Reasons for the study of medicine and dental medicine in the first year students of the Faculty of medicine in Ljubljana
Abstract
Aim: In addition to clinical knowledge, communication skills and sovereign decision making, a good doctor is also expected to posses Aim: In addition to clinical knowledge, communication skills and sovereign decision making, a good doctor is also expected to posses professional values, including the ability to establish empathic relationships with patients.
The purpose of the study was to identify the reasons that lead students to choose the study of dental medicine/medicine, and determine the level of emphaty in relation to the choice of study in the first year students of the Faculty of Medicine in Ljubljana.
Methods: For the needs of the research we developed a questionnaire, which included basic data on students, their reasons for choosing the study of medicine or dental medicine and the Jefferson scale of empathy–version for students (JSE-S version with a modified scale with 16 arguments). The questionnaire was forwarded to all 227 first-year students in the academic year 2014/15 at the completion of the Communication course.
Results: The study involved a total of 216 (response 95.2 %) students; 158 medical students and 58 students of dental medicine. Among the reasons for enrollment to the Medical Faculty, the highest proportion of medical students indicated a desire to help people (85.3 %), a desire to improve human health (78.8 %) and a desire to work with people (64.7 %); 28.8 % of the medical students chose the argument „because employment is guarantee”, while 14.1 % of medical students believed the argument „because it is well paid“ was the reason to choose the study of medicine.
The students of dental medicine most often choose the following answers: a desire to help people (87.9 %), a desire to improve human health (74.1 %), followed by a desire to work with people (65.5 %). The argument “because employment is guaranteed” convinced 50 % of the students, and the argument “because the pay is good” convinced 46.6 %.
Three claims were significantly associated with self-assessment of empathic stance: the arguments “because I want to help people” (91.08 ± 10.65 vs. 86.61 ± 12.56; p = 0.037) and »because I want to work with people” (91.82 ± 10.18 vs. 87.90 ± 12.11; p = 0.012) were associated with a greater self-assessmentwhile the argument “because the pay is good” (91.36 ± 11.41 vs. 87.29 ± 9.01; p = 0.023) was associated with a lower self-assessment of empathic stance.
Conclusion: Students who want to help people have higher level of self-assessment of empathic stance. The task of a medical faculty is to ensure that students whose choice of study is based on their humanist values are encouraged to have those values further developed and put into practice during their study.
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References
Magalhaes E, Salgueira AP, Costa P, Costa MJ. Empathy in senior year and first year medical students: a cross-sectional study. BMC Med Educ. 2011;11:52.
Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M. Physician Empathy: Definition, Components, Measurement and Relationship to Gender and Speciality. Am J Psychiatry. 2002;159(9):1563-9.
University of Oxford, Medical Sciences division. How to apply [cited 7.6.2015]. Available from:: http://www.medsci.ox.ac.uk/study/medicine/pre-clinical/applying.
Selection Criteria University of Oxford, Medical Sciences division [cited 16.1.2016]. Available from.: http://www.medsci.ox.ac.uk/study/medicine/pre-clinical/requirements/criteria.
The NHS Constitution.Department of Health [cited 16.1.2015]. Available from: http://www.nhs.uk/choiceintheNHS/Rightsandpledges/NHSConstitution/Documents/2013/the-nhs-constitution-for-england-2013.pdf.
Univerza v Ljubljani. Dodiplomski in enoviti magistrski programi [cited 7.6.2015]. Available from: http://www.uni-lj.si/studij/studijski_programi/dodiplomski_in_enoviti_magistrski_programi/.
Univerza v Ljubljani.Arhiv visokošolske prijavno-informacijske službe [cited 7.6.2015]. Available from: http://www.vpis.uni-lj.si/.
Ministrstvo za izobraževanje, znanost in šport. Razpisi za vpis v visoko šolstvo za študijsko leto 2014/15 (internet) [cited 7.6.2015]. Available from: http://www.mizs.gov.si/fileadmin/mizs.gov.si/pageuploads/Visoko_solstvo/Do_razpis__13_javni/UL_1314/ul_mf.pdf.
Petek Šter M, Selič P. Assessing empathic attitudes in medical students : the re-validation of the Jefferson Scale of Empathy - student version report = Ocenjevanje empatične naravnanosti pri študentih medicine : poročilo o ponovni validaciji Jeffersonove lestvice empatije - oblika za študente. Zdrav Var. 2015;54(4):282-292.
Petek Šter M, Švab I, Zalar B, Tomori M. Sporazumevanje – nov predmet na Medicinski fakulteti v Ljubljani. Zdrav Vestn. 2011;80(11):865–72.
Petek Šter M, Šter B, Petek D, Cedilnik Gorup E. Validation of Slovenian version of Jefferson scale of empathy for students. Zdrav Var. 2014;53(1):89-100.
Petek Šter M, Selič P. Assessing empatic attitudes in medical students: the re-validation of the Jefferson Scale of empathy- student version report. Zdrav Var. 2015;54(4):1-11.
Horsburgh M, Perkins R, Coyle B, Degeling P. The professional subcultures of students entering medicine, nursing and pharmacy programmes. J Interprof Care. 2006;20(4):425-31.
Miers ME, Rickaby CE, Pollard KC. Career choices in health care: Is nursing a special case? A content analysis of survey data. Int J Nurs Stud. 2007;44(7):1196–209.
Belsi A, Gallagher JE, Asimakopoulou. Personality profile of students entering dentistry, hygiene therapy and dental nursing at one London dental institute. Eur J Dent Educ. 2011;15(2):80–4.
Koenig TW, Parrish SK, Terregino CA, Williams JP, Dunleavy DM, Volsch JM. Core personal competencies important to entering students’ success in medical school: what are they and how could they be assessed early in the admission process? Acad Med. 2013;88(5):603–13.
Mahon KE, Henderson MK, Kirch DG. Selecting tomorrow‘s physicians: the key to the future health care workforce. Acad Med. 2013;88(12):1806–11.
Daniel C, O‘Brien M. Why Study Medicine? [cited 7.6.2015]. Available from: http://www.studentdoctor.net/2008/04/why-study-medicine-pre-meds-not-in-it-for-the-money-survey-says.
The reasons our future doctors are choosing medicine have changed. [cited 7.6.2015]. Available from: http://www.kevinmd.com/blog/2012/06/reasons-future-doctors-choosing-medicine-changed.html.
Parsons T, Bales RF. Family, socialization and interaction process. Glencoe, IL: Free Press; 1955.
Hojat M, Vergare M, Maxwell K, Brainard G, Herrine S, Isenberg G, Veloski J,Gonnella J. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84(9):1182-91.
Hojat M, Mangione S, Nasca T, Rattner S, Erdmann J, Gonnella J, Magee M. An empirical study of decline in empathy in medical school. Med Educ. 2004;38(9):934-41.
Chen D, Lew R, Hershman W, Orlander J. A Cross-sectional Measurement of Medical Student Empathy. J Gen Intern Med. 2007;22(10):1434-8.
Hojat M, Gonnella J, Mangione S, Nasca T, Magee M. Physician empathy in medical education and practice: experience with The Jefferson Scale of Physician Empathy. Seminars in Integrative Medicine. 2003;1(1):25-41.
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