TRENDS IN SPECIALIZATION CHOICES AMONG SECOND-SEMESTER STUDENTS AND SECOND-YEAR JUNIOR DOCTORS IN MEDICAL FACULTY AT UDAYANA UNIVERSITY
DOI:
https://doi.org/10.31004/prepotif.v9i1.39639Keywords:
faktor-faktor, mahasiswa kedokteran, pilihan karirAbstract
Pendidikan kedokteran memiliki beragam pilihan karir yang menarik bagi mahasiswa. Wawasan tentang preferensi karir dan alasan pemilihannya di bidang kedokteran akan membantu mahasiswa menentukan karir medis yang tepat. Penelitian ini bertujuan mengetahui gambaran kecenderungan pemilihan spesialisasi pada mahasiswa semester dua dan dokter muda Sarjana Kedokteran Universitas Udayana serta kecenderungan alasan yang mendasarinya. Penelitian ini merupakan penelitian desain potong lintang kualitatif deskriptif. Pengambilan data dilakukan secara daring kepada mahasiswa semester dua dan dokter muda Sarjana Kedokteran Universitas Udayana dengan metode total sampling dan memakai kuesioner oleh Takeda (2013) yang telah diterjemahkan. Sebanyak 213 mahasiswa semester dua dan 228 dokter muda memenuhi kriteria inklusi. Spesialisasi yang paling diminati mahasiswa semester dua adalah spesialis penyakit dalam (21,6%). Bagi dokter muda, spesialisasi terbanyak dipilih adalah spesialis bedah (11%). Dua populasi menyatakan alasan pemilihan spesialisasi adalah minat pada pekerjaan klinis spesialisasinya (74,6% dan 70,9%), ketertarikan pada spesialisasi sebelum masuk sekolah kedokteran (48,7% dan 63,4%), dan nasihat orang tua (50% dan 72,8%). Pada mahasiswa semester dua, alasan lain meliputi ingin memiliki pendapatan tinggi (51,2%) dan pernah bertemu dokter yang dijadikan panutan (26,3%). Pada dokter muda, alasan lain adalah karena mendapat pengajaran yang baik (46,5%) dan ketersediaan lapangan pekerjaan (47,4%). Mahasiswa semester dua memilih spesialis penyakit dalam, sementara dokter muda mayoritas memilih spesialis bedah. Alasan pemilihan spesialisasi terbanyak adalah minat pada karakteristik pekerjaan klinisnya.References
Al-Fouzan, R., Al-Ajlan, S., Marwan, Y., & Al-Saleh, M. (2012). Factors affecting future specialty choice among medical students in Kuwait. Medical education online, 17(1), 19587. https://doi.org/10.3402/meo.v17i0.19587
Al?Hariri Mohammed T1, Alghamdi Abdulrahman A1, Alkhaldi Saud K1, T. A. N. (2020). Specialty preferences and factors affecting future career choice among medical graduates in Saudi. 9(3), 1459–1463. https://doi.org/10.4103/jfmpc.jfmpc_1199_19
Andarwati, P., Nuraini, S., & Nugroho, A. P. (2017). Motivasi Dan Pilihan Karir Mahasiswa Tingkat Akhir Fakultas Kedokteran Universitas Airlangga, Surabaya. Buletin Penelitian Sistem Kesehatan, 19(2), 165–171. https://doi.org/10.22435/hsr.v19i2.5901.165-171
Avidan, A., Weissman, C., & Zisk-Rony, R. Y. (2021). Interest in technology among medical students early in their clinical experience. International Journal of Medical Informatics, 153(May), 104512. https://doi.org/10.1016/j.ijmedinf.2021.104512
Baboolal, N. S., & Hutchinson, G. A. (2007). Factors affecting future choice of specialty among first-year medical students of the University of the West Indies, Trinidad. Medical Education, 41(1), 50–56. https://doi.org/10.1111/j.1365-2929.2006.02646.x
Chew, Y. W., Rajakrishnan, S., Low, C. A., Jayapalan, P. K., & Sreeramareddy, C. T. (2011). Medical students’ choice of specialty and factors determining their choice: A cross-sectional questionnaire survey in Melaka-Manipal medical college, Malaysia. BioScience Trends, 5(2), 69–76. https://doi.org/10.5582/bst.2011.v5.2.69
Creed, P. A., Searle, J., & Rogers, M. E. (2010). Medical specialty prestige and lifestyle preferences for medical students. Social Science and Medicine, 71(6), 1084–1088. https://doi.org/10.1016/j.socscimed.2010.06.027
Dikici, M. F., Yaris, F., Topsever, P., Filiz, T. M., Gurel, F. S., Cubukcu, M., & Gorpelioglu, S. (2008). Factors affecting choice of specialty among first-year medical students of four universities in different regions of Turkey. Croatian Medical Journal, 49(3), 415–420. https://doi.org/10.3325/cmj.2008.3.415
Dorsey, E. R., Jarjoura, D., & Rutecki, G. W. (2003). Influence of Controllable Lifestyle on Recent Trends in Specialty Choice by US Medical Students. Journal of the American Medical Association, 290(9), 1173–1178. https://doi.org/10.1001/jama.290.9.1173
Gazibara, T., Kurtagi?, I., Mari?, G., Kova?evi?, N., Nurkovi?, S., Kisi?-Tepav?evi?, D., & Pekmezovi?, T. (2019). PERCEPTION OF FIRST-YEAR VERSUS SIXTH-YEAR MEDICAL STUDENTS IN SERBIA ON STUDYING MEDICINE AND POSTGRADUATE CAREER. Acta Clin Croat, 58(2), 371–378. https://doi.org/10.20471/acc.2019.58.02.23
Gutiérrez-Cirlos, C., Naveja, J. J., García-Minjares, M., Martínez-González, A., & Sánchez-Mendiola, M. (2019). Specialty choice determinants among Mexican medical students: a cross-sectional study. BMC Medical Education, 19(1), 1–8. https://doi.org/10.1186/s12909-019-1830-5
Henderson, E., Berlin, A., & Fuller, J. (2002). Attitude of medical students towards general practice and general practitioners. British Journal of General Practice, 52(478), 359–363.
Kaliszewski, K., Makles, S., Fr?tczak, A., Kisiel, M., Lipska, P., & Stebel, A. (2024). Patient Perceptions of Medical Students’ Involvement in Clinical Classes: A Cross-Sectional Survey. Patient Preference and Adherence, 18(February), 301–313. https://doi.org/10.2147/PPA.S444797
Kaliyadan, F., Amin, T. T., Qureshi, H., & Wadani, F. Al. (2015). Specialty preferences of 1st year medical students in a Saudi Medical School – Factors affecting these choices and the influence of gender. Avicenna Journal of Medicine, 05(04), 134–139. https://doi.org/10.4103/2231-0770.165120
Khamees, A., Awadi, S., Al Sharie, S., Faiyoumi, B. A., Alzu’bi, E., Hailat, L., & Al-Keder, B. (2022). Factors affecting medical student’s decision in choosing a future career specialty: A cross-sectional study. Annals of Medicine and Surgery, 74(January), 103305. https://doi.org/10.1016/j.amsu.2022.103305
Konsil Kedokteran Indonesia. (2022). Persebaran Dokter Provinsi Bali. https://kki.go.id/report_registrasi_kki/kabkot/51
Kumar, A., Mitra, K., Nagarajan, S., & Poudel, B. (2014). Factors influencing medical students’ choice of future specialization in medical sciences: A cross-sectional questionnaire survey from medical schools in China, Malaysia and regions of south asian association for regional cooperation. North American Journal of Medical Sciences, 6(3), 119–125. https://doi.org/10.4103/1947-2714.128473
Mu, L., Liu, Y., Zhang, D., Gao, Y., Nuss, M., Rajbhandari-Thapa, J., Chen, Z., Pagán, J. A., Li, Y., Li, G., & Son, H. (2021). Rurality and origin–destination trajectories of medical school application and matriculation in the united states. ISPRS International Journal of Geo-Information, 10(6). https://doi.org/10.3390/IJGI10060417
Nojomi, M., Goharinezhad, S., Saraei, R., Goharinejad, S., Ramezani, G., & Aalaa, M. (2023). Exploring the attitudes of general medical students toward older adult’s care in a lower middle-income country: implications for medical education. BMC Medical Education, 23(1), 1–9. https://doi.org/10.1186/s12909-023-04626-1
Olsson, C., Kalén, · S, & Ponzer, · S. (2019). Sociological analysis of the medical field: using Bourdieu to understand the processes preceding medical doctors’ specialty choice and the influence of perceived status and other forms of symbolic capital on their choices. Advances in Health Sciences Education, 24, 443–457. https://doi.org/10.1007/s10459-018-09872-3
Pickel, L., & Sivachandran, N. (2024). Gender trends in Canadian medicine and surgery: the past 30 years. BMC Medical Education, 24(1), 1–8. https://doi.org/10.1186/s12909-024-05071-4
Saigal, P., Takemura, Y., Nishiue, T., & Fetters, M. D. (2007). BMC Medical Education Factors considered by medical students when formulating their specialty preferences in Japan: findings from a qualitative study. https://doi.org/10.1186/1472-6920-7-31
Sudewa, I. N. B. A. W., Ganesha, I. G. H., & Purnamasidhi, C. A. W. (2021). Scope and determinant of career preferences for medical preclinical students at Udayana University. Research, Society and Development, 10(16), e174101623748. https://doi.org/10.33448/rsd-v10i16.23748
Suzuki, Y., Tsunekawa, K., Takeda, Y., Cleland, J., & Saiki, T. (2023). Impact of medical students’ socioeconomic backgrounds on medical school application, admission and migration in Japan: a web-based survey. BMJ Open, 13(9), 1–10. https://doi.org/10.1136/bmjopen-2023-073559
Syakurah, R. A., Sari, D. A., Riansyah, D., & Yolanda, P. (2014). Determinan Pilihan Karir Mahasiswa Fakultas Kedokteran sebagai Spesialis di Indonesia. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education, 3(2), 132. https://doi.org/10.22146/jpki.25233
Takeda, Y., Morio, K., Snell, L., Otaki, J., Takahashi, M., & Kai, I. (2013). Characteristic profiles among students and junior doctors with specific career preferences. BMC Medical Education, 13(1), 1–11. https://doi.org/10.1186/1472-6920-13-125
Yang, Y., Li, J., Wu, X., Wang, J., Li, W., Zhu, Y., Chen, C., & Lin, H. (2019). Factors influencing subspecialty choice among medical students: A systematic review and meta-analysis. BMJ Open, 9(3), 1–12. https://doi.org/10.1136/bmjopen-2018-022097
Zisk-Rony, R. Y., Weissman, C., & Avidan, A. (2023). Does examining job market awareness among medical students provide insight into the specialty selection process? Annals of Medicine, 55(1). https://doi.org/10.1080/07853890.2023.2201012
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