Gender Difference and Specialty Preference in Medical Career Choice
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Purpose: We are entering a new era of medicine in which an equal number of men and women are becoming doctors. Many factors combine in complex and poorly understood ways to influence a medical student’s career and choice of specialty. This study investigated the preferences of medical students with regard to specialty and examined differences between genders. Methods: We administered a survey to medical students at the end of their third- or fourth-year clinical clerkships. In addition to demographic data and specialty choice, medical students selected factors that were importance to their choice of specialty. Results: One hundred forty-one medical students completed the survey (81 males, 57%). For medical students who had chosen a specialty, the most common specialty was internal medicine (20.5%). Significant gender differences were observed in choosing orthopedic surgery and family medicine—17 male students chose orthopedic surgery (10.5%) versus 3.3% of female students (p =0.02), and 11 females (9.2%) were drawn toward family medicine compared with 4 male students (2.5%). More female medical students chose lower workloads (19.9%) and low-risk work (14%) than male students (p<0.05). Lifestyle and income have become more important to medical students regarding their choice of specialty. Conclusion: There were significant gender differences concerning the choice of medical specialty. Controllable lifestyle remains an important factor for female medical students who are choosing a specialty. We must begin to make meaningful and thoughtful changes in medical center policies that affect a balance between work and home.
Abstract
Purpose: We are entering a new era of medicine in which an equal number of men and women are becoming doctors. Many factors combine in complex and poorly understood ways to influence a medical student’s career and choice of specialty. This study investigated the preferences of medical students with regard to specialty and examined differences between genders. Methods: We administered a survey to medical students at the end of their third- or fourth-year clinical clerkships. In addition to demographic data and specialty choice, medical students selected factors that were importance to their choice of specialty. Results: One hundred forty-one medical students completed the survey (81 males, 57%). For medical students who had chosen a specialty, the most common specialty was internal medicine (20.5%). Significant gender differences were observed in choosing orthopedic surgery and family medicine—17 male students chose orthopedic surgery (10.5%) versus 3.3% of female students (p =0.02), and 11 females (9.2%) were drawn toward family medicine compared with 4 male students (2.5%). More female medical students chose lower workloads (19.9%) and low-risk work (14%) than male students (p<0.05). Lifestyle and income have become more important to medical students regarding their choice of specialty. Conclusion: There were significant gender differences concerning the choice of medical specialty. Controllable lifestyle remains an important factor for female medical students who are choosing a specialty. We must begin to make meaningful and thoughtful changes in medical center policies that affect a balance between work and home.
참고문헌 (18)
- Hangug Uigwadaehakjanghyeobuihoe, "Uigwadaehak gyoyukhyeonhwang je13jip" (2004), Hangug Uigwadaehakjanghyeobuihoe
- (2005)[URL]
- 2005 Jeonguk hoewonsiltae josabogoseo, "Research Institute for Health Care Policy, Korean Medical Association", Research Institute for Health Care Policy, Korean Medical Association, ~ (2006)
- Newton DA, "Trends in career choice by US medical school graduates", JAMA, 290, pp.1179~1182 (2003)
- Barzansky B, "Educational programs in US medical schools, 2002-2003", JAMA, 290, pp.1190~1196 (2003)
- Wendel TM, "Are there gender differences in choosing a surgical career?", Surgery, 134, pp.591~596 (2003)
- Bickel J, "Gender-associated differences in matriculating and graduating medical students", Acad Med, 70, pp.552~559 (1995)
- Xu G, "A national study of the factors influencing men and women physicians’ choice of primary care specialties", Acad Med, 70, pp.398~404 (1995)
- Lind DS, "Two decades of student career choice at the University of Florida: increasingly a lifestyle decision", Am Surg, 69, pp.53~55 (2003)
- Fukuda Y, "Gender differences in specialty preference and mismatch with real needs in Japanese medical students", BMC Med Educ, 10, pp.15~ (2010)
- Schwartz RW, "The controllable lifestyle factor and students’ attitudes about specialty selection", Acad Med, 65, pp.207~210 (1990)
- Dorsey ER, "Influence of controllable lifestyle choice on recent trends in specialty choice by US medical students", JAMA, 290, pp.1173~1178 (2003)
- Lambert EM, "The relationship between specialty choice and gender of US medical students. 1990-2003", Acad Med, 80, pp.797~802 (2005)
- Schwartz RW, "Controllable lifestyle: a new factor in career choice by medical students", Acad Med, 64(10), pp.606~609 (1989)
- Salter A, "Gender and choosing a specialty", Student BMJ, 15, pp.313~314 (2007)
- Sanfey HA, "Influences on medical student career choice: gender or generation?", Arch Surg, 141, pp.1086~1094 (2006)
- Gargiulo DA, "Women in surgery: do we really understand the deterrents", Arch Surg, 141, pp.405~407 (2006)
- Hostler SL, "Perceptions of the gender fairness of the medical education environment", J Am Med Womens Assoc, 48, pp.51~54 (1993)