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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Main Authors: 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
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Medical Education
Subjects:
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.
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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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