Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1403
12
1
gregorian
2025
3
1
23
11
online
1
fulltext
en
بررسی اولویتهای تخصصی در انتخاب رشته دستیاری و برخی از عوامل مؤثر بر آن در دانشجویان پزشکی عمومی دانشگاه علوم پزشکی رفسنجان در سال 1403: یک مطالعه توصیفی
Investigating Specialization Priorities in Residency Selection and Some of Its Influencing Factors among Medical Students at Rafsanjan University of Medical Sciences in 2024: A Descriptive Study
آمار و اپيدميولوژي
Statistics& Epidemiology
توصيفي
Description
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">زمینه و هدف:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"> بررسی اولویتهای تخصصی در انتخاب رشته دستیاری، نقش مهمی در برنامهریزی آموزشی و بهبود توزیع نیروی انسانی در نظام سلامت دارد، درنتیجه این مطالعه با هدف تعیین اولویتهای تخصصی در انتخاب رشته دستیاری و برخی عوامل مؤثر بر آن در دانشجویان پزشکی عمومی است.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">مواد و روشها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"> در این مطالعه توصیفی، جامعه آماری شامل تمام دانشجویان پزشکی دانشگاه علوم پزشکی رفسنجان </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">در شهریور و مهرماه 1403 بود</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">. چک</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">لیستها بهصورت برخط در اختیار دانشجویان قرار گرفت، علاوه بر اطلاعات دموگرافیک، پرسشهایی در خصوص علاقهمندی به رشتههای تخصصی و علل اولویتدهی به رشتهها جمعآوری گردید. تحلیل دادهها با استفاده از آزمون مجذورکای انجام شد.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافتهها:</span></span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">از 224 نفر شرکتکننده در مطالعه 131 نفر (5/58 درصد) زن و</span></span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">157 نفر (1/70 درصد) تمایل به ادامه تحصیل در مقطع دستیاری داشتهاند. توزیع </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">جنسیتی در رشتههای انتخابی (044/0=</span></span></span></span><span dir="LTR" style="color:black">P</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">و </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">تمایل به مهاجرت به خارج در سطوح درآمد خانواده (</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">013/0=</span></span></span></span><span dir="LTR" style="color:black">P</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">دارای اختلاف معنیدار بوده است. </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">48 نفر (6/23 درصد) رشتههای جراحی، 17نفر (4/8 درصد) زنان و اطفال، 48 نفر (6/23 درصد) رشتههای داخلی، 19 نفر (4/9 درصد) رادیوانکولوژی و پرتوشناسی، 30 نفر (8/14 درصد) چشمپزشکی، 26 نفر (8/12 درصد) بیماریهای پوست و 15 نفر (4/7 درصد) سایر رشتهها را انتخاب کردند.</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجهگیری:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"> انتخاب رشته تخصصی پزشکی تحت تأثیر عوامل فردی، اجتماعی و بازار کار است. برخی بر اساس علائق و استعدادها، برخی با توجه به فرصتهای شغلی و مالی، و عدهای نیز تحت تأثیر خانواده و اساتید تصمیم میگیرند. نتایج این پژوهش میتواند به مدیران آموزشی در بهبود تصمیمگیری و توزیع متعادل نیروی متخصص در کشور کمک کند.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">واژه</span></span></span></span></b><b><span dir="LTR" style="color:black"></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">های کلیدی: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">تخصص،</span></span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">کارورزی و دستیاری، دانشجویان پزشکی، انتخاب تخصص پزشکی</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives: </span></span></b></a><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Examining specialty preferences in residency selection plays a crucial role in educational planning and improving the distribution of human resources in the healthcare system. Therefore, this study aimed to investigate specialty preferences in residency selection and some of its influencing factors among general medical students.</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This descriptive study included all medical students at Rafsanjan University of Medical Sciences in September and October 2024. Checklists were provided to students online to collect demographic information as well as questions regarding interest in medical specialties and the reasons for prioritizing certain fields. Data analysis was performed using the chi-square test.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Among the 224 participants, 131 (58.5%) were female, and 157 (70.1%) expressed a desire to pursue residency training. There was a significant difference in gender distribution among selected specialties (p=0.044) and in the tendency to migrate abroad based on family income levels (p=0.013). A total of 48 students (23.6%) chose surgical specialties, 17 (8.4%) selected obstetrics and pediatrics, 48 (23.6%) opted for internal medicine, 19 (9.4%) chose radiation oncology and radiology, 30 (14.8%) selected ophthalmology, 26 (12.8%) preferred dermatology, and 15 (7.4%) chose other specialties.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The selection of medical specialties is influenced by individual, social, and job market factors. Some students decide based on their interests and talents, others consider job opportunities and financial prospects, and some are influenced by family and faculty members. The findings of this study can assist educational administrators in improving decision-making and ensuring a balanced distribution of medical specialists across the country.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Key words: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Specialization, Internship and residency, Medical students, Medical specialty selection</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">Funding: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">This study did not have any funding support</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">Conflict of interest: </span></span></b><span lang="EN" style="font-size:8.5pt"><span style="line-height:150%">None declared</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">Ethical considerations: </span></span></b><span lang="EN" style="font-size:8.5pt"><span style="line-height:150%">This study was approved by the Ethics Committee of Rafsanjan University of Medical Sciences (IR.RUMS.REC.1403.056)</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">Authors’ contributions:-</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%"> Conceptualization: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Mohsen Rezaeian</span></span><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">- Methodology: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Hassan Ahmadinia, Sina Hamzeh, Mohsen Rezaeian</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">- Data collection: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Sina Hamzeh</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">- Formal analysis: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Hassan Ahmadinia</span></span><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">- Supervision</span></span></b><b><span style="font-size:8.5pt"><span style="line-height:150%">: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Mohsen Rezaeian</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">- Project administration: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Mohsen Rezaeian</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">- Writing – original draft: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Sina Hamzeh</span></span><b><span style="font-size:8.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.5pt"><span style="line-height:150%">- Writing – review & editing: </span></span></b><span style="font-size:8.5pt"><span style="line-height:150%">Hassan Ahmadinia, Sina Hamzeh, Mohsen Rezaeian</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:1.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:150%">Citation:</span></span></b> <span style="font-size:8.0pt"><span style="line-height:150%">Hamzeh S, Ahmadinia H, Rezaeian</span></span> <span style="font-size:8.0pt"><span style="line-height:150%">M.</span></span> <span style="font-size:8.0pt"><span style="line-height:150%">Investigating Specialization Priorities in Residency Selection and Some of Its Influencing Factors among Medical Students at Rafsanjan University of Medical Sciences in 2024: A Descriptive Study</span></span><span style="font-size:8.0pt"><span style="line-height:150%">. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2025; 23 (11): 1007-22. [Farsi]</span></span><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
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تخصص, کارورزی و دستیاری, دانشجویان پزشکی, انتخاب تخصص پزشکی
Specialization, Internship and residency, Medical students, Medical specialty selection
1007
1022
http://journal.rums.ac.ir/browse.php?a_code=A-10-6925-1&slc_lang=en&sid=1
Sina
Hamzeh
سینا
حمزه
sina.hamzeh1378@gmail.com
6900319475328460059979
6900319475328460059979
No
Prof., Dept. of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran, Postal Code: 7718175911, ORCID: 0000 -0003 -3070 -0166 (Corresponding Author) Tel: (034) 31315123, E-mail: moeygmr2@yahoo.co.uk
دانشگاه علوم پزشکی رفسنجان
Hassan
Ahmadinia
حسن
احمدی نیا
h.ahmadinia@gmail.com
6900319475328460059980
6900319475328460059980
No
General Medicine Student, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
دانشگاه علوم پزشکی رفسنجان
Mohsen
Rezaeian
محسن
رضائیان
moeygmr2@yahoo.co.uk
6900319475328460059981
6900319475328460059981
Yes
استادیار، گروه اپیدمیولوژی و آمارزیستی، دانشکده بهداشت، مرکز تحقیقات محیط کار، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران