Students’ intentions to practice primary care are associated with their motives to become doctors: a longitudinal study

Background Medical schools can contribute to the insufficient primary care physician workforce by influencing students’ career preferences. Primary care career choice evolves between matriculation and graduation and is influenced by several individual and contextual factors. This study explored the longitudinal dynamics of primary care career intentions and the association of students’ motives for becoming doctors with these intentions in a cohort of undergraduate medical students followed over a four-year period. Methods The sample consisted of medical students from two classes recruited into a cohort study during their first academic year, and who completed a yearly survey over a four-year period from their third (end of pre-clinical curriculum) to their sixth (before graduation) academic year. Main outcome measures were students’ motives for becoming doctors (ten motives rated on a 6-point scale) and career intentions (categorized into primary care, non-primary care, and undecided). Population-level flows of career intentions were investigated descriptively. Changes in the rating of motives over time were analyzed using Wilcoxon tests. Two generalized linear mixed models were used to estimate which motives were associated with primary care career intentions. Results The sample included 217 students (60% females). Career intentions mainly evolved during clinical training, with smaller changes at the end of pre-clinical training. The proportion of students intending to practice primary care increased over time from 12.8% (year 3) to 24% (year 6). Caring for patients was the most highly rated motive for becoming a doctor. The importance of the motives cure diseases, saving lives, and vocation decreased over time. Primary care career intentions were positively associated with the motives altruism and private practice, and negatively associated with the motives prestige, academic interest and cure diseases. Conclusion Our study indicates that career intentions are not fixed and change mainly during clinical training, supporting the influence of clinical experiences on career-related choices. The impact of students’ motives on primary care career choice suggests strategies to increase the attractivity of this career, such as reinforcing students’ altruistic values and increasing the academic recognition of primary care.

Are they Stress-Free? Examining Stress among Primary School Teachers in Tanzania

Teachers enter the profession with enthusiasm for the new adventure. Unfortunately, when they start working, they encounter circumstances that give rise to stress. The present study, which used a sample of 550 participants from 50 primary schools selected from the Kisarawe district in the Coastal Region of Tanzania, examines the extent of stress among primary school teachers and the factors influencing stress. Overall, the results indicate that teachers’ levels of stress range from low to moderate. Moreover, the results from hierarchical regression analysis indicate that factors such as sex, class size, age, career intentions and teaching subject significantly predict teachers’ stress. The study concludes that there is a need for the government, policymakers and school administrators to reduce teachers’ workload. Furthermore, school administrators in particular should be supportive and should design mechanisms that could develop a sense of collegiality among teachers in order to improve teacher-to-teacher relationships.

MEASURE OF GOVERNMENT EMPLOYEES’ CAREER INTENTIONS: DESIGN AND VALIDATION OF QUESTIONNAIRE

Career intentions of employees reflect the organizational effectiveness and dynamism within the organization. To address the gap on the measure of career intentions, a questionnaire was developed and psychometrically tested. The items were generated based on the literature and interview with HR Heads and officers from the target organization. The content validity was established through the review of experts. While the internal reliability, construct and convergent validity was assessed using the confirmatory factor analysis. The statistical analysis showed that the developed questionnaire was found to be valid and reliable and may be utilized to gather and conduct future studies on career development. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0892/a.php" alt="Hit counter" /></p>

Acceptance matters: Disengagement and attrition among LGBT personnel in the U.S. military

LAY SUMMARY The U.S. military has undergone several changes in policies toward lesbian, gay, bisexual, and transgender (LGBT) service members over the past decade. Some LGBT service members report continued victimization and fear of disclosing their LGBT identity, which can affect retention of LGBT personnel serving in the military. However, there is little research on this population. This study uses data from a survey funded by the U.S. Department of Defense (2017–2018) and completed by 544 active-duty service members (296 non-LGBT and 248 LGBT) to better understand the career intentions of LGBT service members. Of transgender service members, 33% plan to leave the military upon completion of their commitment, compared with 20% of cisgender LGB and 13% of non-LGBT service members. LGBT service members were twice as likely as non-LGBT service members to be undecided as to their military career path. Lower perceived acceptance of LGBT service members in the workplace was associated with a higher risk of leaving among LGBT service members. Lower perceived unit cohesion was associated with attrition risk for all members, regardless of LGBT status. These findings suggest that the U.S. military can do more to improve its climate of LGBT acceptance to prevent attrition.

Influences on the career intentions of millennials; a view from the United Arab Emirates

PurposeThe study aims to discover influences on the career intentions of millennials in the United Arab Emirates (UAE).Design/methodology/approachQualitative data about career intentions were collected from a sample group (#50) of students at an international university in the UAE. Participant's responses were recorded in five groups, composed of undergraduates, males and females, expatriates and citizens. Transcripts were formed of these data, which were thematically analysed to identify influences on career intentions.FindingsFour emergent themes were identified of influences on career intentions: (1) influenced by societal obligations, (2) influenced by a traditional approach to career plans; (3) influenced by own aspirations; (4) influenced by country considerations. Findings recognised career intentions for this sample group resulted from cultural orientation and millennial's characteristics.Research limitations/implicationsThe study was limited by the one country/one university context and a direction is to replicate for an expanded sample group and/or to extend this research scope to other countries.Practical implicationsThese findings have implications for university career advising, and the recruitment and retention of millennials in the UAE by international companies.Originality/valueThis is an original study in its exploration of influences on millennial's career intentions in the UAE. Research value lies in the addition of academic knowledge about those millennials' future career intentions.