Decision-making process of changing major for medical students in a comprehensive university: a qualitative study / 中华医学教育探索杂志

Objective To explore the decision-making process of medical students who turned the major from the medicine to other majors,and the related factors that hindered them continuing to study the medicine.Methods According to the design of interpretative phenomenon logical analysis,semi-structured in-depth interviews were used to collect the data.Participants were six undergraduate students who had moved from medical major to another major.Interviews were recorded on audio-tape with the students' permission and then transcribed verbatim.The transcribed interviews were analyzed according to six steps of interpretative phenomenological analysis.Results Even if the participants had left the medical major,they still expressed a strong sense of professional identity for the doctor.However,they also admitted that the professional process of medicine students was very hard and tired,and couldn't get the equal return for their payment.They thus were lack of confidence for the future.Some of the participants talked about the fact that they had been curious about the future of medical students.Internet and seniors were the main avenues for obtaining job-related information,but they were often plagued by the negative information.Education about career adaptation should be carried out as soon as possible,to strengthen the professional identity of medical students,and enhance their ability to defend against negative information,which could help to deal with the status of high turnover rate for medical students.Conclusion Based on the students' perspective,exploring the decision-making process of turning major for medical students will contribute to the educators taking effective strategies to improve the students' career identity,stabilize their professional thought,and reduce the loss of the medical students.

O impacto dos mecanismos de urgência no sucesso presidencial: uma análise do caso argentino à luz da experiência brasileira / The impact of urgency mechanisms on presidential success: an analysis of the Argentinean case in the light of Brazilian experience

The purpose of the article is to measure, in the light of the Brazilian experience, the influence of the micro institutions regulating the Executive's governmental capacity in Argentine. The empirical basis informing the argumentation is the processing of the statutes approved by the Argentinean Legislative between 1983 and 1998. The empirical evidences showed that the proposed bills originated from the Executive do not have a special course in the Legislative, what reduces their chances of approval even in a context of disciplined parties, contrary to the expected by a substantial part of the compared literature in the area.

Dans cet article, on cherche à mesurer l'influence des micro-institutions qui règlent le processus décisionnel, sur la capacité de gouverner du pouvoir exécutif en Argentine à la lumière de l'expérience brésilienne. La base empirique de nos arguments est le type d'acheminement des projets approuvés par le pouvoir législatif argentin entre 1983 et 1998. Les résultats empiriques révèlent que les projets issus du pouvoir exécutif ne disposent pas d'un acheminement particulier, ce qui réduit leurs chances d'être approuvés même là où les partis sont disciplinés. Ces résultats contrarient ce qu'on trouve dans la plupart de la littérature comparée.