Volume 10, Issue 4 (2022)
Health Educ Health Promot 2022, 10(4): 813-818 |
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Saavedra C, Ronceros G, Neyra-Rivera C, Gutiérrez E. Factors Influencing the Choice of Medical Specialty among Peruvian General Practitioners. Health Educ Health Promot 2022; 10 (4) :813-818
URL: http://hehp.modares.ac.ir/article-5-63634-en.html
URL: http://hehp.modares.ac.ir/article-5-63634-en.html
1- Departamento Académico de Ciencias Dinamicas, Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú
2- Universidad Privada Peruano Alemana, Dirección de Investigación, Lima, Peru
3- Universidad San Ignacio de Loyola, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Peru
2- Universidad Privada Peruano Alemana, Dirección de Investigación, Lima, Peru
3- Universidad San Ignacio de Loyola, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Peru
Abstract: (1077 Views)
Aims: It is important to know the factors that influence physicians when choosing a medical specialty so that authorities can improve the admission and selection processes for medical residency positions accordingly. This study aimed to determine the factors that influence the choice of medical specialty among general practitioners of Peru.
Instruments & Methods: A cross-sectional study was conducted using a self-administered questionnaire and included 576 general practitioners who were preparing for the medical residency exam in Peru. To establish the association of demographic variables and other factors with the choice of medical specialty, we used Pearson’s chi-square test or Fisher’s exact test.
Findings: Most participants were women (56.8%) under 30 years (79.2%). The specialties in high demand were pediatrics (11.1%), general surgery (7.3%), and gynecology and obstetrics (5.4%). Most physicians believed that their university education did not prepare them enough for the residency exam (59.8%). Moreover, 64% of the participants chose their specialty based on vocation and mainly intended to work in hospitals where they could better perform their clinical and surgery rotations (40.5%). Most participants did not consider the economic factor as decisive for choosing their medical specialty (76.3%). Male physicians (p˂0.0001) and those who consider the economic factor (p=0.008) important for choosing their medical specialty were more likely to choose a surgical specialty.
Conclusions: Physicians already have a fixed choice and do not choose specialties where there is less competition. Economic factors are not decisive in choosing a specialty. Additionally, we observed few applicants for primary care specialties.
Instruments & Methods: A cross-sectional study was conducted using a self-administered questionnaire and included 576 general practitioners who were preparing for the medical residency exam in Peru. To establish the association of demographic variables and other factors with the choice of medical specialty, we used Pearson’s chi-square test or Fisher’s exact test.
Findings: Most participants were women (56.8%) under 30 years (79.2%). The specialties in high demand were pediatrics (11.1%), general surgery (7.3%), and gynecology and obstetrics (5.4%). Most physicians believed that their university education did not prepare them enough for the residency exam (59.8%). Moreover, 64% of the participants chose their specialty based on vocation and mainly intended to work in hospitals where they could better perform their clinical and surgery rotations (40.5%). Most participants did not consider the economic factor as decisive for choosing their medical specialty (76.3%). Male physicians (p˂0.0001) and those who consider the economic factor (p=0.008) important for choosing their medical specialty were more likely to choose a surgical specialty.
Conclusions: Physicians already have a fixed choice and do not choose specialties where there is less competition. Economic factors are not decisive in choosing a specialty. Additionally, we observed few applicants for primary care specialties.
Article Type: Descriptive & Survey |
Subject:
Health Education and Health Behavior
Received: 2022/08/18 | Accepted: 2022/12/19 | Published: 2022/12/20
Received: 2022/08/18 | Accepted: 2022/12/19 | Published: 2022/12/20
References
1. Alcalde-Rabanal J, Lazo O, Macias N, Contreras C, Espinosa O. Sistema de salud en el Perú: situación actual, desafíos y perspectivas. Rev Int Salud Materno Fetal. 2019;4(3):8-18. [Spanish] [Link]
2. Cabezas C. Atención médica y de salud en el Perú. Rev Peru Med Exp Salud Publica. 2019;36(2):165-6. [Spanish] [Link] [DOI:10.17843/rpmesp.2019.362.4620]
3. Tavera M. La atención primaria de salud y la salud materno infantil. Rev Peru Ginecol Obstet. 2018;64(3):383-92. [Spanish] [Link] [DOI:10.31403/rpgo.v64i2101]
4. Carrillo-Larco R, Guzman-Vilca W, Leon-Velarde F, Bernabe-Ortiz A, Jimenez M, Penny M, et al. Peru - Progress in health and sciences in 200 years of Independence. Lancet Region Health Am. 2022;7:100148. [Link] [DOI:10.1016/j.lana.2021.100148]
5. Mendoza-Arana PJ, Rivera-Del Río G, Gutiérrez-Villafuerte C, Sanabria-Montáñez C. El proceso de reforma del sector salud en Perú. Rev Panam Salud Publica. 2018;42:e74. [Spanish] [Link] [DOI:10.26633/RPSP.2018.74]
6. Gutiérrez C, Romaní F, Wong P, Del-Carmen-Sara J. Brecha entre cobertura poblacional y prestacional en salud: un reto para la reforma de salud en el Perú. An Fac Med. 2018;79(1):65-70. [Spanish] [Link] [DOI:10.15381/anales.v79i1.14595]
7. Jumpa-Armas David. Aseguramiento universal en salud en el Perú: una aproximación a 10 años de su implementación. Rev Fac Med Hum. 2019;19(3):75-80. [Spanish] [Link] [DOI:10.25176/RFMH.v19i3.2158]
8. Inga-Berrospi F, Arosquipa Rodríguez C. Avances en el desarrollo de los recursos humanos en salud en el Perú y su importancia en la calidad de atención. Rev Peru Med Exp Salud Publica. 2019;36(2):312-8. [Spanish] [Link] [DOI:10.17843/rpmesp.2019.362.4493]
9. Cuba-Fuentes M, Romero-Albino Z, Dominguez R, Rojas L, Villanueva R. Dimensiones claves para fortalecer la atención primaria en el Perú a cuarenta años de Alma Ata. An Fac Med. 2018;79(4):346-50. [Spanish] [Link] [DOI:10.15381/anales.v79i4.15642]
10. Llanos Zavalaga L, Arenas D, Valcarcel B, Huapaya O. Historia de la Atención Primaria de Salud en Perú: entendiendo su camino y perspectivas actuales. Rev Med Hered. 2020;31(4):266-73. [Spanish] [Link] [DOI:10.20453/rmh.v31i4.3861]
11. Espinoza-Portilla E. Gil-Quevedo W. Agurto-Távara E. Main problems in the management of health facilities in Peru. Rev Cubana Salud Pública. 2020;46(4):e2146. [Spanish] [Link]
12. Zafra-Tanaka J, Tenorio-Mucha J, Bazalar-Palacios J. Asociación entre índice de ruralidad y satisfacción laboral en médicos y enfermeros de Perú. Rev Cubana Salud Pública. 2020;46(2):e1414. [Spanish] [Link]
13. Jimenez M, Bui AL, Mantilla E. Human resources for health in Peru: recent trends (2007-2013) in the labour market for physicians, nurses and midwives. Hum Resour Health. 2017;15:69. [Link] [DOI:10.1186/s12960-017-0243-y]
14. Penny E, Collins J. Medical education in Peru. Educ Med. 2018;19:47-52. [Spanish] [Link] [DOI:10.1016/j.edumed.2018.03.009]
15. Pamo-Reyna O. The medical residency in Peru. Diagnosis. 2019;58:117-21. [Spanish] [Link] [DOI:10.33734/diagnostico.v58i3.55]
16. Paredes-Bodegas E. The national system of medical residency of Perú. Diagnosis. 2019;58:122-4. [Spanish] [Link] [DOI:10.33734/diagnostico.v58i3.57]
17. Taype-Rondan A, Alarcon-Ruiz CA, Zafra-Tanaka JH, Rojas-Vilar FJ. Factors associated with wages, workload, and working environment in a group of young general practitioners in Peru. Acta Méd Peru. 2018;35(1):6-13. [Link] [DOI:10.35663/amp.2018.351.401]
18. Galan-Rodas E, Rodriguez J, Díaz-Vélez C, et al. Admission competition for medical residency in Peru: characteristics, preferences, and proposals from physicians who are preparing for taking the national medical residency examination in 2011. Acta Méd Peru. 2010;27(4):257-63. [Link]
19. Mejia CR, Ruiz-Urbina F, Benites-Gamboa D, Albitres-Flores, Mena L, Fasando R. Perceptions of usefulness and preparation for the national examination in medicine in ten faculties of medicine, Peru-2017. Educ Med. 2019;20:124-30. [Link] [DOI:10.1016/j.edumed.2017.10.021]
20. Saavedra C, Flores-Lovon K, Ticona D, Gutierrez EL. Prevalence of burnout syndrome among medical residency applicants. Rev Cubana Med Milit. 2021;50:e02101021. [Spanish] [Link]
21. Alarcon-Ruiz C, Heredia P, Zafra-Tanaka J, Taype-Rondan A. Reasons for the election and preferences of the medical specialty in general practitioners of Peru. Acta Méd Peru. 2020;37:284-303. [Spanish] [Link] [DOI:10.35663/amp.2020.373.1063]
22. Tarqui-Mamani C, Sanabria Rojas H, Zárate E. Expectations of students from a faculty of medicine in Lima, Peru, for working in first-level health care. An Fac Med. 2015;76(1):57-62. [Spanish] [Link] [DOI:10.15381/anales.v76i1.11076]
23. Romero-Albino Z, Cuba-Fuentes M. Family and community medicine in Peru: 30 years of specialization in persons, families and communities. An Fac Med. 2019;80(4):511-4. [Link] [DOI:10.15381/anales.v80i4.16570]
24. Alarco J, Changllio-Calle G, Cahuana-Salazar M. Association between the salary perspectives and the choice of surgical specialties in medical students of a public university in Peru. FEM. 2018;21:239-45. [Spanish] [Link] [DOI:10.33588/fem.215.963]
25. Marks IH, Diaz A, Keem M, et al. Barriers to women entering surgical careers: a global study into medical student perceptions. World J Surg. 2020;44(1):37-44. [Link] [DOI:10.1007/s00268-019-05199-1]
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