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      Reasons for choosing the profession and profile of newly qualified physicians in Brazil Translated title: Motivos de escolha da profissão e perfil de médicos recém-graduados no Brasil

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          Abstract

          SUMMARY Objective To evaluate the socio-demographic profile, path to medical school admission and factors affecting the choice of becoming a physician in Brazil. Method Application of a structured questionnaire to 4,601 participants among the 16,323 physicians who graduated between 2014 and 2015 that subsequently registered with one of the 27 Regional Boards of Medicine (CRMs). Results The average age of participants is 27 years, 77.2% are white, 57% come from families with a monthly income greater than ten times the minimum wage, 65% have fathers who have completed higher education, 79.1% attended a private high school, and 63.5% selected the “will to make a difference in people’s lives or do good” as their main reason for choosing medicine, with some differences between the sexes and matriculation at a public or private medical school. Conclusion The recent politics for educational diversity and the opening of additional medical schools has not yet had an impact on the socio-demographic profile of graduates, who are mainly white, wealthy individuals.

          Translated abstract

          RESUMO Objetivo traçar o perfil sócio-demográfico de recémgraduados em medicina no Brasil, a forma de ingresso na graduação e os motivos de escolha da profissão médica. Método aplicação de questionário estruturado em 4.601 participantes, dentre 16.323 médicos formados entre 2014 e 2015, que se registraram em um dos 27 Conselhos Regionais de Medicina (CRM), considerados a populaçãoalvo do estudo. Resultados a idade média dos recém-graduados é de 27 anos, 77,2% são brancos, 57% vêm de famílias com renda mensal acima de dez salários mínimos, 65% têm pais com educação superior, 79,1% cursaram ensino médio em escola particular e 63,5% apontaram a “vontade de fazer diferença na vida das pessoas ou fazer o bem” como principal razão para a escolha da medicina, com diferenças entre sexo e natureza pública ou privada da escola de graduação. Conclusão as políticas no Brasil de inclusão educacional e de abertura de escolas médicas ainda não tiveram impacto no perfil dos recém-formados em medicina, em sua maioria indivíduos brancos e de maior nível socioeconômico.

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          O médico e seu trabalho: limites da liberdade

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            A survey of factors influencing career preference in new-entrant and exiting medical students from four UK medical schools

            Background Workforce planning is a central issue for service provision and has consequences for medical education. Much work has been examined the career intentions, career preferences and career destinations of UK medical graduates but there is little published about medical students career intentions. How soon do medical students formulate careers intentions? How much do these intentions and preferences change during medical school? If they do change, what are the determining factors? Our aim was to compare medical students’ career preferences upon entry into and exit from undergraduate medical degree programmes. Methods This was a cross-sectional questionnaire survey. Two cohorts [2009–10, 2010–11] of first and final year medical students at the four Scottish graduating medical schools took part in career preference questionnaire surveys. Questions were asked about demographic factors, career preferences and influencing factors. Results The response rate was 80.9% [2682/3285]. Significant differences were found across the four schools, most obviously in terms of student origin [Scotland, rest of UK or overseas], age group, and specialty preferences in Year 1 and Year 5. Year 1 and Year 5 students’ specialty preferences also differed within each school and, while there were some common patterns, each medical school had a different profile of students’ career preferences on exit. When the analysis was adjusted for demographic and job-related preferences, specialty preferences differed by gender, and wish for work-life balance and intellectual satisfaction. Conclusions This is the first multi-centre study exploring students’ career preferences and preference influences upon entry into and exit from undergraduate medical degree programmes. We found various factors influenced career preference, confirming prior findings. What this study adds is that, while acknowledging student intake differs by medical school, medical school itself seems to influence career preference. Comparisons across medical school populations must therefore control for differences in input [the students] as well as context and process [the medical school] when looking at output [e.g., performance]. A robust, longitudinal study is required to explore how medical students’ career preferences change as they progress through medical school and training to understand the influence of the learning environment on training choice and outcomes.
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              Censo Demográfico 2010. Características da população e dos domicílios: resultados do universo

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                ramb
                Revista da Associação Médica Brasileira
                Rev. Assoc. Med. Bras.
                Associação Médica Brasileira (São Paulo, SP, Brazil )
                0104-4230
                1806-9282
                December 2016
                : 62
                : 9
                : 853-861
                Affiliations
                [04] São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Department of Preventative Medicine Brazil
                [02] São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Department of Preventative Medicine Brazil
                [01] São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina orgdiv2Department of Preventative Medicine Brazil
                [03] Rio de Janeiro Rio de Janeiro orgnameUniversidade do Estado do Rio de Janeiro orgdiv1Instituto de Medicina Social Brazil
                Article
                S0104-42302016000900853
                10.1590/1806-9282.62.09.853
                28001260
                9cecd52b-0c56-4a17-8693-8d877c322f48

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

                History
                : 20 November 2016
                : 14 November 2016
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 50, Pages: 9
                Product

                SciELO Brazil


                physicians,undergraduate medical education,career choice,demographics,médicos,educação de graduação em medicina,,escolha da profissão,demografia

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