The Factors Affecting Specialty Preference and Job Satisfaction of Medical Residents

Yusuf Kuzukiran, Busra Kurtul, Betul Kurtul, Zehra Tarhan, Oğuzhan Taş, A. Azap
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Abstract

Objective: The choice of a residency program is one milestone in the professional life of a medical doctor. Residents may be affected by many factors while choosing a specialty, and if some of these factors come true during the residency period, job satisfaction (JS) can be high. We aimed to improve our understanding of the factors affecting the selection of specialties by medical doctors, JS of residents, and factors affecting the JS. Materials and Methods: The study was conducted in a university hospital with 932 beds and 240 residents. Data were collected by a questionnaire consisting of 39 questions to achieve information about demographic characteristics and the factors affecting the preferences of the residents. Participants were also asked to answer the Minnesota Job Satisfaction Questionnaire to obtain their JS scores. Results: JS of the residents was high in 69.7% (n=108) of participants. Residents who have chosen their current specialty from within the first three options according to their rank in specialty exam had higher JS (p=0.023). The top factors affecting the residents’ preference were an inclination towards the specialty and compliance with personal characteristics. The most crucial factor for choosing a surgical specialty was “an inclination towards the specialty” while “compliance with personal characteristics” was the most crucial factor for choosing non-surgical specialties. The factors that affect Infectious Diseases and Clinical Microbiology (IDCM) residents’ preference were the quality of the education, the inclination for the specialty, compliance with personal characteristics and career opportunities. JS of IDCM residents was very high (%100). For all residents, the inclination for the specialty was more critical than expected economic income (p<0.001). Conclusion: Inclination towards the specialty is the primary determinant for the preference of specialty among medical doctors. The educational quality of the residency program and career opportunities are also important.
医疗住院医师专业偏好与工作满意度的影响因素
目的:住院医师项目的选择是医生职业生涯中的一个里程碑。住院医师在选择专业时可能会受到许多因素的影响,如果其中一些因素在住院期间得以实现,那么工作满意度(JS)就会很高。我们的目的是提高我们对医生选择专科的影响因素、住院医师的JS以及影响JS的因素的了解。材料与方法:本研究在某大学附属医院进行,该医院共有床位932张,住院医师240人。通过问卷调查收集数据,问卷共39个问题,了解人口特征和影响居民偏好的因素。参与者还被要求回答明尼苏达州工作满意度问卷,以获得他们的JS分数。结果:69.7% (n=108)的居民JS较高。根据专业考试排名在前三个选项中选择当前专业的住院医师JS较高(p=0.023)。影响住院医师选择的最主要因素是专业倾向和符合个人特点。选择外科专业最关键的因素是“对专业的倾向性”,而选择非手术专业最关键的因素是“符合个人特点”。影响传染病与临床微生物学(IDCM)住院医师专业偏好的因素为教育质量、专业倾向、符合个人特点和就业机会。IDCM居民的JS非常高(%100)。对于所有居民来说,专业倾向比预期经济收入更重要(p<0.001)。结论:专科倾向性是医师专业偏好的主要决定因素。住院医师项目的教育质量和就业机会也很重要。
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