Toplumsal Cinsiyet Rolleri ve Diğer Belirleyenler İntern Hekimlerin Uzmanlık Seçimleri ve Yurt Dışına Göç Kararını Etkiliyor mu?

Résumé fourni par la source

Objective: This study aimed to determine the factors influencing branch preference among final-year medical students (interns) and the impact of gender roles on these choices.Methods: This cross-sectional study was conducted with 190 final-year intern doctors at a university. Data was collected using a questionnaire developed by the researchers. The questionnaire included questions about participants' sociodemographic data, factors affecting specialty choice such as salary, on-call duty, malpractice lawsuits, stress level of the specialty, and items from the ‘Attitudes Towards Gender Roles Scale’.Results: 95.0% of participants indicated that they were considering a specialty after graduation, with 48.4% preferring internal medicine disciplines and 22.1% expressing a desire to work abroad. It was determined that role modeling by assistants or faculty members (Odds Ratio [OR]: 2.8; Confidence Interval [CI]: 1.1–6.9) and performance-based remuneration (OR: 5.6; CI: 1.8–17.8) were significant determinants in the specialty choices of interns. A total of 22.5% of interns expressed a desire to migrate abroad, and this desire was significantly associated with future planning (OR: 2.7; CI: 1.0–7.3; p: 0.044) and being an foreign students, (OR: 7.6; CI: 2.1–26.7; p = 0.001). Female interns predominantly preferred internal medicine, while male interns leaned toward surgical specialties, with the difference being statistically significant (p: 0.016). The mean score of the Gender Roles Attitude Scale was 56.84±11.05 for those preferring internal medicine and 55.06±12.75 for surgical specialties, with no statistically significant difference between the two groups (p: 0.087).Conclusion: The study revealed that key determinants of specialty choice include taking professors as role models, financial incentives, and gender, whereas gender roles had no statistically significant effect. It is recommended that physician employment policies consider these determinants.

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