The differences in speciality preferences and career determinant factors between first- and fifth-year medical school students

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  • Uemoto Asuka
    Ehime University Faculty of Medicine
  • Kawamoto Ryuichi
    Department of Community Medicine, Ehime University Graduate School of Medicine
  • Abe Masanori
    Department of Community Medicine, Ehime University Graduate School of Medicine
  • Kusunoki Tomo
    Department of Community Medicine, Ehime University Graduate School of Medicine
  • Kohara Katsuhiko
    Department of Geriatric Medicine, Ehime University Graduate School of Medicine
  • Miki Tetsuro
    Department of Geriatric Medicine, Ehime University Graduate School of Medicine

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Other Title
  • 超高齢社会の地域医療に対する医学生の意識調査：愛媛大学医学科1年生と5年生の比較
  • チョウコウレイ シャカイ ノ チイキ イリョウ ニ タイスル イガクセイ ノ イシキ チョウサ : エヒメ ダイガク イガクカ 1ネンセイ ト 5ネンセイ ノ ヒカク

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Abstract

Aim: In Japan, the imbalance in the medical workforce has caused a deterioration of rural medicine. We explored the differences in speciality preferences and career determinant factors among students to identify keys to increase the recruitment of physicians to rural areas. Methods: We conducted a survey of first- and fifth-year medical students, using a questionnaire enquiring about their specialty preference and career determinant factors. The data were analyzed with a chi-square test. Results: A higher percentage of first-year students preferred to be basic medicine scientists, while fifth-year students considered internal medicine subspecialities, obstetrics and gynecology, anesthesia, and ophthalmology to be the most desirable. The factor analysis yielded five factors responsible for these findings; high social approval of the specialty, working hours, income, advice from senior classmates and doctors, and the work environment. The percentage of students who considered rural practice as a choice for thier future plan and had an awareness of the collapse of rural medicine was lower in the fifth-year students than in the first-year students. Conclusion: To increase the medical work force in provincial areas, it is necessary to strengthen not only the medical system with regard to general medicine, but also to offer better medical education in rural areas. More information about rural practice should therefore be transmitted to medical students.

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