EXPLORATORY STUDY ON MEDICAL GRADUATES WITH NONCLINICIANS CAREER

https://doi.org/10.22146/jpki.61406

Elisabeth Rukmini(1*), Kevin Jonathan Bogar(2)

(1) Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya
(2) Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya
(*) Corresponding Author

Abstract


Background: Medical graduates have diverse career choices. Various factors trigger the motivation and interest of alumni to choose non-clinician careers. Research towards medical graduates who chose non-clinician careers was less than doctors with clinicians. This study aims to explore the reasons for choosing non-clinicians as careers for medical graduates.

Methods: This research is a descriptive exploratory study. A total of 10 medical alumni subjects, batch 2011, were selected through purposive sampling. They were rich in information. We performed semi-structured interviews to collect qualitative data. Data were analyzed using content analysis. To ensure transferability and dependability of the data, we performed inter-raters meetings and an audit trail. Triangulation between three inter-raters was administered to get an inter-rater agreement. An external auditor performed an audit trail after the data analysis.

Results: This study discussed the reasons for choosing non-clinician careers for medical graduates. Three main themes influence the graduates’ reasons: (1) motivation, (2) experiences, and (3) comparative factors between clinician and non-clinician careers. The motivation could be divided into internal and external motivation. Strong motivation, together with experiences, form a firm decision to take non-clinician careers. When comparing clinician and non-clinician careers, subjects mentioned the condition, including financial situation, risk factors, and seniority.

Conclusion: The reasons for choosing non-clinician careers related closely to subjects’ motivation, experiences, and comparative factors between careers as clinicians versus non-clinicians. This research showed the importance of medical education to prepare students for mentorship, the risks factor of and the career choices of clinicians and non-clinicians


Keywords


Medical graduates, non-clinician, career choices, reasons to choose career

Full Text:

PDF


References

  1. Jeffe DB, Andriole DA, Hageman HL, Whelan AJ. The changing paradigm of contemporary US allopathic medical school graduates’ career paths: Analysis of the 1997–2004 national AAMC graduation questionnaire database. Academic Medicine. 2007; 82(9): 888–894.
  2. Svirko E, Goldacre MJ, Lambert T. Career choices of the United Kingdom medical graduates of 2005, 2008 and 2009: questionnaire surveys. Medical Teacher. 2013; 35(5): 365–375.
  3. Nurhayati E, Respati T, Budiman B. Pilihan karier lulusan program pendidikan profesi dokter Universitas Islam Bandung tahun 2015. Global Medical & Health Communication. 2016; 4(2): 87–92.
  4. Querido S, van den Broek S, de Rond M, Wigersma L, ten Cate O. Factors affecting senior medical students’ career choice. International Journal of Medical Education. 2018 Dec 27; 9: 332–9. https://www.ijme.net/archive/9/senior-medical-students-career-choice/
  5. Syakurah RA, Sari DA, Riansyah D, Yolanda P. Determinan pilihan karier mahasiswa fakultas kedokteran sebagai spesialis di Indonesia. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education. 2014; 25; 3(2): 132–6.
  6. Maulidira F, Syakurah RA, Fadilah M, Aulia H. Pengaruh role model terhadap pilihan karier pada mahasiswa fakultas kedokteran. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education. 2015; 29; 4(2): 75–82.
  7. Apriliani AK, Pamungkasari EP, Randita ABT. Correlation between perception on clinical learning environments and career choice on clerkship students in Faculty of Medicine Universitas Sebelas Maret. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education. 2019; 30; 8(1): 31–8.
  8. Lambert TW, Smith F, Goldacre MJ. Changes in factors influencing doctors’ career choices between one and five years after graduation: questionnaire surveys of UK doctors. Journal of the Royal Society of Medecine. 2016 Nov 1; 109(11): 416–25. https://journals.sagepub.com/ doi/10.1177/0141076816672432
  9. Mardhiyah I, Saputra O, Larasati TA, Lisiswanti R. Studi kualitatif faktor-faktor yang mempengaruhi pemilihan karier pada mahasiswa kedokteran dan dokter internship di Bandar Lampung. Jurnal Kedokteran Universitas Lampung. 2016; 1; 1(2): 272–82.
  10. Levaillant M, Levaillant L, Lerolle N, Vallet B, Hamel-Broza J-F. Factors influencing medical students’ choice of specialization: A gender based systematic review. E-Clinical Medicine. 2020 Nov 1; 28: 100589.
  11. Girasek E, Molnár R, Eke E, Szócska M. The medical career choice motivations — Results from a Hungarian study. Open Medicine. 2011 Aug 1; 6(4): 502–9. https://doi.org/10.1016/j. eclinm.2020.100589.
  12. Mann-Isah NA, Ameen N, Jassim G. Career choices among medical students and factors influencing their choices. Global Journal of Health Science. 2019 Mar 25; 11(4): p132. https:// doi.org/10.3109/0142159X.2012.746450.
  13. Ie K, Murata A, Tahara M, Komiyama M, Ichikawa S, Takemura YC, et al. What determines medical students’ career preference for general practice residency training?: a multicenter survey in Japan. Asia Pacific Family Medicine. 2018; 17: 2.
  14. Maiorova T, Stevens F, Scherpbier A, Van Der Zee J. The impact of clerkships on students’ specialty preferences: what do undergraduates learn for their profession? Medical Education. 2008; 42(6): 554–562.
  15. Bien A, Ravens-Taeuber G, Stefanescu M-C, Gerlach FM, Güthlin C. What influence do courses at medical school and personal experience have on interest in practicing family medicine? – Results of a student survey in Hessia. GMS Journal of Medical Education. 2019 Feb; 36(1). https://doi.org/10.3205/zma001217
  16. Goel S, Angeli F, Dhirar N, Singla N, Ruwaard D. What motivates medical students to select medical studies: a systematic literature review. BMC Medical Education. 2018 Jan; 18(1): 16. https://doi.org/10.1186/s12909-018-1123-4.
  17. Pianosi K, Bethune C, Hurley KF. Medical student career choice: a qualitative study of fourth-year medical students at Memorial University, Newfoundland. CMAJ Open. 2016 Apr; 4(2): E147–52. https://doi.org/10.9778/ cmajo.20150103.
  18. Akosah-Twumasi P, Emeto TI, Lindsay D, Tsey K, Malau-Aduli BS. A systematic review of factors that influence youths career choices—the role of culture. In: Frontiers in Education. Frontiers; 2018. p. 58.
  19. Wong SC, Rasdi RM. Influences of career establishment strategies on generation Y’s self-directedness career. European Journal of Training and Development; Limerick. 2019; 43(5/6): 435–55.
  20. Gronseth IM, Malterud K, Nilsen S. Why do doctors in Norway choose general practice and remain there? A qualitative study about motivational experiences. Scandinavian Journal of Primary Health Care. 2020 Jun; 38(2). https://doi.org/10.1080/02813432.2020.17533 48.
  21. Amalba A, Abantanga FA, Scherpbier A, Van Mook W. Community-based education: The influence of role modeling on career choice and practice location. Medical Teacher. 2017; 39(2): 174–180.
  22. Yang Y, Li J, Wu X, Wang J, Li W, Zhu Y, et al. Factors influencing subspecialty choice among medical students: a systematic review and meta-analysis. BMJ Open. 2019 Mar; 9(3): e022097. https://bmjopen.bmj.com/lookup/ doi/10.1136/bmjopen-2018-022097.
  23. Fouad NA, Kim S, Ghosh A, Chang W, Figueiredo C. Family influence on career decision making: Validation in India and the United States. Journal of Career Assessment. 2016; 24(1): 197–212.
  24. Dimou F, Koch A, Silva M, Donn N, Rosemurgy AS, Ross SB. Medical students’ perception of a surgical career. Journal of the American College of Surgeons. 2011; 213(3): S122–S123.
  25. Kim K-J, Park J-H, Lee Y-H, Choi K. What is different about medical students interested in non-clinical careers? BMC Medical Education. 2013 Jun; 13(1): 81. https://doi. org/10.1186/1472-6920-13-81.
  26. Smith F, Goldacre MJ, Lambert TW. Adverse effects on health and wellbeing of working as a doctor: views of the UK medical graduates of 1974 and 1977 surveyed in 2014. Journal of the Royal Society of Medicine. 2017;110(5):198–207.
  27. Hertzberg TK, Isaksson Rø K, Vaglum PJW, Moum T, Røvik JO, Gude T, et al. Work-home interface stress: an important predictor of emotional exhaustion 15 years into a medical career. Industrial health. 2015 Nov; 54(2). https://doi.org/10.2486/indhealth.2015-0134
  28. Ng KYB, Lynch S, Kelly J, Mba O. Medical students’ experiences of the benefits and influences regarding a placement mentoring programme preparing them for future practice as junior doctors: a qualitative study. BMJ open. 2020; 10(1).
  29. Li C-J, Syue Y-J, Tsai T-C, Wu K-H, Lee C-H, Lin Y-R. The impact of emergency physician seniority on clinical efficiency, emergency department resource use, patient outcomes, and disposition accuracy. Medicine. 2016 Feb ; 95(6). https:// doi.org/10.1097/MD.0000000000002706
  30. Horak S, Yang I. Whither seniority? Career progression and performance orientation in South Korea. The International Journal of Human Resource Management. 2019;30(9):1419–1447.
  31. Rear D. Persisting values in the Japanese workplace: managerial attitudes towards work skills. Japan Forum. 2020 Mar. https://doi.org /10.1080/09555803.2020.1726434.



DOI: https://doi.org/10.22146/jpki.61406

Article Metrics

Abstract views : 1359 | views : 2340

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Elisabeth Rukmini, Kevin Jonathan Bogar

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by: