Specialty choice determinants among Mexican medical students: a cross-sectional study

Abstract Background The choice of medical specialty is related to multiple factors, students’ values, and specialty perceptions. Research in this area is needed in low- and middle-income countries, where the alignment of specialty training with national healthcare needs has a complex local interdependency. The study aimed to identify factors that influence specialty choice among medical students. Methods Senior students at the National Autonomous University of Mexico (UNAM) Faculty of Medicine answered a questionnaire covering demographics, personal experiences, vocational features, and other factors related to specialty choice. Chi-square tests and factor analyses were performed. Results The questionnaire was applied to 714 fifth-year students, and 697 provided complete responses (response rate 81%). The instrument Cronbach’s alpha was 0.8. The mean age was 24 ± 1 years; 65% were women. Eighty percent of the students wanted to specialize, and 60% had participated in congresses related to the specialty of interest. Only 5% wanted to remain as general practitioners. The majority (80%) wanted to enter a core specialty: internal medicine (29%), general surgery (24%), pediatrics (11%), gynecology and obstetrics (11%) and family medicine (4%). The relevant variables for specialty choice were grouped in three dimensions: personal values that develop and change during undergraduate training, career needs to be satisfied, and perception of specialty characteristics. Conclusions Specialty choice of medical students in a middle-income country public university is influenced by the undergraduate experience, the desire to study a subspecialty and other factors (including having skills related to the specialty and type of patients).

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Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-1/023 ◽

2020 ◽

Author(s):

Dur-e- Nishat

Keyword(s):

Medical Students ◽

Family Medicine ◽

Medical Profession ◽

Healthcare Services ◽

Developed Countries ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Medical College ◽

Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

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A cross sectional study: The association between sleeping quality and stress among second and third medical students at the University of Jordan

The International Journal of Psychiatry in Medicine ◽

10.1177/00912174211011287 ◽

2021 ◽

pp. 009121742110112

Author(s):

AA Toubasi ◽

BR Khraisat ◽

RB AbuAnzeh ◽

HM Kalbouneh

Keyword(s):

Logistic Regression ◽

Medical Students ◽

Cross Sectional Study ◽

Regular Exercise ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

The Mean ◽

University Of Jordan ◽

The University

Objective Medicine is considered one if not the most stressful educational field. Thus, the aim of this study is to investigate the prevalence of stress and poor sleeping quality among medical students and the association between them. Method This cross-sectional study was conducted at the University of Jordan on second- and third-year medical students. The questionnaire consisted of: 1) Demographics; 2) The assessment tools which were Pittsburgh Quality of Sleep Index (PSQI) and Kessler Psychological Distress Status (K10). Binary logistic regression, chi-square and linear regression were used to investigate the association between PSQI, K10, and their determinants. Results The mean for PSQI score was 6.76 ± 3.32. PSQI scores interpretation revealed that 61.7% of the 282 participants of this study were poor sleepers. Logistic regression results showed that only the category of not napping at all from the napping hours variable was significantly associated with sleeping quality. Furthermore, the mean of K10 scores was 24.5 ± 8.5. K10 scores revealed that 66.3% of the participants were stressed. Logistic regression results showed that gender and regular exercise were significantly associated with psychological distress. Additionally, chi-square test, logistic regression and linear regression showed that PSQI was significantly associated with K10 (P <0.01). Conclusions Stress and poor sleeping quality in medical students at the University of Jordan were highly prevalent and strongly associated. What determined PSQI was daytime napping, and for K10 were regular exercise and gender. Further investigations into stress and sleep quality in the Arabian region are needed.

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Oral Hygiene Practice And Perceived Oral Malodour Among Dental And Medical Undergraduate Students Of Bahria University Medical And Dental College

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2018057 ◽

2018 ◽

Vol 08 (04) ◽

pp. 221-225

Author(s):

Beenish Fatima Alam ◽

Hira Raza ◽

Shizma junejo ◽

Marium Azfar ◽

Tuba Saleem ◽

...

Keyword(s):

Medical Students ◽

Undergraduate Students ◽

Oral Hygiene ◽

Cross Sectional Study ◽

Dental Students ◽

Chi Square ◽

Cross Sectional ◽

Medical Undergraduate ◽

Significant Difference ◽

Medical Undergraduate Students

Objective: To determine the differences of self-perception of halitosis and oral hygiene practices among the medical and dental undergraduate students. Methodology: A cross-sectional study conducted over duration of 9 months amongst the medical and dental undergraduate students of Bahria University Medical and Dental College. The questionnaires were distributed to 298 students. Questionnaire employed for this study was adopted and modified from the study conducted by Khalid Almas et al. Descriptive statistics were checked by means of percentages and frequency for all variables. Chi-square test was applied to check significant difference among the responses given by the medical and dental undergraduate students. Results: The response rate for the survey was about 85%. 55% of dental and 17 % of medical students were able to smell their breath. About having examination by dentist about 73% of medical students agreed as compared to 53% of dental students. Both medical and dental students preferred having examination done by the dentist. For management of halitosis, dentist was preferred by 62% of the dental students, while 97% of the medical students did not agree. 62% of the dental students preferred using traditional medications, while 82% of the medical students preferred using self-medications for treatment. Conclusion: The results suggest that there is not a high level of agreement among dental and medical students concerning the detection and management of halitosis. Although large percent of the respondents claimed to be aware of dentistry, our findings revealed low level of knowledge and attitude to Dentistry by the medical undergraduate students. Efforts should be made towards closing this knowledge gap to attain effective oral health.

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KNOWLEDGE AND ATTITUDE TOWARDS GERIATRIC HEALTH AND THE ASSOCIATED FACTORS AMONG MEDICAL STUDENTS OF INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.21/no.3/art.1197 ◽

2021 ◽

Vol 21 (3) ◽

pp. 151-163

Author(s):

Mohd Shaiful Ehsan Shalihin ◽

Nuria Syafira Abd Muttalib ◽

Nur Syahirah Azmi ◽

Zahra Najwa Mohd Zin

Keyword(s):

Medical Students ◽

Associated Factors ◽

Cross Sectional Study ◽

Attitude Scale ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Medical Learning ◽

Knowledge And Attitude ◽

Basic Medical

Comprehensive care towards geriatric health can be sustained by having good knowledge and attitude among the providers. Hence, this research aims to measure the knowledge and attitude of the final year medical students towards geriatric health and determine the associated factors. A cross-sectional study was conducted among the students using structured questionnaires of Geriatric-Attitude-Scale and Palmore-Facts-on-Aging-Quiz was used. Data was analysed using Mann Whitney U test, Chi square test and Spearman correlation coefficient analysis for the association between the score and studied variables. Median score of students’ knowledges is at 14.00 (IQR 13.00) and mean score for attitude is 48.52 (+5.53) respectively. Place of residence (P= 0.01) and presence of grandparents (P= 0.04) were the significant factors that affected knowledge of students towards geriatrics while number of siblings (P= 0.05) influenced attitudes of students towards geriatrics. Improvement of current geriatric curriculum should be done with more refined implementation of gerontology course in the basic medical learning.

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HUBUNGAN ANTARA KEPEMILIKAN SIM C DAN KEIKUTSERTAAN DALAM TES PEMBUATAN SIM DENGAN PENGETAHUAN BERKENDARA DAN KECELAKAAN LALU LINTAS DI KABUPATEN SIDOARJO

The Indonesian Journal of Public Health ◽

10.20473/ijph.v12i2.2017.167-178 ◽

2018 ◽

Vol 12 (2) ◽

pp. 167 ◽

Cited By ~ 1

Author(s):

Fadilah Andy Nastiti

Keyword(s):

Traffic Accident ◽

Traffic Accidents ◽

Cross Sectional Study ◽

School Students ◽

Chi Square ◽

Cross Sectional ◽

Middle Income ◽

Exact Test ◽

Driving License ◽

The World

Traffic accidents are one of the biggest causes of death in the world. WHO states that 90% of deaths that caused by traffic accident in the world occur in low and middle income countries. Indonesia is ranked first with the highest percentage of deaths that caused by traffic accident in Asia. Most t raffic accidents involve motorcyclist with an average age of 15–29 years old. The purpose of this study is to determine the correlation between ownership of driving license and participation in driving license tests with driving k nowledge and t raffic accidents in h igh school students of Xi grade in Kabupaten Sidoarjo in 2017. This research was an observational analytic with cross sectional study design. The population of this study was all senior h igh school students of XI grade in Kabupaten Sidoarjo in 2017. The number of respondents was 204 students that drawn from the population by using two stage cluster random sampling method. Results of analysis using chi square and fisher’s exact test (α = 5%) indicate that the ownership of driving license (p = 0.259; RR 1.533) and participation in driving license test (p = 1.00; RR 0.586) did not have correlation with t raffic accidents in h igh school students of XI grade in Kabupaten Sidoarjo in 2017 and the ownership of driving license (p = 1.00; RR 1.008) and participation in driving license test (p = 1,00; RR 0.983) did not have correlation too with driving k nowledge in h igh school students of XI grades in Kabupaten Sidoarjo in 2017.

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PREVALENCE OF STRESS AND ITS ASSOCIATED FACTORS AMONG MEDICAL STUDENTS IN SABAH, MALAYSIA BORNEO

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.19/no.2/art.179 ◽

2019 ◽

Vol 19 (2) ◽

pp. 116-125 ◽

Cited By ~ 1

Author(s):

Aldrin Musiun ◽

Khamisah Awang Lukman ◽

Mohammad Saffree Jeffree ◽

Fredie Robinson ◽

Mohd Rohaizat Hassan ◽

...

Keyword(s):

Medical Education ◽

Medical Student ◽

Medical Students ◽

Associated Factors ◽

Health Care Services ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Exact Test

Stress is accepted as the accumulation of unpleasant state of physical, mental and emotion on a person. Medical education has been known as one of the most stressful academic curriculum. Hence, medical students may subjected to multiple psychological changes and challenges throughout the years of medical education. The aim of this study was to determine the prevalence of stress and its associated factors among medical students. This cross sectional study was conducted from April to May 2018 in medical school in Sabah. It involved 396 medical students through universal sampling. Self-administered questionnaires were used as an instrument for data collection. The questionnaires included were Sociodemographic Questionnaire, Depression, Anxiety and Stress Scales 21 (DASS-21) and Medical Student Stressors Questionnaire (MSSQ). Bivariate analysis (Chi Square test, Fisher’s Exact Test, Independent T test and Man-Whitney U test) were used to analyse the association. The response rate was 90.2%. The prevalence of stress among medical students were 33.3%. Significant associated factors include financial support inadequacy (p=0.010) and all categories of medical student stressors. The mean score of the academic related stressors was found to be at 2.117 (±0.758) which was the highest mean score among medical student stressors assessed by MSSQ. The result of this study can be used as a basis for implementation of preventive measures such as provision of comprehensive, integrated and responsive mental health care services in university-based settings.

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Low Back Pain among Medical Students in Belgrade (Serbia): A Cross-Sectional Study

Pain Research and Management ◽

10.1155/2018/8317906 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Isidora Vujcic ◽

Nemanja Stojilovic ◽

Eleonora Dubljanin ◽

Nebojsa Ladjevic ◽

Ivana Ladjevic ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Medical Students ◽

Cross Sectional Study ◽

Low Back ◽

Sectional Study ◽

Everyday Functioning ◽

Chi Square ◽

Cross Sectional ◽

The Impact

Aim. To examine the prevalence of low back pain, to identify self-perceived triggers of low back pain, and to investigate the impact of perceived pain on the daily activities and mood among medical students. Methods. This cross-sectional study enrolled 459 fourth year students at the Faculty of Medicine in Belgrade during December 2014. The anonymous questionnaire was used for data collection. In data analysis, the chi-square test and t-test were used. Results. The lifetime prevalence of low back pain was 75.8%, 12-month prevalence 59.5%, and point prevalence 17.2%. Chronic low back pain was experienced by 12.4% of the students. Both the lifetime (p=0.001) and the 12-month (p=0.001) low back pain prevalence rates were significantly higher among female medical students. Mental stress during an exam period (p=0.001), sitting at the university (p=0.002), fatigue (p=0.043), improper body posture (p=0.005), and lack of exercise (p=0.001) as self-perceived triggers of low back pain were significantly more often reported by female students, compared to males. Regarding daily functioning, the experience of low back pain mostly affects students sleeping (14.6%) and walking (12.0%). Conclusions. The prevalence of LBP is high among Belgrade medical students and significantly affects their everyday functioning.

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Online Learning Resources Enhanced Teaching and Learning of Medical Mycology among Medical Students in Gulu University, Uganda

Education Research International ◽

10.1155/2020/9468241 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Felix Bongomin ◽

Bernard Erima ◽

Richard Kwizera ◽

Emmanuel I. Odongo-Aginya

Keyword(s):

Medical Students ◽

Online Teaching ◽

Teaching And Learning ◽

Cross Sectional Study ◽

Fungal Diseases ◽

Medical Mycology ◽

Average Score ◽

Cross Sectional ◽

Middle Income ◽

Significant Difference

Background. The burden of serious fungal diseases has significantly increased in the past few decades; however, the number of health-care workers with expertise in the management of fungal diseases remains low, especially in low- and middle-income countries (LMICs). This study aimed to evaluate the use of freely available online teaching material to enhance teaching and learning of medical mycology among medical students in Gulu University Medical School, Uganda. Methods. We conducted a cross-sectional study among second year medical students undertaking Medical Mycology course on antifungal agents in the department of Medical Microbiology and Immunology in the academic year 2017-2018. The materials were synthesized and peer-reviewed by experts in fungal diseases and were made freely available on the Leading International Fungal Education website (http://www.LIFE-Worldwide.org). A local faculty in the department delivered the lectures, and pre- and posttest scores were evaluated statistically. Results. Sixty medical students participated in the study of which 78% were male. The average score was 41% for the pretest and 52% for the posttest (p<0.0001). There was no significant difference in the scores of males and females. Majority of the students gave an above-average rating for the course material; however, 54% preferred prerecorded videos. Conclusion. Using freely available online materials on medical mycology can enhance teaching and learning of medical mycology. Because of this, there is need to incorporate up-to-date information about the subject into the curriculums of medical schools especially in LMICs.

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Comparative attitude and plans of the medical students and young Nepalese doctors

Kathmandu University Medical Journal ◽

10.3126/kumj.v7i2.2717 ◽

1970 ◽

Vol 7 (2) ◽

pp. 177-182 ◽

Cited By ~ 1

Author(s):

M Lakhey ◽

S Lakhey ◽

SR Niraula ◽

D Jha ◽

R Pant

Keyword(s):

Medical Students ◽

Statistical Significance ◽

Cross Sectional Study ◽

Working Environment ◽

Chi Square ◽

Cross Sectional ◽

Developed Country ◽

Significance Level ◽

Work Abroad ◽

Job Prospects

Introduction: Many doctors are leaving Nepal to work abroad. To understand this problem better, we decided to study the attitude and plans of young doctors and medical students. Materials and methods: This cross-sectional study was conducted at Kathmandu Medical College involving 65 firstyear medical students, 100 interns and 100 house officers. The data collected was entered in Microsoft excel and analysed by SPSS (Statistical Package for Social Sciences) programme. Chi-square test was used to compare two proportions. Significance level was set at 5%. Results: Only 2% house officers said that their job prospects were excellent as compared to 22.4% of students, whereas 20% house officers as compared to 9% students thought job prospects in Nepal were poor (p= 0.003). Eighty two percent of students thought that a doctor's service to his country was very important as compared to 51% of interns (p=‹ 0.001) and 58% of house officers. Forty percent of students, 58% of interns and 48% of house officers (no statistical significance between the three groups) planned to migrate to a developed country after graduation. Eighty eight percent of students, 89% interns and 74% of house officers (no statistical significant differences between the three groups) were of the opinion that improving career opportunities or working environment of the doctor could make the profession more attractive. Conclusion: Although majority of students, interns and house officers were of the opinion that a doctor's service to his community/country was very important, almost half of them still planned to migrate to a developed country after graduation. Improving the chances of professional advancement and professional working environment can make the profession more attractive, and therefore, may decrease this tendency for brain drain from our country. Key words: Attitude; medical students; migration; young doctors; statistical significance. DOI: 10.3126/kumj.v7i2.2717 Kathmandu University Medical Journal (2009) Vol.7, No.2 Issue 26, 177-182

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