IMPACT OF SOCIO-ECONOMIC STATUS ON DETERMINANTS OF MEDICAL CAREER

Authors

  • Aamir Hafeez Pakistan Military Academy
  • Syed Manzoor Hussain Shah Department of Education, Hazara University, Mansehra

Abstract

Background: Research on determinants of Medical profession has established some constant factors with universal impact and appeal. However, the dramatic changes in the dynamics of medical profession and medical education over the past years have necessitated a revisiting of the established conclusions. The knowledge of impact of economic status on these determinants would pave way to greater interest and research on the subject, especially in Hazara Division where it is practically non-existent. Methods: This exploratory research followed deductive-inductive approach and was conducted upon 550 respondents from four public and private colleges in Hazara Division. Extensive study of related literature yielded 20 broad determinants of medical career. Pre-research pilot testing verified the reliability of a self-designed instrument. The data collection method adopted was a single shot survey. Personal data of respondents was collected during administration of the instrument. The sample was extracted through systematic random sampling technique giving due weight to proportional representation of each college as well as to the gender distribution. Results: The results revealed a significant difference in the impact of reassuring social perceptions and social status and prestige of medical profession between upper middle class and lower middle class. The results also showed that the students of upper middle class faced significantly greater domestic and familial pressure to enter the medical profession than those from lower middle class. Conclusion: The findings showed that the upper middle class is under greater influence of societal forces and wider impressions about the medical profession. The students hailing from upper middle class enter the Medical career motivated by urge for social status and prestige and are most compelled by domestic and familial pressures to enter medicine.Keywords: Medical career; Career choice; Determinants; Economic status

References

Harris JE, Gonzalez López-Valcárcel B, Ortún V, Barber P. Specialty choice in times of economic crisis: A cross-sectional survey of Spanish medical students. BMJ Open 2013;3(2):143–57.

Cooter R, Erdmann JB, Gonnella JS, Callahan CA, Hojat M, Xu G. Economic diversity in medical education: The relationship between students’ family income and academic performance, career choice and student debt. Eval Health Prof 2004;27(3):252–64.

Girasek E, Molnár R, Eke E, Szócska M. The medical career choice motivation: Results from a Hungarian study. Open Med 2011;6(4):502–9.

Mushtaq U. Career preferences and research attitude among Pakistani medical students. Pak J Med Health Sci 2013;30(10):17–87.

Bärnighausen T, Bloom DE. Financial incentives for return of service in underserved areas: a systematic review. BMC Health Serv Res 2009;9:86.

Nuaimi Y, McGrouther G, Bayat A. Modernizing medical careers & factors influencing choices of medical students. Br J Hosp Med (Lond) 2008;69(3);163–6.

Bland KI, Isaacs G. Contemporary trends in student selection of medical specialties: The potential impact on general surgery. Arch Surg 2002;137(3):259–67.

Fortin NM. Gender role attitudes and the labour-market outcomes of women across OECD countries. Oxf Rev Econ Policy 2005;21(3):416–38.

Phillips JP, Weismante DP, Gold KJ, Schwenk TL. Medical student debt and primary care specialty intentions. Fam Med 2010;42(9):616–22.

Mahmood A. Overseas Pakistanis seeking medical education in Pakistan. theHealth 2011;2(4):134–8.

Engelberg J, Parsons CA, Tefft N. Financial conflicts of interest in medicine. [Internet]. [cited 2016 May 15]. Available from: http://rady.ucsd.edu/faculty/directory/engelberg/pub/portfolios/doctors.pdf

Barbour, A. Medical student attitudes towards financial incentives in healthcare settings 2005. George Washington University, Washington, District of Columbia. (Tracking ID # 9276).

Endo CM. Social background of Japanese medical students. Sociol Perspect 1982;25(1):79–96.

Eckel CC, Grossman PJ. Sex differences and statistical stereotyping in attitudes toward financial risk. Evol Hum Behav 2002;23(4):281–95.

Berger A. Action on clinical audit: Progress report. BMC 1998;316(7148):1893–4.

de Barros AF. Crisis, what crisis?–The life goals of university-aged students during an ongoing economic and financial crisis. Curr Psychol 2015;34(2):434–46.

Akbar Zaidi S. The urban bias in health facilities in Pakistan. Soc Sci Med 1985;20(5):89–109.

Marks G, Houston DM. The determinants of young women’s intentions about education, career development & family life. J Educ Work 2002;15(3):321–36.

Morra DJ, Regehr G, Ginsburg S. Medical students, money, and career selection: students’ perception of financial factors and remuneration in family medicine. Fam Med 2008;41(2):105–10.

Chak-keung Wong S, Jing Liu G. Will parental influences affect career choice? Evidence from hospitality and tourism management students in China. Int J Contemp Hosp Manag 2010;22(1):82–102.

Day R, Allen TD. The relationship between career motivation and self-efficacy with protégé career success. J Vocat Behav 2004;64(1):72–91.

WHO. Country Cooperation Strategy for WHO and Pakistan 2005. [Internet]. [Cited 2011 March 7]. URL: www.who.int/countryfocus/cooperation_strategy/ccs_pak_en.pdf

Aslam M, Ali A, Taj T, Badar N, Mirza W, Ammar A, et al. Specialty choices of medical students and house officers in Karachi, Pakistan. East Mediterr Health J 2010;17(1):74–9.

McManus IC, Livingston G, Katona C. The attractions of medicine: the generic motivations of medical school applicants in relation to demography, personality and achievement. BMC Med Educ 2006;6(11):26.

Udoh NA, Sanni KB. Parental background variables and the career choice of secondary school students in uyo local government area, Nigeria. Mediterr J Soc Sci 2012;3(1):497–504.

Jafarey SN. Health services and health care utilisation. Int J Community Med Public Health 2006;33:373–5.

British Medical Association. Demography of medical schools - a discussion paper. Lond BMA 2004;23–4.

Newton DA, Grayson MS, Thompson LF. The variable Influence of lifestyle, income on medical students’ career specialty choices: Data from two U.S. medical schools, 1998–2004. Acad Med 2010;80(9):809–14.

Connor H, Tyers C, Modood T, Hillage J. Why the difference? A closer look at higher education minority ethnic students and graduates. Inst Employ Stud Res Rep 2004;(552).

Keller BK, Whiston SC. The role of parental influences on young adolescent‘s career development. J Career Assess 2008;16:198–217.

Saad SM, Fatima SS, Faruqi AA. Students’ views regarding selecting medicine as a profession. J Pak Med Assoc 2011;61(8):832–6.

Alderfer C. A family therapist‘s reaction to the influences of the family of origin on career development: A review and analysis. Couns Psychol 2004;32(4):569–77.

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Published

2016-08-20