Eğitimi Hakkındaki Düşünceleri. Journal of Experimental and Clinical Medicine. 23 Aralık 2009;18(4).