Motivational factors influencing student intentions to practise in underserved areas.

Détails

ID Serval
serval:BIB_F063A66B84B7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Motivational factors influencing student intentions to practise in underserved areas.
Périodique
Medical education
Auteur⸱e⸱s
Abbiati M., Savoldelli G.L., Baroffio A., Bajwa N.M.
ISSN
1365-2923 (Electronic)
ISSN-L
0308-0110
Statut éditorial
Publié
Date de publication
04/2020
Peer-reviewed
Oui
Volume
54
Numéro
4
Pages
356-363
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Exploring student intentions to practise in underserved areas (UAs) is necessary to inform the planning and training of the future medical workforce in order to increase effectiveness and fulfil societal needs. However, little is known about the motivational factors influencing these intentions. This paper explores medical students' intentions to practise in UAs and the motivational factors predicting these intentions.
Eligible participants included graduating medical students from four of the five Swiss medical schools, who self-reported specialty choice, intentions to practise in UAs, and motives that explained their career choices. Chi-squared analysis was used to compare site, gender, specialty choice and UA practice intention. Motives were aggregated to obtain motivational factors using a principal component analysis with varimax rotation. Logistic regression was used to predict the effects of these motivational factors and of gender on UA practice intention.
Of 1749 students included in the study, 240 (13.7%) expressed an intention to practise in UAs (62.1% of whom intended to practise in rural areas) and 719 (41.1%) were undecided. In those who wished to practise in UAs, general practice (21.6%) was the most preferred specialty. Motivational factors influencing specialty choice were intellectual challenge, work variety, work conditions and enthusiasm (Kaiser-Meyer-Olkin index 0.79, P < .001, 49.0% of variance explained). Students motivated by work variety (odds ratio [OR] 1.4, 95% confidence interval [CI] 1.2-1.7) and by work conditions (OR 1.3, 95% CI 1.1-1.6) were more likely to choose UAs and those motivated by intellectual challenge (OR 0.4, 95% CI 0.3-0.5) were less likely. Undecided students' motivations were very similar to those of students interested in working in UAs.
The actual number of Swiss students interested in working in UAs is low and is probably insufficient to meet current societal needs. Work variety and work conditions appear to be factors that might attract interested and undecided students towards working in UAs.
Pubmed
Web of science
Création de la notice
03/11/2020 15:36
Dernière modification de la notice
04/11/2020 6:26
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