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      The students' intentions and satisfaction with the field of study and university

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          Abstract

          Introduction: The present study aimed to find an appropriate method to inform senior high school students to correctly select their academic field of study and their intentions.

          Methods: This is a descriptive-analytic and cross-sectional study. A verified questionnaire was given to a total of 2600 students selected by stratified random sampling method (ten different colleges and entrance year from the 1 st to 4 th are considered as the strata). The position of the present field of study (major) among the list of the fields in the entrance exam was asked. The students’ methods of familiarity with different fields of study in Shiraz University of Medical Sciences (SUMS), the reasons for their selection, the students’ motivation and insistence on studying in the same field and university were asked in the questionnaire. Data were analyzed using independent two samples t-test, Analysis of Variance (ANOVA) and Chi-Square test.

          Results: The most significant references for university field selection were high school teachers, the students' parents and the adjacency of university to one's living place. Also, the results revealed the good reputation of SUMS in the first year and its downward trend during the following years. 59.4% of the 1 st year students were satisfied with their field of study and SUMS. 31.8% were satisfied with the university but not with their fields of study. 6.4% were dissatisfied with the university but not with their fields of study. 2% of the students were dissatisfied with both their fields of study and university. Dissatisfaction with SUMS and field of study increased little by little so that the results obtained among the students who had entered the university earlier (in the 4 th year of their study) showed nearly 16.3% dissatisfaction with both the university and the study fields.  

          Conclusion: The methods for introducing the university are recommended to be revised.

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          Factors affecting medical students' selection of an internal medicine residency program.

          To determine factors that influence medical student selection of internal medicine residency programs by ethnicity and gender. A cross-sectional mailed survey of graduating medical students applying to four residency programs in 1999. A five-point (5=most important) Likert scale was used to evaluate factors and included 14 items on location characteristics, 20 on program features, six on recruitment, three on future plans and three on advising. Of 2,820 surveys, 1,005 were completed (36%). The most important factors to applicants were house staff morale (mean +/- SD, 4.5 +/- 0.7), academic reputation (4.5 +/-0.8), and positive interview experience (4.1 +/- 1.0). Women rated gender diversity of faculty (3.3 vs. 2.3, p=0.0001) and house staff (3.3 vs. 2.5, p=0.0001), location of residency program near spouse (4.2 vs. 3.9, p=0.0001) or spouse's job (3.8 vs. 3.5, p=0.0002) and emphasis on primary care (2.9 vs. 2.4, p=0.0001) more highly than men. Minority applicants were more likely than whites to identify the following factors as more important: ethnic diversity of patients (3.8 vs. 3.4, p=0.008), house staff (3.3 vs. 2.4, p<0.0001) and faculty (3.1 vs. 2.3, p<0.0001); service to the medically indigent (3.8 vs. 3.3, p=0.004); feeling of being wanted (3.8 vs. 3.4, p=0.002); and an academic environment supportive of ethnic minorities (3.5 vs. 2.3, p<0.0001). Location and program factors are most important in influencing decisions to choose a residency program. However, women and minority applicants also place significant importance on family and diversity factors. Programs need to consider differential factors in recruitment of diverse students.
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            Pakistani medical students' specialty preference and the influencing factors.

            To elucidate the specialty preferences of Pakistani medical students and the factors which influence medical students to make the decision regarding which specialty to pursue. Both basic sciences and clinical students from four medical colleges of Pakistan, i.e., Dow Medical College, Sindh Medical College, Liaquat National Medical College and Muhammad Medical College, were included in the cross-sectional survey during the period of July 2008 to Jan' 2009. After ethical acceptance, data was collected using convenient sampling technique. The questionnaire covered the following demographic details: 13 common specialties and 15 influencing factors. Questionnaires included in the analysis were 771. Most students gave preference to surgery and its associated sub-specialties (50.3%) followed by internal medicine (26.8%), paediatrics (23.2%), dermatology (16.7%), gynaecology and obstetrics (16.7%), psychiatry (13.1%), radiology (10.8%), ENT (8.8%), anaesthesiology (8.7%), administrative medicine (8.6%), orthopaedics (8.2%), ophthalmology (7.5%), and laboratory medicine (6.1%). The highly considered factors (regarding specialties) chosen by 70% of the medical students were: applicable to respective personalities of the individuals, prestige and respect, international opportunities, and time commitment. Surgical-skills, job availability, financial rating, academic performance, and a role model were moderately influencing factors. Hospital environment, parents, general practice, peer-pressure and personal health were the least influential. This trend suggests competition in surgery and its sub-specialties along with internal medicine, paediatrics, dermatology, gynaecology and obstetrics. Specialty suited to personality, time commitment, prestige/respect and international opportunity, influenced more than 70% of the students.
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              Factors affecting residency rank-listing: A Maxdiff survey of graduating Canadian medical students

              Background In Canada, graduating medical students consider many factors, including geographic, social, and academic, when ranking residency programs through the Canadian Residency Matching Service (CaRMS). The relative significance of these factors is poorly studied in Canada. It is also unknown how students differentiate between their top program choices. This survey study addresses the influence of various factors on applicant decision making. Methods Graduating medical students from all six Ontario medical schools were invited to participate in an online survey available for three weeks prior to the CaRMS match day in 2010. Max-Diff discrete choice scaling, multiple choice, and drop-list style questions were employed. The Max-Diff data was analyzed using a scaled simple count method. Data for how students distinguish between top programs was analyzed as percentages. Comparisons were made between male and female applicants as well as between family medicine and specialist applicants; statistical significance was determined by the Mann-Whitney test. Results In total, 339 of 819 (41.4%) eligible students responded. The variety of clinical experiences and resident morale were weighed heavily in choosing a residency program; whereas financial incentives and parental leave attitudes had low influence. Major reasons that applicants selected their first choice program over their second choice included the distance to relatives and desirability of the city. Both genders had similar priorities when selecting programs. Family medicine applicants rated the variety of clinical experiences more importantly; whereas specialty applicants emphasized academic factors more. Conclusions Graduating medical students consider program characteristics such as the variety of clinical experiences and resident morale heavily in terms of overall priority. However, differentiation between their top two choice programs is often dependent on social/geographic factors. The results of this survey will contribute to a better understanding of the CaRMS decision making process for both junior medical students and residency program directors.
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                Author and article information

                Journal
                J Adv Med Educ Prof
                J Adv Med Educ Prof
                JAMP
                Journal of Advances in Medical Education & Professionalism
                Shiraz University of Medical Sciences (Shiraz, Iran )
                2322-2220
                2322-3561
                October 2014
                : 2
                : 4
                : 176-182
                Affiliations
                [1 ]Histomorphometry and Stereology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
                [2 ]Colorectal Research Center and Biostatistics Department, Shiraz University of Medical Sciences, Shiraz, Iran;
                [3 ]Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran;
                [4 ]School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran;
                [5 ]School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran;
                [6 ]School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran;
                [7 ]School of Nursery, Shiraz University of Medical Sciences, Shiraz, Iran;
                [8 ]Lar Nursery School, Shiraz University of Medical Sciences, Shiraz, Iran;
                [9 ]School of Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran;
                [10 ]School of Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran;
                [11 ]School of Management, Shiraz University of Medical Sciences, Shiraz, Iran;
                [12 ]Gerash Paramedical Sciences School, Shiraz University of Medical Sciences, Shiraz, Iran;
                [13 ]Gifted and Talented Students Office, Shiraz University of Medical Sciences, Shiraz, Iran
                Author notes
                Correspondence: Saied Karbalay Doust; Histomorphometry and Stereology Research Center and Department of Anatomy, School of Medicine, Zand Ave., Shiraz University of Medical Sciences, Shiraz, Iran, Tel: +98-71-32333064, Email: karbalas@sums.ac.ir
                Article
                jamp-2-176
                4235566
                25512943
                7de46a54-7d87-4f54-83a5-bfc7b3d19e38
                © 2014: Journal of Advances in Medical Education & Professionalism

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 December 2013
                : 25 June 2014
                Categories
                Original Article

                medical student,intention,satisfaction
                medical student, intention, satisfaction

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