J Educ Eval Health Prof.  2019;16:12. 10.3352/jeehp.2019.16.12.

Factors influencing the career preferences of medical students and interns: a cross-sectional, questionnaire-based survey from India

• Anand R
• Sankaran PS

• KMID: 2502157
• DOI: http://doi.org/10.3352/jeehp.2019.16.12

Abstract

Purpose
The study aimed to identify the motivational factors and demographic variables influencing the career preferences of medical students in India.
Methods
We conducted a questionnaire-based survey at Christian Medical College, Vellore, India. The participants were 368 of the 460 medical students and interns enrolled at the institution from October 2015 to August 2016. We designed the questionnaire to collect demographic data, students’ preferences for career specialties, and the motivational factors influencing them. Then, we analyzed the influence of these factors and demographic variables on career preferences using regression analysis.
Results
Of the 368 respondents, 356 (96.7%) expressed their intention to pursue a residency program after the Bachelor of Medicine and Bachelor of Surgery (MBBS) program, and about two-thirds indicated their preference to do so in India. The specialties most preferred by students were general surgery, general medicine (internal medicine), and pediatrics, while the least preferred were anatomy, obstetrics and gynecology, and community medicine. Factor analysis yielded three motivational factors, which we named ‘personal growth,’ ‘professional growth,’ and ‘personal satisfaction’ based on the items loaded in each. The motivational factors were predicted by demographic variables (gender, geographical background, current stage in the MBBS program, and the presence of relatives in the health professions). Demographic variables and the motivational factors also had significant influences on career preferences.
Conclusion
This study provides insights into the motivational factors that influence the career preferences of Indian medical students and interns. A robust longitudinal study would be required to study intra-individual variations in preferences and the persistence of choices.

Keyword

Career choice; India; Graduate medical education; Medical students

Figure

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  Fig. 1. The flow of participants in the study. MBBS, Bachelor of Medicine and Bachelor of Surgery.

Reference

References

1. Vo A, McLean L, McInnes MD. Medical specialty preferences in early medical school training in Canada. Int J Med Educ. 2017; 8:400–407. https://doi.org/10.5116/ijme.59f4.3c15.

2. Querido SJ, Vergouw D, Wigersma L, Batenburg RS, De Rond ME, Ten Cate OT. Dynamics of career choice among students in undergraduate medical courses: a BEME systematic review: BEME guide no. 33. Med Teach. 2016; 38:18–29. https://doi.org/10.3109/0142159X.2015.1074990.

3. Sreekar H, Nithya R, Nikhitha R, Sreeharsha H. Career intentions of medical students trained in India. Educ Health (Abingdon). 2014; 27:64–65. https://doi.org/10.4103/1357-6283.134319.

4. Subba SH, Binu VS, Kotian MS, Joseph N, Mahamood AB, Dixit N, George A, Kumar P, Acharya S, Reddy P. Future specialization interests among medical students in southern India. Natl Med J India. 2012; 25:226–229. http://archive.nmji.in/archives/Volume-25/Issue-4/Medical-Education.pdf.

5. Kumar R, Dhaliwal U. Career choices of undergraduate medical students. Natl Med J India. 2011; 24:166–169. http://archive.nmji.in/archives/Volume-24/Issue-3/Medical-Education.pdf.

6. Artino AR Jr, La Rochelle JS, Dezee KJ, Gehlbach H. Developing questionnaires for educational research: AMEE guide no. 87. Med Teach. 2014; 36:463–474. https://doi.org/10.3109/0142159X.2014.889814.

7. Abdulghani HM, Al-Shaikh G, Alhujayri AK, Alohaideb NS, Alsaeed HA, Alshohayeb IS, Alyahya MM, Alhaqwi AI, Shaik SA. What determines the selection of undergraduate medical students to the specialty of their future careers? Med Teach. 2013; 35 Suppl 1:S25–S30. https://doi.org/10.3109/0142159X.2013.765548.

8. Clinite KL, DeZee KJ, Durning SJ, Kogan JR, Blevins T, Chou CL, Diemer G, Dunne DW, Fagan MJ, Hartung PJ, Kazantsev SM, Mechaber HF, Paauw DS, Wong JG, Reddy ST. Lifestyle factors and primary care specialty selection: comparing 2012-2013 graduating and matriculating medical students’ thoughts on specialty lifestyle. Acad Med. 2014; 89:1483–1489. https://doi.org/10.1097/ACM.0000000000000487.

9. Cleland JA, Johnston PW, Anthony M, Khan N, Scott NW. A survey of factors influencing career preference in new-entrant and exiting medical students from four UK medical schools. BMC Med Educ. 2014; 14:151. https://doi.org/10.1186/1472-6920-14-151.

10. Heiligers PJ. Gender differences in medical students’ motives and career choice. BMC Med Educ. 2012; 12:82. https://doi.org/10.1186/1472-6920-12-82.

11. Lefevre JH, Roupret M, Kerneis S, Karila L. Career choices of medical students: a national survey of 1780 students. Med Educ. 2010; 44:603–612. https://doi.org/10.1111/j.1365-2923.2010.03707.x.

12. Diderichsen S, Johansson EE, Verdonk P, Lagro-Janssen T, Hamberg K. Few gender differences in specialty preferences and motivational factors: a cross-sectional Swedish study on last-year medical students. BMC Med Educ. 2013; 13:39. https://doi.org/10.1186/1472-6920-13-39.

13. Aasland OG, Røvik JO, Wiers-Jenssen J. Motives for choice of specialty during and after medical school. Tidsskr Nor Laegeforen [Internet]. 2008. [cited 2019 Mar 10];128:1833-1837. Available from: https://tidsskriftet.no/en/2008/08/motives-choice-specialty-during-and-after-medical-school.

14. Maiorova T, Stevens F, van der Zee J, Boode B, Scherpbier A. Shortage in general practice despite the feminisation of the medical workforce: a seeming paradox?: a cohort study. BMC Health Serv Res. 2008; 8:262. https://doi.org/10.1186/1472-6963-8-262.

15. Gjerberg E. Gender similarities in doctors’ preferences--and gender differences in final specialisation. Soc Sci Med. 2002; 54:591–605. https://doi.org/10.1016/S0277-9536(01)00054-5.