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Introduction
The selection of a discipline for future specialization may be an important factor for the medical students’ future career, and it is influenced by multiple factors. The interest of students in the early stages can be improved in subjects related to public health or of academic importance, as per need.
Methods
A questionnaire-based st...
Context in source publication
Context 1
... preference of medical students and cardiac surgery (18.9%) in surgical field were the most preferred subjects followed by other subjects for the post- graduation (Table 2). Results showed that 56.3% of male students have a desire to pursue clinical surgical science, and this was followed by 39.3% with clinical medical sciences, while 53.6% of female students considered clinical medical subjects as their future career, and 43.3% considered clinical surgical subjects (43.3%). ...
Citations
... Course fees and travel expenses are usually borne by the course participants themselves-in contrast to pilot training, for example. However, in medicine-in contrast to pilot training-the possibility of using surgical simulators at every clinic nationwide is very limited [8]. ...
Introduction
For years, generations of medical students have complained that practice-oriented learning is neglected in medical studies. Further training assistants also complain about limited opportunities to learn subject-specific practical activities.
Material and techniques
We are presenting a pilot project at the University Women’s Hospital in Homburg, in which medical students complete an endoscopic hands-on course as part of the block internship gynaecology and obstetrics. During the course the students perform classic skills training and hand–eye coordination exercises and learn the first steps in endoscopic suturing (suture and rows of knots). The training concepts used can be implemented on simple boxing trainers and can therefore also be reproduced in clinics or in a private setting.
Outcome
Altogether, 73 medical students did participate in the laparoscopy course. We were able to prove that the knotting time for a simple knot can be reduced from an average of 247 s to 40 s (80%) after completing our training programme. Based on the evaluation sheet that the students filled out after the course, we found a very-high acceptance for surgical simulation training within the student cohort.
Discussion
Practical surgical exercises can complement the curriculum well and, as we can show with our work, are rated very positively by the students. For students in higher semesters, such practical courses can also provide an insight into the respective subject area and thus counteract the lack of skilled workers in surgical subjects. The practical year should not be the first contact with these practical courses, as at this timepoint a certain favoured subject has often already being chosen by the students.
... In their initial medical school years, students possess untapped potential that needs direction, and experienced teachers help guide their learning. Yet, only 26.2% considered pursuing one of these basic subjects for postgraduate studies, similar to findings from Kumar Jha et al., Oyebola and Adewoye, and Zia et al. [47][48][49]. This preference leans towards clinical specializations, which are perceived as more rewarding both financially and socially. ...
... In their initial medical school years, students possess untapped potential that needs direction, and experienced teachers help guide their learning. Yet, only 26.2% considered pursuing one of these basic subjects for postgraduate studies, similar to findings from Kumar Jha et al., Oyebola and Adewoye, and Zia et al. [47][48][49]. This preference leans towards clinical specializations, which are perceived as more rewarding both financially and socially. ...
Introduction. Since the early 20th century, medical education has evolved, notably with the Flexner report emphasizing the fusion of foundational sciences and clinical reasoning. As the field grew, educators adeptly incorporated new sciences and technologies, ensuring curriculum balance and depth. Aim. This research aimed to explore the role of basic sciences in contemporary medical education, focusing on their integration with clinical practice. Methods. An institutional-based cross-sectional study design was implemented at Umm Al Qura University, College of Medicine, Makkah, Saudi Arabia, from March to June 2023. This study involved surveying 470 medical students, from a total campus population of 1,360 students (excluding preparatory year), using a pre-tested and structured self-administered questionnaire. All questions in the survey were formatted to elicit dichotomous responses, namely “yes” or “no”, and the collected data were analyzed using SPSS version 20. Results. The study discovered that while a high percentage of medical students (96.6% in earlier years to 94% in senior years) recognized the importance of basic sciences in the MBBS curriculum, there was a noticeable decline in this belief as students advanced through their clinical years. Similarly, the perception of the utility of foundational knowledge of basic sciences for understanding clinical subjects decreased slightly from 93% in earlier years to 85% in senior years. About 92.7% of students across all years believed a strong understanding of basic sciences was crucial for clinical proficiency. However, the perceived benefit of suggested readings/textbooks declined from 82% in earlier years to 77% in senior years. Feedback on curriculum enhancements showed robust support for more engaging teaching methods, with over 90% favoring the incorporation of multimedia tools and group-based sessions. Conclusions. Our findings underscore the foundational role of basic sciences in medical education for clinical competency, highlighting a gradual shift in student perceptions as they progress through their training. This shift signals the necessity for adaptive teaching strategies that effectively integrate basic sciences with clinical practice to maintain relevance and efficacy in medical curricula.
... China is accommodating over 68,000 international medical students (IMSs), mainly from LMICs [2], who may exercise their medical abilities worldwide and help balance the physician supply. Medical students often have certain preferences for and against different specialties at an early stage of their studies, even at or prior to the time of entering the medical programme [35,36]. In this study, we investigated the specialty preferences of international LMIC students registered in medical programs in China, including their migration intentions, and explored the influence of gender, year of study and country of origin on their specialty preferences. ...
... The selected articles were from the countries which were among the China-educated IMSs' common countries of origin and their most desirable foreign country destinations [2]. The specialty list was formulated by reference to studies from India [37,38], Kenya [20], Malawi [39], Nepal [36], Nigeria [40], and Pakistan [41] as well as Australia [42], Canada [43], the UK [44], and the US [45]. We also provided an "other" option for students to write down their intended specialty which was not included in the specialty list. ...
Background
This study explored the specialty preferences of China-educated international medical students (IMSs), who are mainly from low- and middle-income countries (LMICs) and constitute a potential medical workforce both for their home countries and foreign countries, and the influence of migration intentions on their specialty preferences.
Methods
A cross-sectional, questionnaire-based survey was conducted at 5 universities in China. The questionnaire link was distributed electronically among the IMSs at the 5 universities via emails. The questionnaire enquired IMSs’ demographic information, migration intentions and their specialty preferences. The Chi-square test was applied to determine the influence of the respondent’s gender, intention to practise in the home country and intention to practise in a high-income country on their specialty choices. The Chi-square test was also applied to determine the influence of the respondent’s gender, year of study and country of origin on their preferences for generalist-orientated or non-generalist orientated specialties.
Results
Altogether, 452 IMSs returned their responses, yielding a response rate of 64.1%. Approximately half of the IMSs planned to not return to their home country. The most selected specialty was general surgery and the least selected specialty was physical medicine and rehabilitation. No significant differences were evident in most specialty preferences between those who intended to return home and those who intended to stay abroad. Among the IMSs having intentions of returning to their home country, male students tended to choose a generalist-orientated specialty, while female students tended to choose a non-generalist-orientated specialty.
Conclusion
China-educated IMSs could play important roles in the primary care services as well as other shortage specialties both for their home countries or foreign countries. Therefore, it is recommended that governments in these countries plan migration and recruitment policies that cater for these studying-abroad medical students from LMICs, especially in this challenging time during the COVID-19 pandemic.
... Anatomy was chosen as the most interesting subject by the majority of participants at 246(46%) with physiology being a close second at 224(41.9%). A similar result was also observed in another study by Rajesh K Jha in Nepal in 2015 14 . ...
Background: The study of physiology is an essential part of the medical school curriculum. Medical teachers have identified the preference for a specific mode of content delivery to communicate knowledge to students in a rational, strategic, coherent, and sequential manner. In comparison to the focus on systems-based didactic lectures, more emphasis is now put on the developing critical thinking skills. Physiology is widely acknowledged as a difficult subject for medical students to grasp, incorporate, and apply in clinical sciences. Aim: To learn about students’ perceptions of teaching, learning, and assessment approaches used in the physiology. Method A quantitative cross-sectional survey was conducted online on 533 medical students from first to final year and also post grate students. After the approval of Ethical review committee, a questionnaire to determine the various aspects of Physiology as a subject being taught. The survey was conducted online via “Google forms''. Participants answered anonymously with informed consent, and the survey was conducted for a period of two months. Data was analyzed using SPSS version 23. Results: A total number of 533 students participated in this research and responding to Physiology learning and teaching. When students were asked about that which subject is most interesting in first Year MBBS, majority of the students that is 46.2% of the responses claimed that Physiology is the most interesting subject. 33.6% students were from 1st Year. 9.2% students were Postgraduates. 63.4% of the students preferred studying physiology from Guyton and Hall as reference book for Physiology. Majority of students that is 25.5% of the students found Blood Physiology to be the most interesting. Whereas 19.8% found Heart or Cardio Vascular System Physiology as the most interesting subject.15.6% found cell and nerve muscle as an interesting topic in Physiology.9.6% found Endocrinology and reproduction physiology as interesting as compared to 7.7% who found central Nervous system Physiology interesting. 43.9% of the students responded that they perfeer face to face interactive lectures.23.3% of the students perfered small group discussion.10.9% students prefered learing by tutorilas.Interestingly, 20.4% of the participants replied that they would definitely pursue physiology as their career. Conclusion: Physiology is the most interesting subject preferred by majority of students. Keywords: Perception, learning methodologies, medical students
... The questionnaire had a total of 17 out of 24 selected questions whose validity was determined before the survey and the questions with the validity value ≥ 0.8 were retained in the survey. The items in the questionnaire were targeted to analyse about the intrinsic interest (Q2, 3,6,7,16) and extrinsic interest (Q1, 9,14,17) about the subject and also their perception about the intricacies (Q12,13) and scope (Q4, 5,8,10,11,15) of the subject among the different study groups. Their responses were also evaluated for overall rating of the subject on a different scale with grading from 1 to 5. The responses were tabulated and the result was analysed. ...
... With regard to community medicine 55.4% students 7 had positive attitude about the course. The preference of the students for future career was found for clinical surgical (50.9%), clinical medical (45.3%), and basic medical (3.9%) sciences and reasons for that were personal interests, good 8 income, intellectual challenge, and others as per a study. ...
It is a very common point of discussion among the Forensic specialists that whether the MBBS students do have interest in the subject of Forensic Medicine & Toxicology and some of them would think towards it as their career perspective or not and what type of perception they do have exactly about the subject. To have a fair idea about this, a questionnaire-based survey was conducted amongst the MBBS undergraduate students of AIIMS Bhopal after dividing them in to different groups (Group A, B & C). In this survey, a total of 17 questions whose validity was determined before the survey were asked. The Students were asked to express their responses on a scale with grades ranging from 1 to 5. The 80.7% of the students perceive the subject as interesting and 10.1% find it non-interesting while 9.1% say that they have no idea about it. When a question related with subject as their future career perspective was asked then only 14.2% were agreed to opt it as their career option. A paradox of high interest in the subject with poorer curiosity in opting it as a career option among the students has been reported. Therefore, there is need to enhance the scope and role of the subject to successfully face the future challenges of lack of sufficient number of forensic specialists in the field and in dealing with the emerging medico legal issues.
... Medical students, especially in their first few years of medical college, have raw brains which need to be nurtured and channelized in the proper direction, so teachers help them to attain this with their experience and knowledge. In our study, only 27% of participants were ready to opt for one of these basic subjects as their postgraduate specialty and somewhat similar findings were reported by Jha et al., Oyebola and Adewoye, and Zia et al. [18][19][20] Medical graduates prefer to choose clinical branches over basic sciences for their postgraduate specialty as clinical subjects appear to them as more lucrative and financially more paying, and they think that social recognition and job security is more with the clinical branches. ...
BACKGROUND: Advances in scientific research necessitates updating of the curriculum and the Medical Council of India now Board of Governors have proposed a new competency-based undergraduate curriculum for the Indian Medical Graduate. The authors wanted the views of medical students about basic sciences teaching in the form of feedback, their perceptions and attitudes toward the basic sciences and their opinions about the relevance of these subjects, and finally any ideas about improvement in teaching of basic sciences.
MATERIALS AND METHODS: The present cross-sectional study was conducted in two medical colleges of Northern India and 250 medical students from each medical school were the study participants. Students of the 1st year were not included, but interns were included. A pretested questionnaire having twenty questions with answers in the form of “yes” and “no” was used. Chi-square was the test of significance.
RESULTS: Almost all the participants considered the basic sciences as an integral part of medical curriculum and a higher number of Government Medical College respondents opined that their knowledge made it easier to understand clinical subjects (P < 0.05). However, higher proportion of ASCOMS (Acharya Shri Chandra College Medical Sciences) of respondents emphasized that the focus should be on clinical subjects and that current student–teacher ratio be increased (P < 0.05). Majority of the respondents labeled Anatomy having the immense syllabus, while Physiology was designated as more relevant and having a better recall during clinical discourse (P > 0.05).
CONCLUSION: Basic sciences lay strong foundation for subsequent clinical learning. Medical education is best taught with hybrid use of lectures, tutorial, group discussions, audio-visual aids, and integrated teaching. The new proposed competency-based curriculum and the Attitudes, Ethics and Communication Module are likely to improve the overall medical education and health-care scenario.
... These findings were similar with results of other studies done in India, Nepal and Bangladesh where clinical branches like medicine and surgery were mostly preferred for specialization. [5][6][7][8] In the present study it was also found that with progression of medical course the choice for future specialization also changed. Subjects like orthopedics and radio-diagnosis were more preferred by final year students than students from other professional years. ...
Background: India is currently in need of large number of public health specialists to combat the double burden of communicable and non-communicable diseases. But it was seen that medical students are less interested in a career as a public health specialists. This study aimed to assess the preferences of subjects for future specialization among medical students and to understand their attitude towards Community Medicine as a future career. Methods: A cross-sectional study was done among 200 MBBS students selected by stratified random sampling at Agartala Govt. Medical College of Tripura during April to May 2018. Data were analyzed using SPSS (version 25.0). Results: Medicine was the most preferred subject (35%) for specialization followed by obstetrics and gynecology (16%) and surgery (15%). About 4% of the participants opted Community Medicine for future specialization. Lack of personal satisfaction, lack of future career prospective and lack of opportunity to earn name and money ranked top most cause for not choosing Community Medicine as a career. Conclusions: Preference of Community Medicine for future specialization was very limited among medical students. Interest on Community Medicine as a career among MBBS students can be improved by proper counseling and modification of curriculum.
... The most preferred specialty among male students was clinical surgical sciences (56.3%), and among female students, it was clinical medical sciences (53.6%). 8 Due to rising violence incidents strikes and protests by medical doctors have become a common global phenomenon. In india many times in different states junior doctors have gone on strike because of this issue, their chief demand being that their security at the hospitals should be ensured. ...
Background: In recent years, there has been an epidemic of violence against health professional in many nations including India. The Indian Medical Association (IMA) has reported that 75% of doctors have faced physical or verbal violence during their lifetime. The objective of present study was to evaluate the medical student perspective on rising violence against doctors.Methods: This is a cross sectional questionnaire based study carried out at Sri Guru Ram Das Institute of medical Sciences and Research Amritsar. Undergraduate medical students from second year onwards, interns and post- graduate students of the institution were included in the study. Data was compiled and statistically analysed.Results: Total 497 medical students participated in the study. Among participants 327 (65.8%) were undergraduates, 106 (21.3%) were interns, 64 (12.9%) were postgraduate students 97.18% of students said that they were aware of rising incidents of violence against doctors. while 96% of participants said that they were concerned about the problem. For 86.1% students source of information of these incidents was social media. 82.5% participants said that doctors are at higher risk of being victim of violence than other profession. 89.1% of participants who had said that doctors are at higher risk of being victims of violence than other professions have said yes to the question that doctors need to be trained in martial arts. 70.2% said that these incidences would affect their future carrier choices. 60.8% Students said that certain specialties are more prone to receive violence than others. In response to an open-ended question which specialties are more prone, 83.6% participants had written surgical branches and obstetrics and gynecology.Conclusions: The study indicates that they find certain specialties more-risky and their inclination towards non- surgical branches for post-graduation.
... Unfortunately, world over, psychiatry is not the preferred specialisation of choice among the medical graduates. [9] Jha et al. [10] did a survey among the rst and second year students, enquiring about the subject of choice for specialisation. Although 48.3% of the students were interested to take up nonsurgical for specialisation, only 8.1% expressed interest towards psychiatry as compared to 23.4% for paediatrics and 20.9% for cardiology. ...
Background: Medical Council of India allowed the interns to take up an extra 15 days of elective posting in psychiatry along with the mandatory posting of 15 days. The study was planned to assess the effect of the additional period of psychiatry internship on the attitude of interns towards psychiatry.
Material and methods: The consenting interns were given a semi structured proforma enquiring about their age and gender and were asked to fill up Attitude Towards Psychiatry (ATP) scale. The assessment was done at the beginning and then after 15 days of mandatory posting. Those participants who were willing to do an additional 15 days of elective posting in psychiatry were assessed again on the 30th day of the training.
Results: Mean age of the participating interns (n=47) was 25.44±1.52 and the male female ratio was 0.8. Twenty six interns did only the 15 days mandatory psychiatry internship posting (Group 1) and the remaining 21 interns took up the additional elective 15 days posting (Group 2). At the end of the 15 days posting, Mean ATP score of the group 1 increased from 88.34±6.07 to 88.46±6.19 (p=0.80) whereas the same increased from 88.04±7.06 to 88.19±7.65 (p=0.7) in the group 2 and further increased to 91.09±8.3 at the end of the additional 15 days of elective posting (p
