Part III: Future Career Intentions of Psychiatric Residents

1982 ◽  
Vol 27 (6) ◽  
pp. 502-509 ◽  

The future career intentions of more than half (N=241) the total of psychiatric residents in Canada were surveyed. General adult psychiatry continued to attract the majority of interest. A definite increase in interest in the subspecialties of child and adolescent psychiatry, geriatrics, forensics and mental retardation seemed to have occurred since 1975. There would also appear to have been an increase in interest in working in psychiatric hospitals. In contrast, a decrease in interest in the area of addictions has occurred. There were no differences found between the career intentions of male and female residents suggesting that the increase in the number of female physicians may not markedly change the pattern of practice of psychiatry in the future. Foreign medical graduates were found to be more interested in working for the government than Canadian medical graduates, thus remaining a valuable manpower resource for provincial psychiatric hospitals. A comparison with previous surveys revealed the above changes in interest as well as the worsening of the problem of maldistribution. Residents trained in smaller programs were more likely to be interested in practising in smaller towns than those trained in larger centres. These results suggest the need for postgraduate programs to emphasize training experiences in areas of manpower shortages and create opportunities for training in smaller towns and rural areas. Finally, a method for creating an ongoing data gathering system is suggested.

2019 ◽  
Vol 11 (3) ◽  
pp. 460-470 ◽  
Author(s):  
Xiwen Chen

Purpose Bottlenecked by rural underdevelopment, China’s overall development is bound to be inadequate and unbalanced. Through a brief retrospect of the reform directed against the “equalitarianism (egalitarianism)” in China’s rural areas, as well as the Chinese Government’s conceptual transformation and systemic construction and improvement thereof, the purpose of this paper is to clarify the panoramic significance of rural reform; the necessity, priority, and long-term nature of the current rural development; and the important role of public policy in doing so. It also looks ahead to consider the prospects for future rural reform. Design/methodology/approach This paper first reviews the rural reforms that were carried out in 1978. Second, it introduces the government’s conceptual change regarding rural reform and the establishment and improvement of the system that underlies it. Finally, the future of rural reform is envisaged. Findings The initial rural reforms brought extensive and profound changes to China’s rural areas. The experience of rural reform has been referred to and escalated by other fields of study. Hence, rural reforms have become something of global significance. Moreover, since the government can undertake reforms well beyond the reach of farmers, its views must be modified in a timely manner, and only then may it reasonably construct and improve the system pertaining to the “three rural issues (agriculture, rural areas, and farmers).” Originality/value This paper reviews the rural reforms carried out in 1978. It introduces the government’s change of concept with respect to rural reforms and the establishment and improvement of the system based on the “three rural issues,” thus looking forward to the future of rural reforms. The findings of this paper are of significance to the formulation of future agricultural policies.


Author(s):  
Zainal Abidin ◽  
Bungati ◽  
Musadar

<p><strong><em>Feasibility and Perspective Analysis of Sagu Processing Development in South Sulawesi</em></strong><em>.</em><em> </em><em>Sago starch has an important role both as a staple food and a material for making various other processed food products. Sago processing can produce both wet sago and dried sago starch. The study was conducted to determine the feasibility of the sago processing business and its development perspective in Southeast Sulawesi. The study was conducted in South Konawe District in March - December 2017. Data were collected through field observations of the Biosagu Sejahtera Farmer Group in Matalamokula Village, North Moramo Sub District which has wet and dry sago production units. The data collected were the production capacity of wet sago and dry sago, the price of sago trees, the price of wet sago and dry sago, the production costs include labor costs, fuel costs, packaging costs as well as the costs of depreciation of tools and machinery. Data were analyzed using a profit equation. The results showed that the production of wet sago starch on a processing scale of 12 sago trees (1 production cycle) was feasible because it provided a profit of 7,314,000 IDR with Production-Break Even Point (PBEP) of 2,359 kg and Price BEP of 1,493 IDR and RCR value was 1.93. Likewise, dry sago production business was feasible with an RCR of 2.18; BEP from the production and price were 460 kg and 7,571 IDR respectively and provided profit of around 6,435,000 IDR. Thus the production of wet sago and dry sago can be alternative non-farm employment in rural areas. Perspective of sago processing in Southeast Sulawesi in the future is quite good due to the several supports such as availability of sago plantation area, the availability of human resources, the technology available as well as policies and regulations from the government. The demand for sago in the future will be influenced by the demand to substitute commodities that are still imported such as wheat and sugar as well as products that have a large domestic use, namely bioethanol. The development of sago in the future needs to respond to changes in demand by changing the management model with conventional management to modern technology.</em><em></em></p><p> </p><p>Tepung sagu memiliki peran penting baik sebagai bahan pangan pokok maupun sebagai bahan pembuatan berbagai produk olahan pangan lainnya. Pengolahan sagu dapat menghasilkan tepung sagu basah dan tepung sagu kering. Kajian dilakukan untuk mengetahui kelayakan usaha pengolahan sagu serta perspektif pengembangannya di Sulawesi Tenggara. Penelitian dilakukan di Kabupaten Konawe Selatan bulan Maret – Desember tahun 2017. Pengumpulan data dilakukan melalui observasi lapangan terhadap Kelompok Tani Biosagu Sejahtera Desa Matalamokula, Kecamatan Moramo Utara yang memiliki unit produksi sagu basah dan unit produksi sagu kering. Data yang dikumpulkan  adalah kapasitas produksi sagu basah dan sagu kering, harga pohon sagu, harga sagu basah dan sagu kering, biaya produksi meliputi biaya tenaga kerja, biaya bahan bakar, biaya kemasan serta biaya penyusutan alat dan mesin, analisis data dilakukan menggunakan persamaan keuntungan. Hasil penelitian menunjukkan bahwa usaha produksi tepung sagu basah pada skala pengolahan 12 pohon sagu (1 siklus produksi) layak diusahakan karena memberikan keuntungan sebesar Rp 7.314.000, dengan nilai Titik Impas Produksi (TIP) dan Titik Impas Harga (TIH) masing-masing 2.359 kg dan Rp 1.493 serta nilai RCR sebesar 1,93. Usaha produksi sagu kering layak dilakukan dengan nilai RCR sebesar 2,18; nilai TIP dan TIH masing-masing 460 kg dan Rp 7.571 serta memberikan keuntungan sebesar Rp 6.435.000. Usaha produksi sagu basah maupun sagu kering dapat menjadi alternatif lapangan kerja <em>non farm</em> di pedesaan. Perspektif pengolahan sagu di Sulawesi Tenggara ke depan cukup baik karena ditunjang ketersediaan areal pertanaman sagu cukup luas, ketersediaan sumberdaya manusia, teknologi hingga dukungan kebijakan dan regulasi. Permintaan sagu ke depan akan dihela oleh permintaan untuk mensubstitusi komoditas-komoditas yang selama ini masih diimpor seperti gandum dan gula maupun produk yang pemanfaatannya dalam negeri cukup besar yaitu bioetanol. Pengembangan sagu juga perlu merespon perubahan-perubahan permintaan tersebut dengan mengubah model pengelolaan dengan teknologi konvensional menjadi teknologi modern.</p>


Author(s):  
G. Balaji

Even though government proposed many policies, the higher secondary schools students face many problems, particularly the students of ST higher secondary schools located in rural areas, students face many problems, to get their higher secondary education and those problems are focused on various aspects such as Environmental, Economical, Familial, Social and School. All these aspects are considered as basic factors which influence the various problems of ST students studying in schools located in rural areas. If downtrodden groups ST students problems are to be solved, their problems must be first identified and then teachers, parents, government and social agencies must show much attention on student’s problems so that their educational status may be enhanced. The problems free students will be pioneer for the future student’s development. If the downtrodden groups of ST student’s problems are not recognized by the government and school authorities, there is a possibility of devastating the young student’s life and thereby they may enter in antisocial activities/delinquent activities in the society and schools. Moreover, if adolescent ST students don’t have educational awareness, their illiteracy, ignorance and illegal, social and moral activities will be transmitted to the younger generation and that will affect the development of the society at some extent. Therefore, it is the need of the how to identify their problems in all aspects and these problems must be solved by the authorities for their social, moral, educational and economical developments.


BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e019418 ◽  
Author(s):  
Masatoshi Matsumoto ◽  
Keisuke Takeuchi ◽  
Tetsuhiro Owaki ◽  
Seitaro Iguchi ◽  
Kazuo Inoue ◽  
...  

ObjectivesResponding to the serious shortage of physicians in rural areas, the Japanese government has aggressively increased the number of entrants to medical schools since 2008, mostly as achiikiwaku, entrants filling a regional quota. The quota has spread to most medical schools, and these entrants occupied 16% of all medical school seats in 2016. Most of these entrants were admitted to medical school with a scholarship with the understanding that after graduation they will practise in designated areas of their home prefectures for several years. The quota and scholarship programmes will be revised by the government starting in 2018. This study evaluates the intermediate outcomes of these programmes.DesignCross-sectional survey to all prefectural governments and medical schools every year from 2014 to 2017 to obtain data on medical graduates.SettingsNationwide.ParticipantsAll quota and non-quota graduates with prefecture scholarship in each prefecture, and all the quota graduates without scholarship in each medical school.Primary outcome measuresPassing rate of the National License Examination for Physicians and the percentage of graduates who have not bought out the scholarship contract after graduation.ResultsMost prefectures and medical schools in Japan participated in this study (97.8%–100%). Quota graduates with scholarship were significantly more likely to pass the National License Examination for Physicians than the other medical graduates in Japan at all the years (97.9%, 96.7%, 97.4% and 94.7% vs 93.9%, 94.5%, 94.3% and 91.8%, respectively). The percentage of quota graduates with scholarship who remained in the scholarship contract 3 years after graduation was 92.2% and 89.9% for non-quota graduates with scholarship.ConclusionsQuota entrants showed better academic performance than their peers. Most of the quota graduates remained in the contractual workforce. The imminent revision of the national policy regarding quota and scholarship programmes needs to be based on this evidence.


2020 ◽  
Vol 13 (3) ◽  
pp. 39-48
Author(s):  
Soroush Khalili ◽  
Pegah Moridsadat ◽  
Hamid Soltaninejad

In Iran, due to the multiplicity, diversity and cultural-natural potential of rural areas, developing ecotourism is accepted as a key solution to sustainable rural development. The government putting strong emphasis on analysing the capacities and obstacles of promoting rural tourism in order to making effective strategies. Kiskan Rural District (KRD) in Kerman Province has great potential for ecotourism development to diversify rural economy, employment and income generation. So the purpose of this study is to investigate the rural ecotourism situation of KRD through SWOT analysis. It is an applied research that uses documentary and field methods including observation, unstructured interview and a questionnaire to data gathering. A group of local managers, counting Village Council Members and Rural Mayors, were selected by snowball sampling method. To this end, the status of rural ecotourism in KRD is determined and the weight of each of the four SWOT factors is measured. Results show that KRD ecotourism development strategy is «SO» (aggressive), which should exploit the strengths to take advantage of the available opportunities.


2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Zarrin SEEMA Siddiqui

Background & Objectives: Pakistan faces a number of challenges in medical education. While there is an increase in the number of medical schools across the country, there is a dearth of practicing doctors in rural areas as well as a shortage of specialists in various fields specially in surgical fields. Similarly, the number of doctors migrating overseas is also increasing due to security concerns. This requires investigation of the factors that influence career intentions of medical graduates in Pakistan. As there is no validated instrument available within Pakistani context, this qualitative study was designed to examine medical graduates’ reasons for their career intentions in light of Ajzen’s Theory of Planned Behavior (TPB). Methods: Five focus group discussions were conducted in two cities of Pakistan i.e. Karachi and Hyderabad during November – December 2012. These were then transcribed and were coded into the three primary attributes of TPB i.e. behavioral, normative and control beliefs by comparing similarities and differences. Results: The results suggest that there is a variation in the factors that influence the career intentions of the medical students. In addition a number of new themes were identified which have not been reported earlier in studies elsewhere and are specific to this region. This needs further examination by stakeholders for intervention. Conclusion: The analysis of data from the focus groups confirms the theoretical framework and identifies as a range of influencing factors, at different stages of education and practice. As the study was limited to a smaller number of graduates and all except one graduate wanted to continue practice, a larger sample may be required for the purpose of generalization of the findings reported in this study. doi: https://doi.org/10.12669/pjms.35.5.465 How to cite this:Siddiqui ZS. Exploring the career maze: An investigation of career intentions of medical graduates in Pakistan: A qualitative study. Pak J Med Sci. 2019;35(5):1456-1460. doi: https://doi.org/10.12669/pjms.35.5.465 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.


2006 ◽  
Vol 30 (2) ◽  
pp. 61-64 ◽  
Author(s):  
Graeme Lamb ◽  
Navina Evans ◽  
David Baillie

Aims and MethodThe aim of the study was to elicit the views of senior house officers in psychiatry across London regarding the factors that influence their decision whether to pursue a career in child and adolescent psychiatry. Postal questionnaires were sent to a random sample of all senior house officers on London psychiatry training schemes.ResultsOf the respondents who recalled being taught child psychiatry at medical school, 91% found it interesting and 73% found it useful. Of those who recalled having such teaching during psychiatric training, 90% found it interesting and 85% found it useful. However, this had no significant impact upon subsequent career choice. Experience of working as a senior house officer in child psychiatry did influence future career intentions. Trainees who identified such placements as providing good clinical experience or job satisfaction were significantly more likely to consider the specialty for a future career.Clinical ImplicationsConsultants and managers should create and maintain senior house officer posts that will encourage trainees to perceive the specialty as a future career.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Dobretsova ◽  
I Arshukova ◽  
T Dugina

Abstract Background Changes in technologies and standards of life leads to the fact that each generation is very different from the previous one. Modification of generations affects the quality and the development of medicine. Current medical students are our future doctors. And changes in health care will be made by them soon. So, their views will influence the development of health care system in the future. Therefore, it is important for us to understand how today's graduates see their future work and what is important for them. Methods The opinions of 720 final year medical students were investigated using an anonymous questionnaire in Krasnoyarsk, Russia. Data were analyzed using SPSS 22 program by the following methods (p &lt; 0.05): descriptive statistics, decision trees analysis, χ2-test. Results Medicine have to change rapidly in accordance with the demands of new generations. Only in such case, current graduates of medical schools would like to work in practice medicine in the future. In this work, factors that are important for the work of modern students were investigated. Such posers were examined: the opportunities to work in rural areas and the basis for such decisions, the choice of future doctors' specialty, the young doctors' self-confidence and how much time they need experienced doctors' support as mentors. To avoid further staff shortages, we have to take into account the needs and priorities of today's graduates. Conclusions Practically all of the graduates are not ready to work alone immediately after medical school graduation - 97.0% of them report that they need a mentor. In addition, the majority of them prefer to work with mentor for a year or more (80.5%). Practically half of the students are ready to work in rural areas (49.5%); the most important factors that influence their decision are salary, free housing and clinic's equipment (important for 53.4%, 35.9% and 26.5% of the graduates, respectively). Key messages The majority of the graduates are not ready to work alone immediately after medical school graduation and need a mentor for a year or more. Increased salary, free housing and good clinic’s equipment may attract the medical graduates to work in rural areas.


2019 ◽  
Vol 5 (1) ◽  
pp. 54
Author(s):  
Siti Norida Wahab ◽  
Nazura Mohamed Sayuti ◽  
Azimah Daud

The purpose of this study is to provide an understanding of the factors influencing green warehouse practices (GWP) in the Malaysian warehouse industry. Both stakeholder theory (ST) and institutional theory (IT) act as the foundation in developing the theoretical framework. Six factors were identified resulted from preliminary data gathering and an extensive literature review for constructing the model. The sample size consists of 226 respondents with the acceptance rate of 89 per cent. The findings revealed that customer demand, owner support, employee involvement, top management commitment, industry competition, and governmental pressure are positively associated with GWP. Based on the findings, warehouse companies and relevant authorities in Malaysia should focus on the importance of GWP towards becoming more competitive in the global market. The study provides a theoretical gap by proposing a valuable implication to scholars and practitioners in promoting sustainable industrial development which aligns with the government national agenda.


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