2015, Number 1
PDF size: 366.74 Kb.
ABSTRACTBackground: Family Medicine (FM) is regarded as one of the specialities less interesting to those who choose for resident physicians (MIR) in Spain. Our objective is to know the priority given to the choice of FM in 2011 and 2013 MIR exams, and what factors might be associated with this choice.
Material and method: We obtained information on the website of the Ministry of Health for the graduates who could choose a speciality (11552 y 9182). The variables analyzed were: number obtained in the opposition, sex, speciality chosen, chosen city, medical school where they studied (for 117 and 155 students of a previous cohort study). We calculated the probability of choice of FM in relation to the order number in the exam and the other variables (Kaplan-Meier).
Results: 1963 and 1772 chose FM, respectively in 2011 and 2013. The median of the order number to choose FM was 7894 (95%CI:7720-8068) and 6561 (95%CI:6442-6680). There were gender differences, as women chose FM with fewer number and a higher proportion (p‹0.00001).
Conclusion: Graduates enrolled in the MIR exam have not special preference for FM. Women show a greater interest in this speciality.
González López-Valcárcel B, Barber Pérez P. Planifi cación y formación de profesionales sanitarios, con foco en la atención primaria. Informe SESPAS 2012. Gac Sanit. 2012; 26 (S): 46-51.
Block SD, Clark-Chiarelli N, Peters AS, Singer JD. Academia’s chilly climate for primary care. JAMA. 1996; 276(9):677-82.
Hill-Sakurai LE, Schillinger E, Rittenhouse DR, Fahrenbach R, Hudes ES, LeBaron S. et al. Do required preclinical courses with family physicians encourage interest in family medicine? Fam Med. 2003; 35(8):579-84.
Maridis A, Mihas C, Alevizos A, Gizlis V, Mariolis T, Marayiannis K, et al. General Practice as a career choice among undergraduate medical students in Greece. BMC Med Educ 2007; 7:15.
Domingo i Salvany PM. Estudiantes, universidad y medicina de familia. Aten Primaria. 1997; 19(6): 279-82.
Senf JH, Kutob R, Campos-Outcalt D. Wich primary care specialty?. Factors that relate to a choice of family medicine, internal medicine, combined internal medicine-pediatrics, or pediatrics. Fam Med. 2004; 36(2):123-30.
Rabinowitz HK, Diamond JJ, Markham FW, Hazelwood CE. A program to increase the number of family physicians in rural and underserved areas. JAMA. 1999; 281(3): 255-60.
Pugno P, Schmittling GT, McPherson DS, Kahn NB Jr. Entry of US medical school graduates into family practice residencies: 1999-2000 and 3-year summary. Fam Med. 2000; 32(6):534-42.
Fincher RME, Lewis LA, Jackson TW and the Specialty Choice Study Group. Why students choose a primary care or nonprimary care career. Am J Med. 1994; 97(5): 410-7.
Whitcomb ME, Cullen TJ, Hart LG, Lishner DM, Rosenblatt RA. Comparing the characteristics of schools that produce high percentages and low percentages of primary care physicians. Acad Med. 1992; 67(9):587-91.
Ministerio de Sanidad, Servicios Sociales e Igualdad. [Sede Web]. Formación Sanitaria Especializada. El acceso a las plazas de formación. [Consulta 21 Apr 2014]. Disponible en: http://sis.msssi.es/fse/ PaginasDinamicas/General/PagGeneral.aspx?Me nuId=QE00&SubMenuId=QE02&cDocum=1
McDougle L, Gabel LL, Stone L. Future of family medicine workforce in the United States. Fam Pract. 2006; 23(1):8-9.
Taylor R. Medicina de Familia. 6ª ed. Barcelona: Ed. Robert B, 2006. P. 6-8.
González Lopez-Valcárcel B, Ortún V, Barber P, Harris JE. Importantes diferencias entre facultades de medicina. Implicaciones para la medicina de familia y comunitaria. Aten Primaria. 2014;46(3):140-6.
Wright B, Scott I, Woloschuk W, BrenneisF, Bradley J. Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine. CMAJ. 2004;170(13):1920-4.
Ali B, Jones M. Do medical students want to become GPs? Br J Gen Pract. 2003; 53(4(():241.
Tolhurst H, Stewart M. Becoming a GP- a qualitative study of the career interests of medical students. Aust Fam Physician. 2005; 34(3):204-6.
Lynch DC, Newton DA, Grayson MS, et al. Infl uence of medical school on medical students’ opinions about primary care practice. Acad Med. 1998; 73(4): 433-45.
Zinn WM, Sullivan AM, Zotov N, et al. The effect of medical education on primary care orientation: results of two national surveys of students’ and residents’ perspectives. Acad Med. 2001;76(4):355-65.
McKee ND, McKague MA, Ramsden VR, Poole RE. Cultivating interest in family medicine. Family medicine interest group reaches undergraduate medical students. Can Fam Physician. 2007; 53: 661-5.
Henderson E, Berlin A, Fuller J. Attitude of medical students towards general practice and general practitioners. Br J Gen Pract. 2002; 52(478):359-63.
Escobar RF, López-Torres HJ. ¿Qué características de los estudiantes de medicina se relacionan con mejores conocimientos y actitudes hacia la medicina de familia? Aten Primaria. 2009; 41(8): 431-6.
Kassebaum DG, Szenas PL, Schubert MK. Determinants of the generalist career intentions of 1995 graduating medical students. Acad Med. 1996; 71(2):198-209.
Block SD, Clark-Chiarelli N, Singer JD. Mixed messages about primary care in the culture of U.S. medical schools. Acad Med 1998; 73: 1087-94.