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醫學生的專科偏好與相關因素探討

Exploring the Specialty Preference of Medical Students and Related Factors

摘要


選擇醫學為專業者一向比其他學科的學生在決定其生涯職志的時間要早一些,但是醫學生仍然必須面對專科和次專科領域的選擇問題,以及決定將實施醫療行為的醫院類型等問題,改變生涯計劃的醫學生並不少見,而專科的選擇是否能夠配合自己的興趣與個性,對於往後的醫師生涯有著相當重大的影響。本研究的主要目的在瞭解醫學生對專科之興趣,以及探究影響其興趣的相關因素。本研究是以台大醫學院醫學系四到七年級的學生為對象,以問卷調查的方式搜集資料。研究結果發現在傳統的大科,如內科、外科和小兒科等,仍然是同學們最有興趣的科別,其次則為家醫科與精神科。從年級來看,雖然略有一些差異,但大致上仍以這幾科較受同學們的喜愛。而影響大多數同學們對這些科別的選擇,是以自己的興趣或是配合自己的個性為主。有關對各專科的認識之分析,結果也是醫學生們對傳統的大科有比較多的認識。在進一步探究其在選擇最有興趣的專科,同時對其所欲選擇專科的瞭解程度為何之時,結果發現兩者之間有著相當明顯的關聯性。此外,在探討未來行醫地點的偏好時,發現大多數的同學仍然希望能留在大台此地區,其次才是自己原來居住的地區。而向來缺乏醫療人員的離島地區,同學們則亳無意願。而對未來行醫工作機構的可能選擇,大部份的醫學生仍是期待能繼續在醫學中心,而對醫師人員需求甚殷的基層醫療機構,大都沒有什麼興趣。本研究建議未來能有更多相關的研究投入,作更廣泛和深入的研究,特別是連續性的多年期追蹤研究,以瞭解醫學生對專科興趣的發展歷程。

並列摘要


Those who choose medicine as a career generallymake their decisions and make their professionalidentities earlier than do students from otherdisciplines.However,they still must confront theproblem of choosing from among many specialtiesand subspecialty alternatives,types of medical practice,and location of practice.According to the resultsof previous research,the percentage of medicalstudents who change their career plan during medicalschool is relatively high.Therefore,the purposeof this study was to thoroughly understand medicalstudents' preference of specialty and to investigatethe determinant and influences of related factors onspecialty preference by medical students.Thy results of surveying 523 medical studentswho were fourth- to seventh-year-students in medicalcollege at National Taiwan University college ofmedicine,show that most medical students were interestedin internal medicine,surgery,and pediatrics.Students' interests and personalities were the majordeterminants.The results of analyzing students' knowledgeabout all specialties,indicate that most students werefamiliar with the level of patient contact,the workload,working times,and physician's income for suchdifferent specialties as internal medicine,surgery,pediatrics,and gynecology-obstetrics.Also,the levelof understanding of a specialty was related to thepreference of students.In addition,the results of preference of practicinglocation showed that most students preferred tostay in the Taipei area,while their hometowns werethe second choices.No student wanted to leave theisland to practice medicine.Furthermore,regardingvarious medical institutions,it was found that medicalcenters were the most popular institution inwhich students expected to be located in the future.This study also suggests that more related research is needed in the future.In particular,longitudinalstudies of medical students' career developmentare highly recommended.(Full text in Chinese)

被引用紀錄


林美妏(2009)。住院醫師工作價值觀與專科特質偏好之研究〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831%2fTMU.2009.00145
陳惠濠(2014)。以系統動態學探討臺灣老年醫學專科醫師供需之研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2014.01107
楊雅筑(2013)。以系統動態學觀點探討臺灣醫師人力供需之影響因子─以兒科專科醫師為例〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2013.00904
陳中銘(2011)。婦產科醫師工作現況、工作特性與專業承諾之相關研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2011.00536
林佩瑩(2009)。女醫師生涯滿意相關因素之研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2009.00036

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