مطالعه تردید انتخاب تخصص بالینی در دانشجویان پزشکی دانشگاه های علوم پزشکی کشور:1402
تردید در انتخاب تخصص بالینی
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانی
عاطفه پورحسین
1
,
باقر پهلوان زاده
2
,
آرمین خالق جو
3
,
محمد محبوبی
4
1 - دانشجوی پزشکی، دانشگاه علوم پزشکی آبادان
2 - استادیار آمار زیستی گروه بهداشت عمومی، دانشکده بهداشتمرکز تحقیقات آلاینده‌های محیطی دانشگاه علوم پزشکی آبادان
3 - استادیار، کودکان گروه علوم بالینی، دانشکده پزشکی بیمارستان شهید بهشتی، دانشگاه علوم پزشکی آبادان
4 - دانشیار، مدیریت خدمات بهداشتی درمانی، گروه بهداشت عمومی، دانشکده بهداشت دانشگاه علوم پزشکی آبادان
کلید واژه: تخصص بالینی, تردید, پزشکی, دانشجو.,
چکیده مقاله :
مقدمه: تردید در انتخاب تخصص پزشکی یکی از چالش‌های تصمیم‌گیری دانشجویان پزشکی سراسر کشور می‌باشد، به همین منظور این مطالعه به بررسی میزان تردید در انتخاب تخصص بالینی در دانشجویان پزشکی دانشگاه‌های علوم پزشکی کشور در سال 1402 پرداخته است.
روش پژوهش: مطالعه به روش توصیفی تحلیلی به شیوه مقطعی بر روی 188 دانشجوی پزشکی سال پنجم به بالا به روش نمونه گیری در دسترس در سال 1402 انجام شد. گردآوری داده‌ها با استفاده از پرسش نامه روا و پایا شده تردید در انتخاب تخصص بالینی با 38 سوال در 4 بعد(تردید کلی، تعویق تصمیم گیری، موانع تصمیم‌گیری و نامصمم بودن) گردآوری شد. از نمودار نقشه درختی(Tree Map) برای ارائه توصیف نمونه‌ها و برای مقایسه تردید در انتخاب تخصص بالینی و مولفه‌های آن در زیر گروه‌های جمعیت شناختی دانشجویان از آزمون‌های آماری من – ویتنی و کروسکال والیس با استفاده از نرم‌افزار SPSS نسخه 27 استفاده شد.
یافته‌ها: از 188 دانشجوی مشارکت کننده 63/5درصد(115نفر) زن و بقیه مرد بودند. بیشترین فراوانی سن مشارکت کنندگان(112 نفر) در سنین 29-25 سال بود. 47/5درصد (86نفر) از دانشجویان سابقه تحصیلی 8 سال و بیشتر داشتند. 33/1(60نفر) از دانشجویان تمایل به شروع تخصص بلافاصله بعد از اتمام طرح داشتند. تخصص‌های رادیولوژی، بیماری پوست، قلب و عروق و ENT بیشترین محبوبیت و رشته‌های پزشکی قانونی، کودکان، جراحی عمومی و طب اورژانس از کمترین علاقمندی دانشجویان برای انتخاب تخصص برخوردار بودند.
نتیجه‌گیری: محبوبیت برخی رشته‌های تخصصی پزشکی در کشور زنگ خطری برای خالی ماندن صندلی‌های اغلب تخصص‌های مورد نیاز کشور می‌باشد که این زنگ خطر نواخته شده است. محبوبیت برخی رشته‌های تخصصی به دلایل خاص باعث تمرکز تخصص‌ها در برخی شهرهای برخوردار و محرومیت شهرهای کم برخوردار از برخی تخصص‌های حیاتی خواهد بود. برنامه‌ریزی راهبردی دقیق از سوی سیاست‌گذاران بهداشتی درمانی تاکید می‌شود.
Introduction: Uncertainty in the choice of medical speciality is one of the challenges of medical students' decision-making throughout the country, so this study investigated the uncertainty in the preference of clinical speciality among medical students of medical universities in Iran in 2023.
Methods: This cross-sectional descriptive-analytical study was performed on 188 medical students aged 5th and above by available sampling method in 2023. Data were collected using a valid and reliable questionnaire of clinical hesitancy with 38 questions in 4 dimensions (general doubt, decision postponement, decision-making barriers and indecisiveness). A tree map diagram was used to describe the samples and to compare the uncertainty in selecting clinical expertise and its components in the demographic subgroups of students, Mann-Whitney and Kruskal-Wallis tests were used using SPSS version 27.
Results: Of the 188 participating students, 63.5% (115) were female and the rest were male. The most frequent age of participants (112 people) was 25-29 years old. 47.5% (86 students) had a history of education of 8 years or more. 33.1 (60 students) were willing to start specialisation immediately after completion of the project. Radiology, dermatology, cardiology and ENT specialities were the most popular and forensic medicine, paediatrics, general surgery and emergency medicine majors were the least interested in selecting the speciality.
Conclusion: The popularity of some specialized medical disciplines in the country is a wake-up call for the empty seats of most of the required specialities in the country, which has been sounded. The popularity of some specialized fields for specific reasons will result in the concentration of specialities in some well-to-do cities and deprive cities of some vital specialities. Careful strategic planning is emphasised by health policymakers.
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