Career choice and influential factors among medical students majoring in psychiatry in China
Abstract Background The undergraduate program of psychiatry has been widely established in recent years to improve the education and recruitment of psychiatrists in China. We aim to investigate the career choice of medical students majoring in psychiatry in China and the influential factors. Method...
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Language: | English |
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BMC
2021-03-01
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Series: | BMC Medical Education |
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Online Access: | https://doi.org/10.1186/s12909-021-02622-x |
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author | Ying-Jian Zhang Kai Yuan Su-Hua Chang Wei Yan Jian-Yu Que Jia-Hui Deng Yi-Miao Gong Jia-Ming Luo Shi-Chang Yang Cui-Xia An Yi-Min Kang Hua-Shan Xu Yi-Ming Wang Li-Fang Zhang Wen-Fang Zhang Yin-Li Song Dong-Wu Xu Huan-Zhong Liu Wen-Qiang Wang Chuan-Xin Liu Wen-Qiong Yang Liang Zhou Jiu-Bo Zhao Miao-Yu Yu Jun-Yu Chen Hong Tang Juan Peng Xiu-Jun Zhang Yong Xu Ning Zhang Li Kuang Zhan-Jiang Li Yu-Hua Wang Jie Shi Mao-Sheng Ran Yan-Ping Bao Le Shi Lin Lu |
author_facet | Ying-Jian Zhang Kai Yuan Su-Hua Chang Wei Yan Jian-Yu Que Jia-Hui Deng Yi-Miao Gong Jia-Ming Luo Shi-Chang Yang Cui-Xia An Yi-Min Kang Hua-Shan Xu Yi-Ming Wang Li-Fang Zhang Wen-Fang Zhang Yin-Li Song Dong-Wu Xu Huan-Zhong Liu Wen-Qiang Wang Chuan-Xin Liu Wen-Qiong Yang Liang Zhou Jiu-Bo Zhao Miao-Yu Yu Jun-Yu Chen Hong Tang Juan Peng Xiu-Jun Zhang Yong Xu Ning Zhang Li Kuang Zhan-Jiang Li Yu-Hua Wang Jie Shi Mao-Sheng Ran Yan-Ping Bao Le Shi Lin Lu |
author_sort | Ying-Jian Zhang |
collection | DOAJ |
description | Abstract Background The undergraduate program of psychiatry has been widely established in recent years to improve the education and recruitment of psychiatrists in China. We aim to investigate the career choice of medical students majoring in psychiatry in China and the influential factors. Method This multicenter study was conducted in 26 medical schools in China from May to October of 2019. Participants included 4610 medical students majoring in psychiatry and 3857 medical students majoring in clinical medicine. Multivariable logistic regression was used to investigate the influential factors of students’ choices of psychiatry at matriculation and as a career. Results 44.08% of psychiatry majored students gave psychiatry as a first choice at matriculation, and 56.67% of them would choose psychiatry as a career, which was in sharp contrast to the proportion of clinical medicine majored students who would choose psychiatry as a career (0.69%). Personal interest (59.61%), suggestions from family members (27.96%), and experiencing mental problems (23.19%) were main reasons for choosing psychiatry major at matriculation. Personal interest (odds ratio [OR] = 2.12, 95% confidence interval [CI] = 1.87–2.40), experiencing a psychiatry clerkship (OR = 1.99, 95% CI = 1.28–3.08), being female (OR = 1.50, 95% CI = 1.30–1.68), experiencing mental problems (OR = 1.33, 95% CI = 1.28–1.56), and suggestions from family members (OR = 1.25, 95% CI = 1.08–1.46) correlated positively with students’ choice of psychiatry as career. Students who lacked psychiatry knowledge (OR = 0.49, 95% CI = 0.29–0.85) or chose psychiatry because of lower admission scores (OR = 0.80, 95% CI = 0.63–0.97) were less likely to choose psychiatry as a career. Conclusion More than half of psychiatry majored medical school students planned to choose psychiatry as their career, whereas very few students in the clinic medicine major would make this choice. Increasing students’ interest in psychiatry, strengthening psychiatry clerkships, and popularizing psychiatric knowledge are modifiable factors to increase the psychiatry career intention. The extent to which medical students’ attitudes toward psychiatry can be changed through medical school education and greater exposure to psychiatry will need further investigation. |
first_indexed | 2024-12-20T13:12:26Z |
format | Article |
id | doaj.art-a57ca6eda1e547b2b00f497bfe328d38 |
institution | Directory Open Access Journal |
issn | 1472-6920 |
language | English |
last_indexed | 2024-12-20T13:12:26Z |
publishDate | 2021-03-01 |
publisher | BMC |
record_format | Article |
series | BMC Medical Education |
spelling | doaj.art-a57ca6eda1e547b2b00f497bfe328d382022-12-21T19:39:37ZengBMCBMC Medical Education1472-69202021-03-0121111210.1186/s12909-021-02622-xCareer choice and influential factors among medical students majoring in psychiatry in ChinaYing-Jian Zhang0Kai Yuan1Su-Hua Chang2Wei Yan3Jian-Yu Que4Jia-Hui Deng5Yi-Miao Gong6Jia-Ming Luo7Shi-Chang Yang8Cui-Xia An9Yi-Min Kang10Hua-Shan Xu11Yi-Ming Wang12Li-Fang Zhang13Wen-Fang Zhang14Yin-Li Song15Dong-Wu Xu16Huan-Zhong Liu17Wen-Qiang Wang18Chuan-Xin Liu19Wen-Qiong Yang20Liang Zhou21Jiu-Bo Zhao22Miao-Yu Yu23Jun-Yu Chen24Hong Tang25Juan Peng26Xiu-Jun Zhang27Yong Xu28Ning Zhang29Li Kuang30Zhan-Jiang Li31Yu-Hua Wang32Jie Shi33Mao-Sheng Ran34Yan-Ping Bao35Le Shi36Lin Lu37Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)School of Psychiatry, North Sichuan Medical CollegeDepartment of Psychiatry, Second Affiliated Hospital of Xinxiang Medical UniversityDepartment of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of Hebei Medical University, Brain Ageing and Cognitive Neuroscience Laboratory, Hebei Medical UniversitySchool of Basic Medical Sciences, Inner Mongolia Medical UniversitySchool of Mental Health, Bengbu Medical CollegeDepartment of Psychiatry, Affiliated Hospital of Guizhou Medical UniversityDepartment of Neurology, Changzhi People’s Affiliated Hospital of Changzhi Medical CollegeMental Health Department of Baotou Medical College, Inner Mongolia University of Science and TechnologyDepartment of Pathology, Daqing Campus of Harbin Medical UniversitySchool of Mental Health, Wenzhou Medical UniversityChaohu Hospital of Anhui Medical UniversityXianyue Hospital of XiamenJining Medical UniversityDepartment of Neurology, Dongfeng Hospital, Hubei University of MedicineAffiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)Department of Psychology, School of Public Health, Southern Medical UniversityDepartment of Mental Health, Second Affiliated Hospital of Guangxi Medical UniversityShenzhi Department, Fourth Affiliated Hospital of Xinjiang Medical UniversityDepartment of Psychology, Gannan Medical UniversityTeaching and Research Section of Psychology, School of Management, Zunyi Medical UniversityNorth China University of Science and Technology TangshanShanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorders, First Hospital of Shanxi Medical UniversityBrain Hospital of Nanjing Medical UniversityMental Health Center, University-Town Hospital of Chongqing Medical UniversityDepartment of Clinical Psychology, National Clinical Research Center for Mental DisordersDepartment of Psychiatry, Qiqihar Medical UniversityNational Institute on Drug Dependence, Peking UniversityDepartment of Social Work and Social Administration, University of Hong KongNational Institute on Drug Dependence, School of Public Health, Peking UniversityPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Abstract Background The undergraduate program of psychiatry has been widely established in recent years to improve the education and recruitment of psychiatrists in China. We aim to investigate the career choice of medical students majoring in psychiatry in China and the influential factors. Method This multicenter study was conducted in 26 medical schools in China from May to October of 2019. Participants included 4610 medical students majoring in psychiatry and 3857 medical students majoring in clinical medicine. Multivariable logistic regression was used to investigate the influential factors of students’ choices of psychiatry at matriculation and as a career. Results 44.08% of psychiatry majored students gave psychiatry as a first choice at matriculation, and 56.67% of them would choose psychiatry as a career, which was in sharp contrast to the proportion of clinical medicine majored students who would choose psychiatry as a career (0.69%). Personal interest (59.61%), suggestions from family members (27.96%), and experiencing mental problems (23.19%) were main reasons for choosing psychiatry major at matriculation. Personal interest (odds ratio [OR] = 2.12, 95% confidence interval [CI] = 1.87–2.40), experiencing a psychiatry clerkship (OR = 1.99, 95% CI = 1.28–3.08), being female (OR = 1.50, 95% CI = 1.30–1.68), experiencing mental problems (OR = 1.33, 95% CI = 1.28–1.56), and suggestions from family members (OR = 1.25, 95% CI = 1.08–1.46) correlated positively with students’ choice of psychiatry as career. Students who lacked psychiatry knowledge (OR = 0.49, 95% CI = 0.29–0.85) or chose psychiatry because of lower admission scores (OR = 0.80, 95% CI = 0.63–0.97) were less likely to choose psychiatry as a career. Conclusion More than half of psychiatry majored medical school students planned to choose psychiatry as their career, whereas very few students in the clinic medicine major would make this choice. Increasing students’ interest in psychiatry, strengthening psychiatry clerkships, and popularizing psychiatric knowledge are modifiable factors to increase the psychiatry career intention. The extent to which medical students’ attitudes toward psychiatry can be changed through medical school education and greater exposure to psychiatry will need further investigation.https://doi.org/10.1186/s12909-021-02622-xCareer choiceMedical studentsPsychiatry majorMedical educationSpecialty choice |
spellingShingle | Ying-Jian Zhang Kai Yuan Su-Hua Chang Wei Yan Jian-Yu Que Jia-Hui Deng Yi-Miao Gong Jia-Ming Luo Shi-Chang Yang Cui-Xia An Yi-Min Kang Hua-Shan Xu Yi-Ming Wang Li-Fang Zhang Wen-Fang Zhang Yin-Li Song Dong-Wu Xu Huan-Zhong Liu Wen-Qiang Wang Chuan-Xin Liu Wen-Qiong Yang Liang Zhou Jiu-Bo Zhao Miao-Yu Yu Jun-Yu Chen Hong Tang Juan Peng Xiu-Jun Zhang Yong Xu Ning Zhang Li Kuang Zhan-Jiang Li Yu-Hua Wang Jie Shi Mao-Sheng Ran Yan-Ping Bao Le Shi Lin Lu Career choice and influential factors among medical students majoring in psychiatry in China BMC Medical Education Career choice Medical students Psychiatry major Medical education Specialty choice |
title | Career choice and influential factors among medical students majoring in psychiatry in China |
title_full | Career choice and influential factors among medical students majoring in psychiatry in China |
title_fullStr | Career choice and influential factors among medical students majoring in psychiatry in China |
title_full_unstemmed | Career choice and influential factors among medical students majoring in psychiatry in China |
title_short | Career choice and influential factors among medical students majoring in psychiatry in China |
title_sort | career choice and influential factors among medical students majoring in psychiatry in china |
topic | Career choice Medical students Psychiatry major Medical education Specialty choice |
url | https://doi.org/10.1186/s12909-021-02622-x |
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