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This study aimed to investigate the arguments given by Swiss residents for …


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Tables
- Swiss residents' arguments for and against a career in medicine

Tables

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Table 1
Frequency distribution of "statements for" (n = 1,640 responses) and "statements against" (n = 1,703 responses) a career in medicine given by 264 male and 303 female residents, ranked by "statements for a career in medicine"

Statements for a career in medicine
Statements against a career in medicine
Category
Males
n (%)
Females
n (%)
p
Males
n (%)
Females
n (%)
p
Personal experiences in day-to-day working life
291 (38.7)
385 (43.4)
n.s.
80 (10.2)
124 (13.5)
< 0.05
Interpersonal experiences in professional relationships
208 (27.7)
264 (29.7)
n.s.
49 (6.2)
65 (7.1)
n.s.
General work-related structural conditions
79 (10.5)
73 (8.2)
n.s.
235 (29.9)
306 (33.3)
n.s.
Further training and speciality-qualification conditions
57 (7.6)
65 (7.3)
n.s.
64 (8.2)
75 (8.2)
n.s.
Enjoyment/Meaning
39 (5.2)
54 (6.1)
n.s.
3 (0.4)
7 (0.8)
n.s.
Social prestige and health-policy aspects
36 (4.8)
21 (2.4)
< 0.05
195 (24.8)
160 (17.4)
< 0.01
Income
13 (1.7)
7 (0.8)
n.s.
114 (14.5)
84 (9.2)
< 0.01
Leisure/Private life
0 (0)
1 (0.1)
1)
43 (5.5)
95 (10.3)
< 0.001
Not codable
29 (3.9)
18 (2.0)
0.03
2 (0.3)
2 (0.2)
n.s.
Total
752 (100)
888 (100)

785 (100)
918 (100)

1) Computation of Chi2 is not calculable because the total is too low (n = 1).

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Table 2
Examples of residents' responses concerning "statements for" and "statements against" a career in medicine (see also Additional file 1)
Category
Examples of 'statements for' a career in medicine
Examples of 'statements against' a career in medicine
Personal experiences in day-to-day working life
"Professional, psychological and social challenge."
"The combination of intellectual and manual work in surgery."
"Working independently and with a high level of responsibility."
"Variety in day-to-day work."
"Medical issues offer a variety of solutions."
"High patient responsibility despite low clinical experience."
"High workload under time pressure."
"Emotional handling of difficult situations."
"Health impairment caused by stress at work; afraid of experiencing burn-out."
"A lot of routine, no space for acting autonomously."
Interpersonal experiences in professional relationships
"Working together with different teams and professionals."
"Ability to help sick and suffering people."
"Acknowledgement and gratefulness of patients."
"The doctor-patient relationship is an interpersonal challenge."
"The patient is the king in hospital, hospitals are seen as 'shopping centres'."
"Patients' overreaching expectations towards medicine and the medical professionals."
"Little motivation and acknowledgement in the workplace."
"Senior physicians' lack of communicative competence."
General work-related structural conditions
"The medical profession can be practiced all over the world, in different cultures, and under various social conditions."
"There are still plenty of job opportunities, in hospital, private practice, management, and health policy."
"Old-fashioned hierarchical structures."
"Heavy workload."
"Shift from work with the patient to a lot of administrative work at the PC."
"Difficult structural conditions for women who want to pursue a prestigious career."
Further training and speciality qualification conditions
"The medical profession gives one the opportunity of working in a broad field."
"Interesting combination of basic sciences and interpersonal concerns."
"The speciality-qualification training is not at all well organized and structured."
"Becoming a speciality trainee is often a matter of nepotism."
"The fragmentation of the medical profession into many highly specialized disciplines makes doctors into narrow-minded nerds."
Enjoyment/Meaning
"Having the feeling that one is doing something 'good"'.
"It's like a passion – one's career as a passion."
"You sacrifice yourself to the profession."
"Modern medicine no longer sees human beings as whole people, but regards them as no more than disturbed functions or sick organs."
Social prestige and health-policy aspects
"Job security."
"The medical profession still enjoys high social prestige."
"The medical profession is increasingly criticized by society."
"Doctors are the scapegoats for rising costs in the health care system."
"The health policy of the past few years has made the medical profession unattractive (Tarmed)."
"Doctors constantly have to justify the treatment they administer to their patients to the health insurance companies."
"The doctor-patient relationship has assumed an increasingly legal footing."
Income
"Secure income."
"Low income compared to other academics."
"Considering the high workload, responsibility, and investment in education and training, the doctors' income is inadequately low."
Leisure/Private life
"Combination of work and family life with compromises in both areas."
"Tremendous cutback in social life."
"Limited quality of life."
"Difficulties for a woman in balancing job- and childcare-responsibilities"

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Table 3.1
Frequency distribution of "statements for" a career in medicine (n = 1,640) given by residents of Internal medicine (n = 197), Surgical specialities (n = 106), High-technology medicine (n = 51), Paediatrics (n = 48), Psychiatry (n = 27), other specialities (n = 53), and residents not yet decided (n = 85)
Statements for a career in medicine
Category
Internal medicine
n (%)
Surgical specialities
n (%)
High-technology medicine
n (%)
Paediatrics
n (%)
Psychiatry
n (%)
Other specialities
n (%)
Not yet decided
n (%)
p
Personal experiences in day-to-day working life
242 (42.1)
126 (41.9)
63 (42.6)
56 (40.3)
34 (43.0)
55 (35.7)
100 (41.0)
n.s.
Interpersonal experiences in professional relationships
171 (29.7)
87 (28.9)
34 (23.0)
47 (33.8)
26 (32.9)
41 (26.6)
51 (20.9)
n.s.
General work-related structural conditions
53 (9.2)
20 (6.6)
13 (8.8)
9 (6.5)
6 (7.6)
21 (13.6)
30 (12.3)
n.s.
Further training and speciality qualification conditions
35 (6.1)
19 (6.3)
14 (9.5)
10 (7.2)
4 (5.1)
14 (9.1)
26 (10.7)
n.s.
Enjoyment/Meaning
27 (4.7)
23 (7.6)
9 (6.1)
11 (7.9)
3 (3.8)
11 (7.1)
9 (3.7)
n.s.
Social prestige and health-policy aspects
20 (3.5)
14 (4.7)
5 (3.4)
1 (0.7)
3 (3.8)
6 (3.9)
8 (3.3)
n.s.
Income
9 (1.6)
3 (1.0)
2 (1.4)
0 (0)
2 (2.5)
1 (0.6)
3 (1.2)
1)
Leisure/Private life
0 (0)
0 (0)
0 (0)
1 (0.7)
0 (0)
0 (0)
15 (6.1)
1)
Not codable
18 (3.1)
9 (3.0)
8 (5.4)
4 (2.9)
1 (1.3)
5 (3.2)
2 (0.8)
n.s.
Total
575 (100.0)
301 (100.0)
148 (100.0)
139 (100.0)
79 (100.0)
154 (100.0)
244 (100.0)

1) Computation of Chi2 is not calculable because the total is too low (n = 1)

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Table 3.2
Frequency distribution of "statements against" a career in medicine (n = 1,703) given by residents of Internal medicine (n = 197), Surgical specialities (n = 106), High-technology medicine (n = 51), Paediatrics (n = 48), Psychiatry (n = 27), other specialities (n = 53), and residents not yet decided (n = 85)
Statements against a career in medicine
Category
Internal medicine
n (%)
Surgical specialities
n (%)
High-technology medicine
n (%)
Paediatrics
n (%)
Psychiatry
n (%)
Other specialities
n (%)
Not yet decided
n (%)
p
Personal experiences in day-to-day working life
83 (14.3)
29 (9.0)
17 (11.3)
15 (10.4)
10 (12.7)
15 (9.2)
35 (13.3)
n.s.
Interpersonal experiences in professional relationships
32 (5.5)
24 (7.4)
11 (7.3)
16 (11.1)
4 (5.1)
12 (7.4)
15 (5.7)
n.s.
General work-related structural conditions
182 (31.4)
109 (33.6)
38 (25.3)
51 (35.4)
21 (26.6)
48 (29.4)
92 (35.0)
n.s.
Further training and speciality qualification conditions
36 (6.2)
32 (9.9)
18 (12.0)
6 (4.2)
14 (17.7)
13 (8.0)
20 (7.6)
0.01
Enjoyment/Meaning
3 (0.5)
1 (0.3)
1 (0.7)
1 (0.7)
0 (0)
1 (0.6)
3 (1.1)
1)
Social prestige and health-policy aspects
130 (22.4)
59 (18.2)
29 (19.3)
22 (15.3)
17 (21.5)
43 (26.4)
55 (20.9)
n.s.
Income
63 (10.9)
47 (14.5)
16 (10.7)
20 (13.9)
9 (11.4)
24 (14.7)
19 (7.2)
n.s.
Leisure/Private life
50 (8.6)
22 (6.8)
20 (13.3)
13 (9.0)
3 (3.8)
7 (4.3)
23 (8.7)
n.s.
Not codable
1 (0.2)
1 (0.3)
0 (0)
0 (0)
1 (1.3)
0 (0)
1 (0.4)
n.s.
Total
580 (100.0)
324 (100.0)
150 (100.0)
144 (100.0)
79 (100.0)
163 (100.0)
263 (100.0)

1) Computation of Chi2 is not calculable because the total is too low (n = 1)

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Table 4.1
Frequency distribution of "statements for" a career in medicine (n = 1,640 responses) given by 442 residents who would go into medicine again and 117 residents who would not, as well as by 8 residents not giving a response.

Statements for a career in medicine
Category
Statements of residents who would go into medicine again
n (%)
Statements of residents who would not go into medicine again
n (%)
No response in terms of choosing medicine again or not
n (%)
p
Personal experiences in day-to-day working life
536 (41.4)
128 (39.5)
12 (54.5)
n.s.
Interpersonal experiences in professional relationships
372 (28.7)
95 (29.3)
5 (22.7)
n.s.
General work-related structural conditions
106 (8.2)
44 (13.6)
2 (9.1)
<0.05
Further training and speciality qualification conditions
99 (7.7)
22 (6.8)
1 (4.5)
n.s.
Enjoyment/Meaning
83 (6.4)
9 (2.8)
1 (4.5)
<0.01
Social prestige and health- policy aspects
50 (3.9)
6 (1.9)
1 (4.5)
n.s.
Income
14 (1.1)
6 (1.9)
0 (0)
n.s.
Leisure/Private life
1 (0.1)
0 (0)
0 (0)
1)
Not codable
33 (2.6)
14 (4.3)
0 (0)
n.s.
Total
1294 (100.0)
324 (100.0)
22 (100.0)

1) Computation of Chi2 is not calculable because the total is too low (n = 1)

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Table 4.2
Frequency distribution of "statements against" a career in medicine (n = 1,703 responses) given by 442 residents who would go into medicine again and 117 residents who would not, as well as by 8 residents not giving a response.

Statements against a career in medicine
Category
Statements of residents who would go into medicine again
n (%)
Statements of residents who would not go into medicine again
n (%)
No response in terms of choosing medicine again or not
n (%)
p
Personal experiences in day-to-day working life
143 (11.0)
52 (13.8)
9 (39.1)
<0.05
Interpersonal experiences in professional relationships
84 (6.5)
29 (7.7)
1 (4.3)
n.s.
General work-related structural conditions
418 (32.1)
119 (31.5)
4 (17.4)
n.s.
Further training and speciality qualification conditions
104 (8.0)
34 (9.0)
1 (4.3)
n.s.
Enjoyment/Meaning
4 (0.3)
5 (1.3)
1 (4.3)
<0.05
Social prestige and health- policy aspects
285 (21.9)
68 (18.0)
2 (8.7)
n.s.
Income
153 (11.8)
42 (11.1)
3 (13.0)
n.s.
Leisure/Private life
109 (8.4)
27 (7.1)
2 (8.7)
n.s.
Not codable
2 (0.2)
2 (0.5)
0 (0)
n.s.
Total
1302 (100.0)
378 (100.0)
23 (100.0)

1) Computation of Chi2 is not calculable because the total is too low (n = 1)

 

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