Abstract

Abstract: Introduction: Medicine is a prestigious profession, therefore, although competition for admission is fierce and studies require dedication and sacrifices, thousands of young people face the challenge of becoming doctors every year. Objective: Describe the reasons why medical school students chose Medicine as a profession and their concerns about the job perspective. Method: Quantitative descriptive and documentary research, through the application of a questionnaire with sociodemographic and specific questions. Result: A high percentage of the female gender stood out, with 63.31% of the participants. The main reasons for choosing Medicine as a profession were altruism (71.75%), financial stability (59.42%) and personal accomplishment (58.77%). However, there was a decrease in the preference for altruism during internship (p<0.01). The biggest concern after training was “Doing a good job / Being a good professional” (79.87%) and, in relation to the “job market” and “devaluation of the profession”, there was an increase in the concern during internship (p <0.001). The majority (91.92%) expressed the intention to become a specialist physician, with the specialty of Gynecology and Obstetrics being the most sought after. Regarding the way of working, 51.3% expressed the desire to be a self-employed professional, 55.52% a public or private employee and 7.92% a liberal professional. The greatest difficulty expected in the profession was competition (57.70%) and the most important requirement for professional practice was “Medicine as a means to be useful or help people” (98.38%). Regarding the feelings experienced as a student, the levels of anxiety, stress and feeling of overload were high, respectively 80.52%, 79.55% and 73.38%. Conclusion: At the beginning of the course, there is a more idealized view of Medicine and throughout the development of phases, as contact with medical practice occurs, the students better understand their difficulties and increase their concerns, especially with the job market and the devaluation of the profession, causing, in some, the reduction of the humanistic ideals that motivated the choice of the profession, an aspect to be valued by medical schools during professional training.

Highlights

  • Medicine is a prestigious profession, competition for admission is fierce and studies require dedication and sacrifices, thousands of young people face the challenge of becoming doctors every year

  • The sample consists of 308 students from the 1st to the 12th semesters of the medical course at UNOESC – of a total of 372 – to which questionnaires were applied, from July to November 2018, containing seven questions, addressing the reasons that lead the students to choose Medicine as a profession, concerns about the future after graduation, the way they want to exercise their profession, difficulties they expect to find in their professional practice and characteristics they consider important for the medical profession, in addition to a questionnaire containing sociodemographic questions

  • When comparing the responses of students at the beginning and end of the course, there was a decrease in the preference for altruism during the internship period, probably due to greater knowledge of the reality of professional practice by this group

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Summary

Introduction

Medicine is a prestigious profession, competition for admission is fierce and studies require dedication and sacrifices, thousands of young people face the challenge of becoming doctors every year. Alleviating pain, curing diseases, saving lives and dedicating one’s life to the benefit of others have been the pillars of the medical profession since its beginning; over the years and with the spread of other ideals, this science became more linked to economic issues than humanitarian ones[1]. The reflection of this growing financial interest supported the increase in the number of new medical schools throughout the Brazilian territory, and the opening of more vacancies in existing schools, which are adapted in places often without adequate structure for qualified education[2]. Every year, thousands of candidates face real battles in the university admission exams to become physicians

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