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      Factores que influyen en la elección de la plaza de formación sanitaria especializada de MIR Translated title: Factors influencing the choice of MIR specialized health formation

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          Abstract

          Introducción. El examen de médico interno residente (MIR) se debe superar para acceder a una plaza de formación de médico especialista en España. Este estudio pretende: a) determinar los factores que influyen en la elección de la plaza de MIR; b) valorar el grado de información sobre el hospital/centro seleccionado; c) analizar las prioridades profesionales durante y posteriormente a la formación de MIR; y d) comparar los resultados entre estudiantes de sexto de Medicina y residentes MIR de primer año. Material y métodos. Se envió una encuesta anónima a 370 estudiantes de sexto de Medicina y 494 residentes de primer año de Cataluña y Aragón. Resultados. Contestaron 105 estudiantes y 104 residentes (24%). El 71% de los estudiantes y el 56% de los residentes preferían formarse en un centro distinto al que habían estudiado. Lo prioritario para escoger la plaza fue la especialidad, por encima de otros factores, como el hospital/centro o la ciudad. Globalmente, el 90% se informó acerca de las plazas, preferiblemente a través de otros residentes. Un 45% de los estudiantes y un 12% de los residentes se mostraban dispuestos a repetir el examen de MIR en caso de no disponer de la especialidad y el centro deseados en primera opción. Los encuestados valoraron positivamente aspectos como un ambiente de trabajo adecuado, un buen nivel asistencial y condiciones laborales óptimas. Conclusión. El factor más importante en la elección de la plaza de MIR es la especialidad deseada. En el centro de trabajo se valoran positivamente el nivel asistencial, el buen ambiente y las condiciones laborales.

          Translated abstract

          Introduction. The MIR (médico interno residente, medical internal resident) examination must be passed to gain access to a specialist medical training place in Spain. This study aims to: a) determine the factors that influence the choice of the MIR position; b) assess the degree of information about the selected hospital/center; c) analyze the professional priorities during and after the MIR training; and d) compare the results between sixth year medical students and first year MIR residents. Material and methods. An anonymous survey was sent to 370 sixth year medical students and 494 first year residents from Catalonia and Aragon. Results. One hundred anf five students and 104 residents (24%) answered the survey. Seventy-one percent of students and 56% of residents preferred to train in a center other than the one in which they had studied. Priority was given to the specialty, above other factors such as the hospital/center or the city. Overall, 90% were informed about the positions, preferably through other residents. Forty-five percent of students and 12% of residents were willing to repeat the MIR exam if they did not have the desired specialty and center as their first choice. Respondents positively valued aspects such as an adequate working environment, a good level of care and optimal working conditions. Conclusion. The most important factor in the choice of the MIR position is the desired specialty. In the work center, the level of care, good environment and working conditions are positively valued.

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          Influence of controllable lifestyle on recent trends in specialty choice by US medical students.

          Recent specialty choices of graduating US medical students suggest that lifestyle may be an increasingly important factor in their career decision making. To determine whether and to what degree controllable lifestyle and other specialty-related characteristics are associated with recent (1996-2002) changes in the specialty preferences of US senior medical students. Specialty preference was based on analysis of results from the National Resident Matching Program, the San Francisco Matching Program, and the American Urological Association Matching Program from 1996 to 2002. Specialty lifestyle (controllable vs uncontrollable) was classified using earlier research. Log-linear models were developed that examined specialty preference and the specialty's controllability, income, work hours, and years of graduate medical education required. Proportion of variability in specialty preference from 1996 to 2002 explained by controllable lifestyle. The specialty preferences of US senior medical students, as determined by the distribution of applicants across selected specialties, changed significantly from 1996 to 2002 (P<.001). In the log-linear model, controllable lifestyle explained 55% of the variability in specialty preference from 1996 to 2002 after controlling for income, work hours, and years of graduate medical education required (P<.001). Perception of controllable lifestyle accounts for most of the variability in recent changing patterns in the specialty choices of graduating US medical students.
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            Dynamics of career choice among students in undergraduate medical courses. A BEME systematic review: BEME Guide No. 33.

            Due to the lack of a theoretically embedded overview of the recent literature on medical career decision-making, this study provides an outline of these dynamics. Since differences in educational routes to the medical degree likely affect career choice dynamics, this study focuses on medical career decision-making in educational systems with a Western European curriculum structure.
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              Becoming a general practitioner - Which factors have most impact on career choice of medical students?

              Background In Germany, there is a shortage of young physicians in several specialties, the situation of general practitioners (GP) being especially precarious. The factors influencing the career choice of German medical students are poorly understood. This study aims to identify factors influencing medical students' specialty choice laying a special focus on general practice. Methods The study was designed as a cross-sectional survey. In 2010, students at the five medical schools in the federal state of Baden-Wuerttemberg (Germany) filled out an online-questionnaire. On 27 items with 5-point Likert scales, the students rated the importance of specified individual and occupational aspects. Furthermore, students were asked to assign their intended medical specialty. Results 1,299 students participated in the survey. Thereof, 1,114 students stated a current choice for a specialty, with 708 students choosing a career in one of the following 6 specialties: internal medicine, surgery, gynaecology and obstetrics, paediatrics, anaesthetics and general practice. Overall, individual aspects ('Personal ambition', 'Future perspective', 'Work-life balance') were rated as more important than occupational aspects (i.e. 'Variety in job', 'Job-related ambition') for career choice. For students favouring a career as a GP individual aspects and the factor 'Patient orientation' among the occupational aspects were significantly more important and 'Job-related ambition' less important compared to students with other specialty choices. Conclusions This study confirms that future GPs differ from students intending to choose other specialties particularly in terms of patient-orientation and individual aspects such as personal ambition, future perspective and work-life balance. Improving job-conditions in terms of family compatibility and work-life balance could help to increase the attractiveness of general practice. Due to the shortage of GPs those factors should be made explicit at an early stage at medical school to increase the number of aspirants for general practice.
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                Author and article information

                Journal
                fem
                FEM: Revista de la Fundación Educación Médica
                FEM (Ed. impresa)
                Fundación Educación Médica y Viguera Editores, S.L. (Barcelona, Barcelona, Spain )
                2014-9832
                2014-9840
                2023
                : 26
                : 4
                : 175-180
                Affiliations
                [3] LLeida Cataluña orgnameUniversitat de Lleida Spain
                [1] LLeida orgnameHospital Universitari Arnau de Vilanova orgdiv1Servicio de Medicina Interna España
                [2] LLeida orgnameInstituto de Investigación Biomédica de Lleida (IRBLleida) España
                Article
                S2014-98322023000500007 S2014-9832(23)02600400007
                10.33588/fem.264.1295
                46d5dc12-bbc0-4a92-b33a-808b9ba70515

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 13 July 2023
                : 07 July 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 17, Pages: 6
                Product

                SciELO Spain

                Categories
                Originales

                Profesionalismo,Academic training,Continuing medical education,Medical student,Physician's well-being,Professionalism,Resident,Bienestar médico,Entrenamiento académico,Estudiante de Medicina,Formación médica continuada,Residente

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