Understanding and choice of medical students regarding to basic and specialised training in medicine / Монголын Анагаах Ухаан

ABSTRACT

Background. Due to strengthening of understanding and scope for health service, in different countries of the World, there are wider range of medical specialized trainings newly emerged by quantity and quality. According to the researchers number of factors influence in choice of specialty among medical students and young professionals such as age, gender, income status, judgement of vocation and prestige. Evaluation on understanding, choice and basic concepts of specialized training, among undergraduate medical stu¬dent and lack of information and research related to thi question lead to motivation and justification of this research. Goal. Goal of this research is to determine the understanding and choice of specialized postgraduate training among medical students. Objectives: 1. To determine the understanding of the basic and specialized vocational training among medical student 2. To determine the choice of the basic and specialized vocational training among medical student 3. To study choice of medical students on basic and specialized vocational training in relation to the needs of health sector. Material and methods. Research has been conducted among 157 medical students of HSUM who are at the 6th year and 74 medical students of Ach Medical institute and used cross-sectional study with quantitative and qualita¬tive descriptive methods. Statistic analysis has been done by SPSS-17 program. Results. 61 students or 26,4% of all participants had a sufficient knowledge about basic and specialized vocational training,where149 or 64,5% had a moderate knowledge, and 21 or 9,1% had an insufficient knowledge. Understanding of duration and fees of basic vocational training were higher than specialized training ( p<0.0001). Source of information of 118 or 51.1% of all participants were from schools and teachers, where 115 or 49.8% were from friends, but information gathered from doctors were more grounded than from other resources. Research shows 207 participants or 89.6% had decided on choice of basic vocational training and 24 participants or 10.4% had not decided yet. If we look into sectors, 53 participants or 25.6% have chosen internal medicine, 51 or 24.6% have chosen surgery, 33 or 15.9% have chosen obstetric and gynecology, 20or 9.6% have chosen ultrasound diagnostics. Among participants, 64.1% have chosen specialized vocational training, and 35.9% were no decision yet. Choice of basic vocational training was determined by gender internal medicine ( p<0.001), obstetric and gynecol¬ogy (p<0.008), pediatric (p<0.041) were chosen by female students, and surgery(p<0.0001), orthopedic (p<0.007), were chosen by male students, But married students preliminary chosen fields like pediatrics ( p<0.040), imaging diagnostics (p<0.013). Speciality as a general practitioner or family doctor have been chosen by no ne of them. In our country medical specialists in obstetric and gynecology, pediatric, internal medicine, surgery, anaesthesiol¬ogy, intensive care and family medicine are highly in demand. For instance, there are 25 pediatric doctors, 30 anaesthesiologists, 40 gynecologists in need of due to the demand of the first and third maternal hospitals, National child and maternal health center and UB city Health department ( MOH, order 120). 71% of all participants have chosen by their own interest, 59.75% did not have any effort to seek imminent existing post and 67.1% did not know about job description and duties of chosen work. Conclusions: 1. More than half of all participants (64.5% ) have moderate knowledge on basic and specialized vocational train¬ing, and overoll understanding, fees, duration of basic vocational training are higher than of specialized training (p<0.0001). 2. 89.6% of all participants have chosen their basic training and major fields were internal medicine, surgery, ob¬stetric and gynecology, the preliminary choice depend on gender(p<0.001, p<0.0001, p<0.008). Also 64.1% of participants have chosen their specialized training direction 3. 71% of all participants have chosen by their own interest, 59.75% did not have any effort to seek imminent existing post and 67.1% did not know about job description and duties of chosen work.