Preferences Of Medical Students Research Articles

A simple, novel technique to create silicone vessels for microsurgical training

Background and objectivesEffective microsurgical training necessitates dedicated practice, prompting the development of simulation models that mitigate the hygiene risks, regulatory challenges, and storage difficulties associated with conventional biological models. This study aims to evaluate the preferences of microsurgeons and medical students regarding self-made silicone simulation vessels, comparing them to standard biological models. MethodsA three-part jig, comprising of a two-part metal clamp component and a transparent acrylic block with 4x4 channels, was designed. This assembly produced 16 vessels with a 1 ​mm inner diameter. Liquid silicone (Ecoflex 00–30), readily accessible from online distributors, was injected into the channels using a syringe. After tightening the clamp component and inserting 16 1 ​mm k-wires, the vessels were left to set for approximately 24 ​h 20 medical students with no prior microsurgical experience and 10 microsurgery-trained surgeons then evaluated these silicone vessels against a commonly used biological model (chicken brachial artery for surgeons or chicken aorta for students). Participants were then surveyed about their preference for a specific model for frequent practice using a 10-point Likert scale. Results and conclusionIn assessing ideal microsurgical training models, all participants highlighted the importance of realism. Surgeons’ main practical considerations were hygiene, availability, and setup and storage ease, while medical students were primarily concerned with cost-effectiveness. Both surgeons and medical students perceived the biological model as more realistic, yet less hygienic and harder to set up and store. Conversely, the silicone model, though deemed less realistic, offered advantages in hygiene, availability, cost-effectiveness, and setup and storage simplicity. The silicone model emerged as the overall favorite amongst all participants for frequent practice. Silicone vessels may serve as a complementary adjunct to biological models, allowing surgeons-in-training to practice their skills outside of the operating room and lab settings.

Increasing magic number and other trends in diagnostic radiology NRMP match data

The magic number, or number of ranks needed to achieve a greater than 90 % chance of matching, has not been investigated for diagnostic radiology (DR). Somewhat reflective of a field's changing competitiveness, this individual metric can be useful for reassuring applicants or identifying a need to reach out to mentors. The NRMP's Charting Outcomes in the Match was accessed over the previous 10 cycles to assess changes to magic number and other match-related metrics. Over the last 10 cycles, there has been an increase in magic number for prospective radiologists. Based on the most 2022 recent report, the magic number was 14 compared to 5 and 2 in 2014 and 2016 respectively. Compared to the average US MD senior, those applying into DR were significantly more likely to match in 2014, 2016 and 2020 (p < 0.01 for all), and significantly less likely to match in 2018 and 2022 (p = 0.03 and p < 0.01, respectively). This trend has had important consequences for applicants and programs as the incentive to apply more widely grows. The increasing magic number demonstrates increasing competitiveness in the field, which might be due to a positive job market, changing medical student preferences, or increased access to radiology electives and mentors. The 2024 Charting Outcomes document will be the first to include data from a class almost entirely affected by the change to a pass/fail Step1 and the new preference signaling supplement. It is currently unclear how either change will affect the overall competitiveness of the field and the magic number.

Learning styles, approaches and academic performance of second and third-year medical students of a medical college of Kathmandu- A descriptive cross-sectional study

Background: The research is based on a questionnaire to study the different learning styles among medical students, and their approach to intellectual development. Methods: This is an observational, cross-sectional study conducted on 140 participants. Initially after the informed consent process, the second-year and third-year medical students were requested to respond to the questionnaire without consulting friends. Data were analyzed descriptively and comparison was made. Results: In this study, the students were mostly visual learners, followed by solo learners, audio learners, verbal learners, and social learners. The majority of the students in our study (84.56%) studied less than four hours per day beyond normal lecture hours. Similarly, 45.71% of students studied continuously for 30-60 minutes. During break, 63.57% of students used social media, watched television, and videos, and listened to music. Most students (75%) preferred to study in a hostel room and only 12.85% used the library as their study place. The majority of the students (65.71%) of students slept between six to eight hours. The University’s suggested medical textbooks and reference materials were consulted by 94.3% of the students. The 47.85% of students favored self-directed learning with 56.42% preferring to read and write to retain the learned materials. Self-prepared notes were commonly used by the majority of students (60.7%). Conclusions: This research evaluates the preferred learning preferences of medical students and their relationship to academic performance, which will improve the effectiveness of teaching and learning between teachers and medical students.

Assessing the job preferences of senior medical students for mandatory service: a discrete choice experiment.

To investigate the job preferences of senior medical students for mandatory service as general practitioners using discrete choice experiment. Health workforce is directly associated with health service coverage and health outcomes. However, there is a global shortage of healthcare workers (HCWs) in rural areas. Discrete choice experiments can guide the policy and decision-makers to increase recruitment and retention of HCWs in remote and rural areas by determining their job preferences. The aim of this study is to investigate job preferences of senior medical students for mandatory service as general practitioners. This cross-sectional survey was conducted among 144 medical students. To estimate students' preferences for different levels of job attributes, a mixed logit model was utilised. Simulations of job uptake rates and willingness to pay (WTP) estimates were computed. All attributes had an impact on the job preferences of students with the following order of priority: salary, workload, proximity to family/friends, working environment, facility and developmental status. For a normal workload and a workplace closed to family/friends which were the most valued attributes after salary, WTPs were 2818.8 Turkish lira (TRY) ($398.7) and 2287.5 TRY ($323.6), respectively. The preference weights of various job characteristics were modified by gender, the presence of a HCW parent and willingness to perform mandatory service. To recruit young physicians where they are most needed, monetary incentives appear to be the most efficient intervention. Non-pecuniary job characteristics also affected job preferences. Packages of both monetary and non-monetary incentives tailored to individual characteristics would be the most efficient approach.

The substitution effect of financial and non-financial incentives at different income levels in physician recruitment: evidence from medical students in China

BackgroundUnderstanding how medical students respond to financial and non-financial incentives is crucial for recruiting health workers and attracting health talents in medical education. However, both incentives are integrated in working practice, and existing theoretical studies have suggested that various income levels may influence the substitution effect of both incentives, while the empirical evidence is lacking. Furthermore, little attention has been paid to the intrinsic motivation. This study aimed to explore the substitution effect of extrinsic incentives at different income levels, also taking intrinsic altruism into account.MethodsWe used the behavioral data from Zhang et al.’s experiments, which involved discrete choice experiments (DCEs) to assess the job preferences of medical students from six teaching hospitals in Beijing, China. The incentive factors included monthly income, work location, work environment, training and career development opportunities, work load, and professional recognition. Additionally, a lab-like experiment in the medical decision-making context was conducted to quantify altruism based on utility function. Furthermore, we separated the choice sets based on the actual income and distinguished the medical students on altruism. The willingness to pay (WTP) was used to estimate the substitution effect of incentives through conditional logit model.ResultsThere was a significant substitution effect between non-financial and financial incentives. As income increased, non-financial incentives such as an excellent work environment, and sufficient career development became relatively more important. The impact of the increase in income on the substitution effect was more pronounced among individuals with higher altruism. Concerning the non-financial incentive work environment, in contrast to the growth of 546 CNY (84 USD) observed in the low-altruism group, the high-altruism group experienced a growth of 1040 CNY (160 USD) in the substitution effect.ConclusionsThe increase in the income level exerted an influence on the substitution effect of non-financial incentives and financial incentives, especially in high-altruism medical students. Policymakers should attach importance to a favorable environment and promising career prospects on the basis of ensuring a higher income level. Medical school administrations should focus on promoting altruistic values in medical education, enhancing talent incentives and teaching strategies to encourage medical students to devote themselves to the medical professions.

Specialty preferences of undergraduate medical students: What do they choose and why?

BackgroundThe choice of choosing a specialty after completing MBBS is influenced by multiple factors. Personality traits like extraversion, agreeableness, conscientiousness, neuroticism, and open-mindedness form the intrinsic factors. Factors like early financial stability and cost of education form the external factors. This study evaluates the association between these factors and the specialty choice. MethodsThis was a cross-sectional study including students from first year to intern doctors in India. An online questionnaire was used for data collection which included questions about demographics, choice of specialty, personality traits, and external factors affecting their choice. The Big Five Inventory-2-S 30-item Scale (BFI-2-S) was used to assess the personality traits. ResultsOne thousand nine hundred and twenty-one students participated in this study (57.6% females). Most participants, 1761 (91.7%) opted for clinical branches. Only 13 (0.7%) students wanted to pursue a non-clinical branch. Only 20 (1.0%) participants wanted to pursue a pre-clinical branch. Participants who opted for clinical branches were more extraverted, and more open-minded than those who chose non-clinical branches. Participants who opted for surgical branches were more extraverted, more conscientious, and had fewer negative emotions than their peers who chose medicine-related branches. High income generated per annum (65%), early financial stability (within 2–5 years) (60.7%), cost of postgraduate education (46%), and gender predominance (35.3%) were the most influential external factors. ConclusionThese findings show that there are distinct personality traits and external factors associated with specialty choices. This will aid counselors to guide undergraduate medical students to choose a specialty for post-graduation.

The Effect of Learning Style Preference, Clerkship Training and Role Model on Specialization Selection

Aim: The clerkship period in medical schools is an integrated learning experience that is also helpful in choosing a future career. The aim of this study was to evaluate the effect of both general surgery clerkshipship and awareness of learning styles on specialty preferences of medical students. Methods: In this study, which was planned as an educational intervention, a questionnaire questioning specialty preferences and a learning style scale were administered to fourth-year medical students before their general surgery clerkships. Following the questionnaire, brief training was given about specialty branches and learning styles. After the clerkship, the students were asked to answer the questionnaire again about their specialty preferences. Changes between clerkship training, learning style awareness and specialty preferences were evaluated. Results: One hundred eight students participated in the study (M:81, F:27). The mean age was 23.0. The most important factor in choosing a specialty is professional satisfaction (64%) with the work in that specialty. The approach of the trainers in the clerkship training (67%) was to focus on the most influential mind-changing factors for the choice of specialty. The most common learning styles among female students were kinesthetic and visual, while the most common learning style among male students was auditory. However, the learning style of students who preferred surgical branches was generally in the kinesthetic group. Conclusions: An effective clerkship program in which students encounter effective positive role models, gain knowledge about their field of specialization and learning styles, and increase their awareness will provide the right guidance in their specialization preferences.

Factors Influencing the Preference of Medical Students at Umm Al-Qura University for Otorhinolaryngology-Head and Neck Surgery as a Future Specialty: A Cross-Sectional Study.

Otorhinolaryngology (ORL) specialists treat patients of different ages, ranging from elderly patients with head and neck tumors to neonates with respiratory problems. No studies have been conducted to explore the factors that affect the preference for ORL among Umm Al-Qura University students. We aimed to investigate factors and motivators influencing medical students at Umm Al-Qura University in Makkah, Saudi Arabia, who choose to pursue a career in ORL-head and neck surgery. This cross-sectional study was conducted over two months in 2023 among 439 students in the pre-clinical, clinical, and internship years of the Faculty of Medicine at Umm Al-Qura University, Saudi Arabia.We shared a Google Forms questionnaire(Google, Inc., Mountain View, CA) and explored factors associated with interest in ear, nose, and throat (ENT) as a future specialty.We used Pearson's chi-squaretest to arrive at the results. A total of 339 (77.2%) participants were female. Participants were evenly divided between pre-clinical years (213 (48.5%)) and clinical years (207 (47.2%)), with a smaller percentage in the internship category (19 (4.3%)). ORL involvement was reported in 159 (36.2%) of the participants. The surgical specialty of ORL focuses mostly on conditions affecting the head, neck, nose, and ears. Since students found this specialty fascinating, we recommend that senior doctors make a greater effort to enlighten doctors-in-training about this field of expertise through lectures and campaigns at hospitals and universities.

A single institution, cross-sectional study on medical student preferences for collaborators in interprofessional education

BackgroundWhile the importance of interprofessional education in medical training has been well-established, no specific framework has been used uniformly or shown to be most effective in the creation of interprofessional education (IPE) sessions. Further, prior studies have demonstrated that students have preferences for the design of these experiences. In this study, we sought to understand medical student preference for interprofessional teammates and motivations for this choice.MethodsIn this single-institution, cross-sectional analysis of the Duke IPE Clinic, participating students from September 2019–March 2020 completed a voluntary electronic survey that queried preferences for which health professions students (Doctor of Physical Therapy (DPT), Accelerated Bachelor of Science in Nursing (ABSN), Nurse Practitioner (NP), Pharmacy, and Physician’s Associate (PA)) they would want to work with, and the motivating reason. Preferences and reasons were compared between first-year medical students (MS1s) and third- and fourth-year medical students (MS3s/MS4s).ResultsIn total, 132 students participated. We found that MS1s most preferred interprofessional teammates with a more similar area of study (PA, NP), whereas MS3s/MS4s most preferred classmates with a less similar area of study (pharmacy, DPT, ABSN). MS1 students frequently selected their first-choice preference because the profession seemed most similar, while MS3/MS4 students often selected their first-choice preference because the profession seemed most different.ConclusionsMedical students earlier in training have more interest in working with professions they view as similar whereas senior students prefer to work with professions they view as more different. This information is important for designing educational IPE opportunities.

Words and numbers: a comparative study of medical and journalism students’ descriptors of risk, numeracy and preferences for health risk communication

BackgroundGiven the complementary roles of health professionals and journalists in communicating health risks to patients and the public, there have been calls for physicians to work with journalists to improve the quality of health information received by the public. Understanding the preferences of medical and journalism students for the way in which health risks are communicated and their understanding of words used to describe risk is an important first step to inform interdisciplinary learning.MethodsMedical and journalism students (n = 203) completed an online survey where they were given qualitative descriptors of risk such as ‘a chance’, ‘probably’ and ‘unlikely’, and asked to assign a number that represents what the word means to them. Different formats of communicating risk (percentages, natural frequency and visual aids) were provided and students were asked to select and explain their preference. A thematic analysis of reasons was conducted. Numeracy and perceived mathematics ability were measured.ResultsNumbers assigned to the descriptor ‘A chance’ had the highest variability for medical students. Numbers assigned to the descriptor ‘Probably’ had the highest variability for journalism students. Using visual aids was the most popular format for risk communication for both courses (56% of medical students and 40% of journalism students). Using percentages was twice as popular with journalism students compared to medical students (36% vs. 18%). Perceived mathematics ability was lower in students with a preference for natural frequencies and in journalism students, however performance on an objective numeracy scale was similar for all three formats (percentages, natural frequency and visual aids). Reasons for choosing a preferred format included good communication, eliciting a response, or learning style.ConclusionsEducation on health risk communication for medical and journalism students should emphasize the need for qualitative descriptors of risk to be combined with the best available number. Students are already considering their role as future communicators of health risks and open to tailoring the mode of presentation to their audience. Further research is required on the design and evaluation of interdisciplinary workshops in health risk communication for medical and journalism students to maximise the opportunities for future inter-professional working.

Associations Between Medical Students' Opinions on Usage of Internet Services and Digital Teaching Tools

"Currently, the educational process must integrate new tools, to keep pace with technological progress. Our paper aims to investigate the extent to which the preferences of medical students for the autonomous use of multimedia resources in the learning process are correlated with their opinions towards the Internet and the intensity of using it in their daily activities. Methods: We investigated 395 medical students from 4 medical universities in Romania, 75.9% females, and 88.8% in the 1st and 2nd years of study. Students were asked to express on Likert-scales their agreement with a list of statements about Internet services, as well as whether they like learning using multimedia tools and how intensively they use Internet services. Results: The students agree to a medium to large extent with the favorable statements about Internet services but are also aware of the negative influences that indiscriminate use of such technology can have. The intensity of Internet usage is high, although not exaggerated. With small exceptions, the students who enjoy using multimedia resources during the learning process have also favorable opinions about Internet services, and use them constantly, mainly for information and instant messaging on social networks."

Career coach preferences of medical students: coaching specialist or specialistic coach?

BackgroundMedical students’ demand for career coaching is growing. However, little is known about what type of career coach they prefer. Using the Warmth-Competence Framework, we investigated if and why medical students prefer physician coaches compared to career psychologist coaches. We also examined whether students’ coach choice related to coaches’ amount of experience with medical students.MethodsIn a two-by-two between participants vignette study (n = 147), we manipulated coach occupational background (physician vs. psychologist) and experience with coaching medical students (limited vs. considerable). Participants read one coach description, rated the likelihood that they would choose the coach, and rated the coach on dimensions of warmth and competence.ResultsStudents who evaluated a physician career coach were more likely to choose the coach than students who evaluated a psychologist career coach. Students expected that a physician career coach would better understand their situation and be better able to provide career information, while they expected a psychologist career coach to have better conversation skills, all of which were relevant to choosing a coach. Coaches’ experience with coaching medical students was unrelated to students’ coach choice and their assessment of the coach’s warmth and competence.ConclusionsOur findings highlight the relevance of coaches’ occupational background and have implications for the implementation of career coach interventions. Medical schools could help students choose a career coach by providing information about the coach qualities that students value. Future studies could investigate whether career coaches with different occupational backgrounds differ in coach behaviors and coaching effectiveness.

How to break bad news and how to learn this skill: results from an international North-Eastern German Society for Gynecological Oncology (NOGGO) survey among physicians and medical students with 1089 participants

BackgroundDelivering bad news to patients is one of the most challenging tasks in medical practice. Despite its great relevance to patients, relatives, and medical staff, there is a paucity of...

Association of internet gaming disorder with impulsivity: role of risk preferences

BackgroundInternet gaming disorder (IGD) is a formal mental disorder leading to personal and social impairment. Although it shares similar physical and psychosocial effects to substance use disorder, the psychological mechanisms underlying IGD remain unclear, although several researches have made significant contributions to its understanding. This study aims to elucidate the correlation between IGD, impulsive personality and risk preference of medical college students in China, from a questionnaire-based investigation.MethodsBased on the cluster random sampling method, a questionnaire survey was conducted among medical college students in Northern Anhui, China from September 3 to October 27, 2020. The questionnaires included the Internet Gaming Disorder Scale (IGD-20), Chinese revised of Barratt Impulsiveness Scale Version 11 (BIS-11), and risk appetite index (RPI). Perform independent sample t-tests, analysis of variance (ANOVA), correlation analysis, and moderating effect analysis using SPSS 23.0. P < 0. 05 is considered statistically significant.Results624 participants completed the survey, including 257 males (41.19%) and 367 females (58.81%). All participants were between 18 and 24 years. We found that in IGD and its six different dimensions and RPI, males scored significantly higher than females. Additionally, our finding revealed there is statistical significance in IGD and impulsiveness between gaming group with game time greater than or equal to 4 h and non-gaming group. The IGD and its six different dimensions, among which all except for mood modification are positively correlated with impulsiveness and RPI. Mediating effects indicate that RPI plays a partial mediating role between motor impulsiveness and IGD.ConclusionThe findings shows that there is a certain relationship between impulsivity and RPI, as well as IGD and its dimensions. RPI may be a mediator between impulsivity and IGD, and men have higher IGD. The findings supported the compensatory hypothesis. These findings may contribute to further research and development of intervention and prevention measures for IGD.

The Presence of a Physician Role Model and the Career Preference of Medical Students Are Associated With Rural Self-efficacy.

Rural career preference is known to be affected by rural self-efficacy. This study aims to explore whether the presence of a physician role model and having a medical department of interest influence rural self-efficacy among medical students. The study sample comprised 813 students (464 male and 349 female). We assessed rural self-efficacy using a validated scale that comprised 15 questions. The effect of the presence of a physician role model and the choice of medical department on rural self-efficacy score was examined. Multivariable-adjusted regression analysis showed that the presence of a physician role model was significantly associated with the rural self-efficacy score (β = 0.236, p < 0.001), as were gender (β = -0.096, p = 0.004), admission while living in hometown (β = 0.077, p = 0.041), receiving a scholarship for regional duty (β = 0.079, p = 0.025), admission based on school recommendation (β = 0.077, p = 0.031), and subjective difficulty with living in a rural area (β = -0.201, p < 0.001). Moreover, a higher rural self-efficacy score was significantly associated with students who listed general medicine/family medicine (β = 0.204, p < 0.001), pediatrics (β = 0.098, p = 0.004), or obstetrics and gynecology (β = 0.108, p = 0.002) as their department of choice, while anesthesiology (β = -0.075, p = 0.023) was significantly associated with a lower rural self-efficacy score. These relationships were consistent for both males and females. The presence of a physician role model and the choice of medical department are important factors for higher rural self-efficacy scores.

A nationwide survey on the preference of Indian undergraduate medical students to go abroad for higher studies and residency.

Getting residency training abroad is a critical motivator in the emigration of Indian medical students. Brain drain is an emerging issue, especially for developing countries as it causes a shortage of trained staff in the donor country. We aimed to survey Indian medical students to know about their intentions to get trained abroad and to understand the factors influencing their decision. In this cross-sectional observational study, we surveyed Indian undergraduate medical students of all professional years, including internship. A validated questionnaire collected data on students' demographics and educational characteristics, intention to study overseas or stay back in India, and factors influencing their decision. Out of a total of 1199 responses (51.1% males, 48.9% females), 45.0% partakers had planned to pursue their residency abroad, while 33.8% wanted to stay in India and 21.2% were undecided. Better lifestyle and higher pay grades overseas were viewed as the most significant barriers to staying back in India and a key influencer in decision-making among the maximum number of students (412; 76.3%). On the other hand, a whopping 58.2% of participants opined that they wanted to stay back in India for taking care of their parents. Source countries with better healthcare facilities and better incomes tend to attract medical students. Awareness among medical educators regarding constantly changing curricula, a shift to a competency-based education system, better pay grades, limited working hours, and interventions to mitigate workplace violence could help prevent brain drain among Indian medical students and graduates.

The impacts of altruism levels on the job preferences of medical students: a cross-sectional study in China

BackgroundRational allocation of human resources for health is crucial for ensuring public welfare and equitable access to health services. Understanding medical students’ job preferences could help develop effective strategies for the recruitment and retention of the health workforce. Most studies explore the relationship between extrinsic incentives and job choices through discrete choice experiments (DCEs). Little attention has been paid to the influence of intrinsic altruism on job choice. This study aimed to explore the heterogeneous preferences of medical students with different levels of altruism regarding extrinsic job attributes.MethodsWe conducted an online survey with 925 medical students from six hospitals in Beijing from July to September 2021. The survey combined job-choice scenarios through DCEs and a simulation of a laboratory experiment on medical decision-making behavior. Behavioral data were used to quantify altruism levels by estimating altruistic parameters based on a utility function. We fit mixed logit models to estimate the effects of altruism on job preference.ResultsAll attribute levels had the expected effect on job preferences, among which monthly income (importance weight was 30.46%, 95% CI 29.25%-31.67%) and work location (importance weight was 22.39%, 95% CI 21.14%–23.64%) were the most salient factors. The mean altruistic parameter was 0.84 (s.d. 0.19), indicating that medical students’ altruism was generally high. The subgroup analysis showed that individuals with higher altruism levels had a greater preference for non-financial incentives such as an excellent work environment, sufficient training and career development opportunities, and a light workload. The change in the rate of the uptake of a rural position by individuals with lower levels of altruism is sensitive to changes in financial incentives.ConclusionsMedical students’ altruism was generally high, and those with higher altruism paid more attention to non-financial incentives. This suggests that policymakers and hospital managers should further focus on nonfinancial incentives to better motivate altruistic physicians, in addition to appropriate economic incentive when designing recruitment and retention interventions. Medical school administrations could attach importance to the promotion of altruistic values in medical education.

The Impact of Artificial Intelligence on the Preference of Radiology as a Future Specialty Among Medical Students at Jazan University, Saudi Arabia: A Cross-Sectional Study.

Background The use of artificial intelligence (AI) in healthcare continues to spark interest and has been the subject of extensive discussion in recent years as well as its potential effects on future medical specialties, including radiology.In this study, we aimed to study the impact of AI on the preference of medical students at Jazan University in choosing radiology as a future specialty. Methodology An observational cross-sectional study was conducted using a pre-tested self-administered online questionnaire among medical students at Jazan University. Data were cleaned, coded, entered, and analyzed using SPSS (SPSS Inc., USA) version 25. Statistical significance was defined as a P-value of less than 0.05. We examined the respondents' preference for radiologyrankings with the presence and absence of AI. Radiology's ranking as a preferred specialty with or without AI integration was statistically analyzed for associations with baseline characteristics, personal opinions, and previous exposures among those who had radiology as one of their top three options. Results Approximately 27.4% of males and 28.3% of females ranked radiology among their top three preferred choices. Almost 65.2% were exposed to radiology topics through pre-clinical lectures. The main sources of information about AI for the studied group were medical students (41%) and the Internet (27.5%). The preference of students for radiology was significantly affected when it is assessed by AI (P < 0.05). Around (16.1%) of those who chose radiology as one of their top three choices strongly agree that AI will decrease the job opportunities for radiologists. Logistic regression analysis showed that being a female is significantly associated with an increased chance to replace radiology with other specialty when it is integrated with AI (Crude odds ratio (COR) = 1.91). Conclusion Our results demonstrated that the students' choices were significantly affected by the presence of AI. Thereover, to raise medical students' knowledge and awareness of the potential positive effects of AI, it is necessary to organize an educational campaign, webinars, and conferences.

Revision of “Introduction to General Medicine” Based on the Six-Step Curriculum Development Process

Objective: Based on the six-step curriculum development process proposed by Professor Schneiderhan et al., the course needs, the cognition, and course summative assessment results, combined with the career preferences and work value orientation of clinical medical students undertaking the course “Introduction to General Medicine” were surveyed. Methods: A self-designed questionnaire was used to collect information on the course cognition, course summative evaluation, and professional inclination of 233 junior medical students majoring in clinical medicine undertaking the course “Introduction to General Practice.” An analysis was conducted to provide a basis for curriculum revision in accordance with the structured composition of the curriculum development process. Results: (i) In terms of course cognition, before the course, 67.0% of students were unaware of general medicine and general practitioners, 73.0% of students had never participated in practical activities (including volunteer work), and 53.6% of students expressed interest in the course; there were significant differences in the growth environment, the frequency of participation in club activities, the cognition of general medicine/general practitioners before the course, participation in practical activities (including volunteer work), attentiveness to the current situation of medical treatment, and the interest toward the course (P &lt; 0.05); multi-factor logistics analysis showed that the factors influencing the interest toward the course include growth environment, frequency of participation in club activities, course cognition, participation in practical activities, and attentiveness to the current status of development of medical treatment. (ii) The course summative assessment results showed that 91.8% of students felt that it is necessary to learn this course, 33.9% of students felt that the most important thing in the course is to learn the theoretical knowledge of general medicine and related diagnosis and treatment skills, 53.2% of students felt that the most unfavorable factor affecting the learning of this course is the lack of interest in general medicine, and 64.4% of students hoped for more clinical practice to understand and participate in the work of general practitioners; paired t-test revealed differences in career preferences before and after the course (P &lt; 0.05); after the course, more students thought that general practitioner is an ideal career option. (iii) The results showed that 58.8% of students had considered their future specialty but did not have specific goals or plans, while 21.9% had considered their future specialty and had clear goals; there was a significant difference in professional inclination between genders as well as those who were attentive to the current state and development of medical treatment in our country and those who were not (P &lt; 0.05); with regard to the scores of importance in terms of the influencing factors of professional inclination, interest and possibility of professional development scored 3.92, ranking first, followed by income, which scored 3.91, and career prestige, which scored the lowest (3.62). Conclusion: Based on the needs assessment of clinical medical students, it is important to focus on improving students’ interest in general medicine, especially their cognition and professional understanding of the course before the course itself, in addition to the development of relevant practical activities, and their attentiveness to the current state and development of medical treatment. The summative assessment results suggest that the implementation of this course has a positive influence on the career preferences of clinical medical students to a certain extent. Therefore, it is necessary to combine the course content with the development of general medicine, so as to stimulate students’ interest in self-driven learning and in general medicine. This will attract more students whose work value orientation is influenced by interest and possibility of professional development to choose general practitioner as their future professional inclination.

Evaluating Medical Student Learning Preference and its Relationship to Clerkship Satisfaction (S10.004)

Evaluating Medical Student Learning Preference and its Relationship to Clerkship Satisfaction (S10.004)