FACTORS INFLUENCING CHOICE OF INTERNAL MEDICINE AND SUBSPECIALTIES BY POSTGRADUATE RESIDENTS IN A TERTIARY CARE TEACHING HOSPITAL
AbstractAbstract Objective: To determine the factors considered by postgraduate residents while choosing internal medi-cine and subspecialties in a tertiary care teaching hos-pital in Lahore Study Design: Descriptive cross - sectional study. Methodology: A two part self - administered struc-tured questionnaire was designed and distributed to postgraduate residents in Mayo Hospital, Lahore dur-ing May 2013 to determine the factors they considered important while choosing internal medicine and sub-specialties. The responses were graded on Likert scale which ranged from 1 to 3 (1 - great extent, 2 - some extent and 3 - lesser extent). Result: The 78 respondent doctors included in the study comprised of 50 (64.1%) males and 28 (35.9%) females. 60 (76.9%) were enrolled in the FCPS pro-gram while 18 (23.1%) were enrolled in the MD and other programs. Among subspecialties, dermatology Tahira Q.A.1 Assistant Professor, Department of North Medicine KEMU / Mayo Hospital, Lahore Lodhi S.2 Women Medical Officer, Department of North Medicine, Mayo Hospital, Lahore Abaidullah S.3 Associate Professor, Department of North Medicine KEMU / Mayo Hospital, Lahore was most popular among females while cardiology and nephrology among males. The adoption of medicine and subspecialties was comparable across both gen-ders (p-value > 0.05) and their reasons for this choice were also similar (p-value > 0.05). Research, national requirement, particular institution, private practice and work hours were significantly important (p-value < 0.05). Availability of training post and job after train-ing remained the least important factors (p-value < 0.05). No significance was shown for aptitude, family pressure, mentors and work environment (p-value > 0.05). Conclusion: In this study, work hours, private prac-tice, good institutions, research and national require-ment were considered most important. Less considera-tion was given to job and training vacancy while the role of mentors remained undefined. Key Words: Internal medicine, subspecialties, post-graduate residents.
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