Motivation and readiness of pediatric medical university graduates to select medical careers at primary healthcare institutions

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Abstract

Background. The goal of the study is to assess the readiness of pediatric medical university graduates to work in primary health care institutions and the correlation relationships with their motivations.

Aim. There is a significant staff shortage in Russian healthcare sphere. Directions for solving the problem are indicated, one of them is to increase the attractiveness of the labor function for young specialists with higher and secondary medical education.

Materials and methods. In the 2019/2020 academic year, an anonymous survey of 104 6th year students was conducted at St. Petersburg State Pediatric Medical University, which resulted in a correlation analysis of motivation and willingness to work immediately after graduation from the university as a local pediatrician.

Results. All 104 graduates answered 18 questions on the questionnaire. It was revealed that 77% of students have confidence in their correct choice of the profession of a doctor; 82% of them say that they are attracted by the ability to provide medical care in the profession, 60% – are interested in attractive social status, the ability to earn enough is the attractive feature for 47%. There are several reasons that make the doctor’s profession unattractive. 17% of graduates think that it is working with unhealthy people. Disrespectful attitude of others is significant for 80% of respondents, high legal liability requirements – for 68%, difficulties earning enough – for 62%. Students have also proposed solutions to the problem of staff shortages in primary care. The study revealed that the majority of pediatric university graduates by the time they graduate are confident in the correctness of their chosen profession.

Conclusions. The results of this research can be useful to healthcare organizers to attract graduates of medical universities to work in primary health care, solve the problem of staff shortages and improve the quality of medical care.

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About the authors

Larisa V. Sakhno

St. Petersburg State Pediatric Medical University

Email: lvs_doc@mail.ru

MD, PhD, Associate Professor of the A.F. Tour Department of Pediatrics

Russian Federation, Saint Petersburg

Inna V. Koltunceva

St. Petersburg State Pediatric Medical University

Email: koltunceva@yandex.ru

MD, PhD, Associate Professor of the A.F. Tour Department of Pediatrics

Russian Federation, Saint Petersburg

Elena G. Dubovaia

North-Western State Medical University named after I.I. Mechnikov

Email: elena-dubov@yandex.ru

MD, PhD, Associate Professor of the Department of Therapy, Rheumatology, Expertise on Temporary Disability and Quality of Care named after E.E. Eichwald

Russian Federation, Saint Petersburg

Marina V. Zemlianykh

St. Petersburg State Pediatric Medical University

Author for correspondence.
Email: mvz6@mail.ru

MD, PhD, Associate Professor of the Department of Psychosomatics and Psychotherapy

Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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2. Fig. 1. Results of a survey of VI year students (subordinates) on motivation for choice and willingness to work as a local pediatrician

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3. Fig. 2. Correlation analysis of signs of attractiveness of work in medicine and willingness to work as a local pediatrician

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Copyright (c) 2022 Sakhno L.V., Koltunceva I.V., Dubovaia E.G., Zemlianykh M.V.

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