1st Year Research Articles

ОЦЕНКА ИНСТИТУТА КУРАТОРСТВА В МЕДИЦИНСКОМ ВУЗЕ: СОЦИОЛОГИЧЕСКИЙ АНАЛИЗ

A sociological study was conducted among the 1st and 2nd year students of the general medicine and pediatric faculties of the Northern State Medical University in order to assess the quality of the curatorship institute at the medical university. The total number of respondents was 296. The average age was 18 (18; 19) years, of which 72,0% (n=213) were girls and 28,0% (n=83) were boys. Almost all students know their curator (98,0%), 54.7% noted that they meet with their curator once a month. At the pediatric faculty, curators interact more often with their groups. When questions arise, 67,6% of students have the opportunity to communicate with the curator by phone, almost half (56,4%) are in touch with the curator on social networks. The majority of respondents (69,9%) do not focus on the age and experience of the curator. Events organized by the curators: tea drinking (33,1%), conversations (52,7%), trips to the theater, cinema, bowling (25,0%), trips to recreation centers (5,4%), other events (museums, exhibitions, conferences, skating rink, trainings) – in 16,9%; 15,5% of students answered that the curators did not hold any joint events. 44,6% of students would like to attach a curator to the group for all 6 years of study. The average score for evaluating the effectiveness of the curator's work was 6,6 (4; 8) points. Among the important functions performed by the curator, the following were noted: to help resolve conflict situations in the group (78,4%), to be an intermediary between students and teachers of departments (74,0%), to help with studies (41,2%), in solving household issues (13,9%), to organize leisure (14,2%), to help solve health problems (5,4%).

A Cross-sectional Study of Anemia Among Medical Students and its Impact on Learning, Physical and Emotional Well-being

Objective: To measure the prevalence of anemia and its effect on physical activity, learning skills and social, emotional impact in medical students. Background: Anemia is a general health issue which severely affects young adults during an intense growth period. The vast nature of medical curriculum demands hard efforts and hectic study schedule medical students at risk of anemia due to irregular eating habits which affects their learning skills and physical activity. Methodology: A cross-sectional study was conducted among medical students (1st year and 2nd year) of Hazrat Bari Sarkar (HBS) Medical College), Islamabad, by administering a structured questionnaire. This was a year study from August 2023 to July 2024. Data was collected using a structured questionnaire, along with venous blood samples. An automated hematology analyzer located in the Department of Pathology was used to measure hemoglobin. Data Analysis was performed by appropriate statistical tests, and statistical significance was set at P-values <0.05. Conclusion: More than half the students in our medical school were anemic and had a negative impact on their learning, physical and social well-being. This could possibly be due to their poor eating habits. The memory and academic performance of students can be improved by correction of anemia.

Social Media Disorder and its Association with Depression and Self-Esteem among 1st Year Mbbs Students of Vims Ballari. A Cross-Sectional Analytical Study

Social Media Disorder and its Association with Depression and Self-Esteem among 1st Year Mbbs Students of Vims Ballari. A Cross-Sectional Analytical Study

The dynamic approach to school improvement: investigating duration and sustainability effects on student achievement in mathematics

ABSTRACT This paper argues for establishing stronger links between educational effectiveness research and school improvement. It presents the results of a 3-year study investigating the impact of the dynamic approach (DA) to school improvement on promoting student achievement in mathematics. It explores duration (offering the DA for more than 1 year) and sustainability effects of the DA. A sample of 18 secondary schools in Cyprus participated in this study. Two experimental groups used the DA to develop their school improvement strategies. The first group employed the DA for the first 2 intervention years and was more effective than the control group in promoting mathematics achievement at the end of the 1st, 2nd, and 3rd year. Schools that made use of the DA for all 3 years were found to be the most effective at the end of the 3rd year. Implications for research, policy, and practice are discussed.

Electronic medical information and analytical system (EMIAS) as a tool for the new level of understanding and diagnosis of medication adherence in patients with myocardial infarction in primary care practice in Moscow

Introduction. The global community is increasingly using patients' prescription claims data as a dominant method for assessing medication adherence, which encouraged us to conduct this study.Aim. To adapt the existing international experience of using digital technologies to measure medication adherence to the routine practice of domestic health care at the outpatient level.Methods. We conducted a retrospective study of adherence to statin therapy in patients with myocardial infarction (MI) at a large primary care clinic in Moscow, which included 2 stages: 1st stage — compilation of international experience on medication adherence studies using pharmacy dispensing records; 2nd stage — testing the method of electronic prescription refill record to measure adherence. We calculated the proportion of days covered (PDC) by statin therapy over a 12‑month period following MI. Data on demography, anamnesis, lipid profile, and statin prescriptions were obtained from the electronic medical records of patients with acute MI from January 1 — December 31, 2022. A total of 109 patients were included according to the prespecified selection criteria.Results. An analysis of international experience demonstrated that the pharmacy dispensing record method has become widespread in recent decades in foreign countries and has established itself as an objective, noninvasive, and inexpensive method for measuring medication adherence. The study of adherence to statin therapy in post-MI patients using the electronic prescription refill record method revealed a mean PDC = 63.0±29.7 %. Optimal adherence (PDC≥80 %) throughout the 12‑month follow-up period was noted in 38 % of patients. When PDC was calculated separately for the 1st and 2nd half year, it was found that the proportion of patients with optimal adherence decreased by 17.6 % (p=0.04). Adherence correlated with the efficacy of statin therapy — a more pronounced reduction of LDL–C was observed in patients with PDC≥80 % compared with those who were insufficiently adherent (–1.47±1.09 vs –0.96±1.16 mmol/L; p=0.043).Conclusion. This study demonstrated the efficiency and information value of an electronic prescription refill record system for domestic primary care. After operational tuning, the proposed method can be integrated into EMIAS for routine medication adherence assessment.

Simulation training for residents at the department of pediatric infectious diseases of “Astana medical university”

The article presents the results of the implementation of simulation training for residents of the 1st and 2nd year of study at the Simulation Center of “Astana Medical University”.

Implementing an Antimicrobial Stewardship Lecture Series for Family Medicine Residency Programs in South Carolina

Background: Family medicine physicians are one of the leading prescribers of antimicrobials in both the inpatient and ambulatory setting, however appropriate education on antimicrobial stewardship (AS) is lacking. The Antimicrobial Stewardship Collaborative of South Carolina (ASC-SC) created a family medicine AS lecture series to increase awareness of stewardship, improve antimicrobial prescribing throughout the state, and ultimately combat antimicrobial resistance. Methods: All family medicine residency programs in South Carolina (n=17) were contacted to determine interest in a four 1-hour long lecture series regarding various AS topics provided by infectious diseases physicians and pharmacists. The introductory AS lecture included topics such as interpreting minimal inhibitory concentrations, utilizing antibiograms, guidelines for diagnosing and treating common infections, and antibiotic essentials. Lectures were given on-site, and eight identical pre- and post-lecture questions were asked to assess baseline knowledge and efficacy of the introductory lecture. Not all the attendees answered all the pre- and post-lecture questions. A Chi-square analysis was used to determine statistical significance. Results: To date, 7 family medicine residency programs were given the introductory antimicrobial stewardship lecture and were included in the total analysis. Respondents included 1st year (25 of 99 responses, 25%) and 2nd year family medicine residents (17 of 99 responses 17%). When asked “How familiar are you with the concept of antimicrobial stewardship?”, 43 of 106 (41%) respondents were at least familiar or very familiar prior to the lecture compared to 81 of 93 (87%) after the lecture (p < 0.001). When asked “How confident are you in using antibiograms for antimicrobial decisions?”, 41 of 107 (38%) were confident or very confident pre-lecture and 83 of 101 (82%) post-lecture (p < 0.001). When given a case-based question on using an antibiogram to determine an appropriate empiric agent for inpatient pyelonephritis, 59 of 107 (55%) respondents were able to answer the question correctly pre-lecture compared to 85 of 99 (86%) post-lecture (p < 0.001). Among those who answered the question incorrectly, 60% selected the agent with the highest percentage susceptible rate in the antibiogram, despite it being an inappropriate agent for pyelonephritis. Conclusion: The ASC-SC lecture series was an effective tool to increase awareness and knowledge of antimicrobial stewardship to family medicine providers. This lecture series survey data helps determine what family medicine residents commonly misunderstood in AS concepts and helps guide future initiatives.

Assessment of Knowledge, Practice, and Attitude about Silver Diamine Fluoride among Postgraduate Students in Pediatric Dentistry in Karnataka

Abstract Background: Dental caries occurs as a result of phasic demineralization and remineralization of dental hard tissues. In recent years, minimal invasive dentistry (MID) has replaced conventional treatment procedures. As part of MID, silver diamine fluoride (SDF) is being used to manage dental caries. However, little research has explored how informed dental postgraduates are about SDF. Aim: To determine the knowledge, practice, and attitude of dental postgraduate students regarding SDF. Materials and Methods: A questionnaire containing a total of 25 questions was drafted and distributed through Google Forms to postgraduates studying in the Department of Pedodontics and Preventive Dentistry within the state of Karnataka. The Chi-square (χ2) test was used to statistically analyze the obtained data. Results: A total of 165 responses were obtained. Among the participants, 94.5% reported that they were aware of SDF. However, majority of the respondents were not able to correctly answer the questions assessing knowledge. Knowledge was higher among 3rd year followed by 2nd and 1st years (P ≤ 0.001). Only 59.4% of the respondents stated that they use SDF in their patients. However, nearly all respondents stated that this survey encouraged them to improve their understanding of SDF. Conclusion: Awareness about SDF among postgraduates treating pediatric patients is quite high. Knowledge with regard to few aspects of SDF use is lacking. The attitude among the participants was positive.

Type 1 Neurofibromatosis Sans Neurofibroma: A Case Report Emphasizing the Role of Ocular Examination

Neurofibromatosis type 1 (NF1) is one of the most common genetic disorders and is inherited in an autosomal dominant fashion. NF1 is a member of the RASopathies, a class of congenital disorders brought on by mutations in the Ras/mitogen-activated protein kinase pathway. Dermatologic manifestations are typically prevalent in NF1 individuals. Multiple café-au-lait macules (CALMs) may be present at birth or develop in the 1st year of life. Other cutaneous manifestations like freckles in the skinfolds appear in early childhood. Neurofibromas are present in almost all adult patients and may be cutaneous, subcutaneous, or along the peripheral nerves, but their appearance may be delayed till adulthood. CALMs and skinfold freckling are not specific for NF1, and we may need to consider other differential diagnoses like Legius syndrome. A recent modification of the diagnostic criteria includes the identification of the genetic abnormality to facilitate diagnosis in children who may not have cutaneous neurofibromas. This emphasizes the added value of genetic analysis in a condition which is generally a clinical diagnosis. Lisch nodules generally occur by about 7 years of age and are present in 90% of cases. Their presence can help differentiate from Legius syndrome with its more benign course without genetic analysis. We report the case of a 14-year-old male with NF1 who had no cutaneous neurofibromas to reiterate the importance of ophthalmic evaluation in all cases of NF1, especially in resource-poor settings where genetic studies may not be possible.

Action research арқылы кәсіби өсу: магистрлік бағдарламадағы ағылшын тілі мұғалімдерінің мүмкіншіліктері

This article provides a comprehensive overview of action research, emphasizing its significance as a systematic inquiry process conducted by English teachers within their own classrooms to improve teaching and learning. The main goal is to identify the popularity and usage of Action Research among EFL teachers, at the same time Master’s degree students. The study explores Action Research's role in improving teachers' professional growth and the basic knowledge of the graduate students on Action Research. Action research was first conducted in Kazakhstan in 2012 as a joint project of the University of Cambridge and Nazarbayev Intellectual Schools (NIS) with the goal of improving educational practices. The quantitative research was conducted on the basis of the discipline “Action Research” for the 1st year graduate students of the profession “Two Foreign Languages” of Al-Farabi Kazakh National University. The results of a survey given to Master's students have different levels of familiarity and experience with Action Research. The study will assist to identify the spread and the usage of Action Research among EFL teachers in Kazakhstan. In addition, the study will help school administrators, teacher mentors to understand obstacles faced by EFL teachers and improve educational system in Kazakhstan.

아동·청소년기 생활시간과 학업성취 인과관계 종단분석

In this study, we explored the causal relationship between the daily activities and academic achievement of children and adolescents using the data from the Korean Children & Youth Panel Survey(KCYPS) 2018 provided by the National Youth Policy Institute. The analysis sample consisted of 1,740 participants from the 4th-grade panel (4th grade to 2nd-year of middle school) and 1,874 participants from the 1st-year of middle school panel (1st year of middle school to 2nd year of high school) who did not drop out from the 1st to the 5th wave and had no missing values for variables included in the research model. The independent variables consist of the daily activities of children and adolescents, including parental interaction time, extracurricular learning activities, and leisure time. The dependent variable is the academic achievement. The analysis method involved setting up a latent growth model to analyze the causal relationship between the daily activities and academic achievement of children and adolescents. The latent growth model analysis was conducted by estimating a linear model using the 5th wave data, with maximum likelihood estimation as the parameter estimation method. The results of the analysis indicate differences in daily activities and academic achievement between the 4th-grade panel and the 1st-year panel, with extracurricular learning time and leisure time showing contrasting results in the two panel groups. These findings contribute to understanding the context of the causal relationship between the daily activities and academic achievement of children.

Evaluation of Finger Prints in Relation to Academic Performance of Students in Anatomy at Islam Medical and Dental College, Sialkot

Objective: To assess the relationship between the fingerprint patterns and academic performance of students in Anatomy.Methodology: This Cross-sectional study was conducted in the Anatomy department of Islam Medical and Dental College Sialkot. The duration of the study was from mid-November 2022 to mid-December 2022. A total of 300 healthy medical (1st and 2nd year MBBS) and dental (1st year BDS) students with no injury and deformity, voluntarily participated in this study. The student’s age were 20-22 years. Simple convenient sampling was used. Ethical clearance was obtained before study. Thumb prints were collected along with questionnaire. The study was done by categorizing the pattern into arches, loops and whorls. The academic performance was taken in percentage and classified as above 70 %, between 50 % and 70 % and below 50%. The statistical analysis of categorical data was done by using non-parametric test i.e. chi square test. A P value of < 0.05 was considered statistically significant.Results: The most common pattern observed among students was loops. The students with loop pattern were in high scoring group while students with whorl and arch pattern scored less marks in Anatomy.Conclusion: The percentage of academic performance was higher in students with loops as compared to whorl and arch.

The effect of cyclosporine a in pterygium surgery using fibrin glue.

To evaluate the effect of topical cyclosporine A (CsA) 0.05% in patients with pterygium surgery using fibrin glue (FG). Patients with primary nasal pterygium were retrospectically analyzed and categorized into two groups: Group 1 with 41 eyes from 38 patients as a control group and group 2 with 39 eyes from 36 patients who received topical CsA twice a day for 6months. Patients were assessed for recurrence rate, tear film parameters, side effects, and complications at postoperative intervals of 1-7days; 1st, 3rd, 6th and 12th months. The follow-up period was 1year. The two groups were age (p = 0.934) and sex (p = 0.996) matched. CsA drop was discontinued in one patient due to burning sensation and conjunctival hyperemia after 1 week. There was no statistically significant difference between the mean preoperative and postoperative 1st year Schirmer I and tear break-up time (TBUT) values in group 1 (p = 0.136; p = 0.069). Although the difference between the mean preoperative and postoperative 1st year TBUT values in group 2 was not statistically different (p = 0.249), Schirmer I results were higher postoperatively (p = 0.003). There was no statistically significant difference between preoperative Schirmer (p = 0.496), postoperative Schirmer (p = 0.661), preoperative TBUT (p = 0.240) and postoperative TBUT (p = 0.238) results of the two groups. Recurrence was observed in only one patient from group 1. No recurrent pterygium cases were observed in group 2. Schirmer I values were higher postoperatively in group 2; thus,topical CsA treatment may improve lacrimal secretion and be effective after pterygium surgery with FG.

Development of ‘Creative Thinking: Case Study of Basic Design Studio

Architecture is a creative ‘Art of understanding’ as it reconciles the various aspects of place and culture, aesthetics and techniques and different materials. Architecture manages the beauty and aesthetics on one hand and the utilitarian aspects on the other. This balance requires a lot of creative exploration. Basic design studio is a cradle in imbibing this creative perspective in the new learner in architecture education. This studio plays a formative role in molding the students’ perception of architecture. The students not only get hands on experience but inculcates the trait of ‘Creative Thinking’. Basic design subject gets the students acquainted with not just architectural vocabulary but the ‘Principles of design’ which forms the basis of any design conception. The articulation of the elements of design like lines, planes, solids in two- dimensional and three-dimensional forms along with the use of different mediums, materials, and techniques through the principles of design aids them in the process of thinking creatively. The paper aims to understand and analyze the extent of assimilation of ‘Creative thinking’ in Basic Design studio (Subject code-102- Allied design studio) for 1st year, semester- 2, B. Arch. students at Bharati Vidyapeeth College of Architecture, Mumbai University for AY 2021- 22. The methodology adopted for the paper is based on qualitative data elucidating the learnings in the studio based on the development of the ‘Creative thinking’ attribute.

Career motivation of 1st year nursing and midwifery students

This paper presents findings from a cross-sectional study into the motivational factors of students who chose nursing and midwifery as a career. 189 students from the University of Bedfordshire (UoB) and 223 students from Canterbury Christ Church University (CCCU) completed a questionnaire at the start of their studies in 2018. The findings are generated from the first stage of the Placement, Impact, Experience and Destination (PIED) study into student belongingness on placement and the influence of practice on the first career destination of newly qualified nurses and midwives. An in-class questionnaire was administered to 1st year pre-registration adult, child and mental health nursing and midwifery students to identify the intrinsic and extrinsic factors that influenced their motivation to choose nursing or midwifery as a career. A mix methods study design was adopted for the PIED study where participants completed a survey that collected quantitative and qualitative data and administered during the course induction period. Motivation scores were found to be high in both cohorts, with students at both sites endorsing intrinsic motivational factors over extrinsic at statistically significant levels. The strongest intrinsic factors appeared to be a desire to help and care for people and play a useful role in society, whereas the strongest extrinsic factors were career stability and the ability to work in different regions and countries. The study suggests that the influence of family and friends continues to exert a strong intrinsic motivational influence on the career choices of students, particularly those under the age of 25. Identifying the motivational factors of first year nursing and midwifery students presents employers with an opportunity to tailor strategies to recruit apprentices, enable placement partners to enculturate prospective employees into the workforce and understand the relationship between extrinsic factors and practice learning to successfully recruit graduates.

An old but still valuable technique for popliteal artery stenosis: Endarterectomy via the posterior approach.

Isolated popliteal artery occlusions are rare compared with femoropopliteal occlusive diseases. Although endovascular procedures have gained importance in treatment, conventional surgery remains the gold standard. In this study, we reviewed popliteal endarterectomy and patch plasty using a posterior approach. Fourteen patients who underwent surgery for isolated popliteal artery occlusions were retrospectively examined. Patients were assessed in terms of age, sex, and risk factors, such as accompanying diseases and smoking, surgical method and anesthesia, incision type, preoperative and postoperative pulse examination, ankle-brachial indices, patency, wound infection, postoperative complications, and the treatment applied. Twelve (85.7%) patients were male, and 2 (14.3%) were female. Limb ischemia was critical (ABI < 0.7) in 11 (78.5%) patients. The average duration of postoperative hospitalization was 8 ± 3.7 days on average, and the average length of follow-up was 17 ± 3.4 months. Thrombosis and complications requiring secondary intervention did not develop during the early postoperative period. While the patency rate in the first 6 months of follow-up was 100%, it was 92.8% in the 1st year and 85.7% in the 2nd year. Surgical treatment with the posterior approach in isolated popliteal artery lesions is preferred by vascular surgeons as a prioritized treatment method, with a sufficient recanalization rate and low perioperative morbidity and mortality rates. Furthermore, it is promising because it does not prevent below-knee femoropopliteal bypass, which is the subsequent stage of treatment. Moreover, the great saphenous vein was protected, and the acceptable early- and mid-term results were encouraging.

Resilience and Suicide Idea of First Year Students of D-III Nursing Blitar

First-year nursing students are required to integrate material with skill laboratories and practice areas, which puts pressure on students who can lead to the emergence of suicidal ideation so that an ability called resilience is needed. The purpose of this study was to determine the relationship between the level of resilience and the level of suicidal ideation of first year students of D-III Kpeerawatan Blitar. The method used is correlation method with cross sectional design. The sample in this study were 101 D-III Nursing Blitar 1st year students who were taken using the total sampling technique. The instruments used were ARS and SSI questionnaires. The results showed that there was a relationship between the level of resilience and suicidal ideation with a p-value of 0.002. the higher the resilience, the lower the suicidal ideation and vice versa, the lower the resilience, the higher the suicidal ideation. Keywords: Resilience; suicidal ideation

Impact of COVID Pandemic on Pattern and Outcome of Admissions in a Paediatric Emergency Unit in Sokoto, Nigeria

Background: The COVID pandemic had widespread impact on the world population, especially on health-care. This ranged from direct effects of the infection on populace, in addition to changing pattern of morbidity and mortality, children inclusive. Objectives: To compare the pattern and outcome of admissions during the COVID pandemic period (2020 – 2021) to the preceeding year (2019) in the emergency Paediatric unit (EPU) of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Materials and Methods: This was a retrospective study. The admission records of children aged &gt; 1 month to 15 years were retrieved, relevant information extracted, entered into a study proforma and analysed with SPSS version 24. Results: Total admissions were 3741. The 1st pandemic year (2020) had the lowest (1116, 29.8%) while 1406 (37.6%) and 1219 (32.6%) patients were admitted in 2019 and 2021. The lowest admission was between March and June 2020 coinciding with the lockdown, highest was in August 2020 when restrictions had been lifted. The topmost admissions yearly were malaria, acute respiratory infections and acute gastroenteritis. The trend showed that all cases reduced in the pandemic years (2020-2021) but respiratory infections increased. Mortality was highest in 2020 (p=0.001). Malaria was the highest cause of mortality for the 3 years, however, mortality rate from sepsis, cardiac and respiratory diseases rose sharply in the pandemic years. Three confirmed cases of COVID were seen with 1 mortality. Conclusion: Admission rates reduced during the pandemic year in 2020 however, with increased rate of mortality. There was increase rate of sepsis, cardiac and respiratory mortality following the pandemic.

Strength of motivation of 1st year dental students of a dental institution: A cross-sectional study.

The study aims to evaluate the motivation levels of dental students, with an emphasis on first-year BDS students, by utilizing the Strength of Motivation for Medical School (SMMS) questionnaire. It was a descriptive cross-sectional quantitative study targeting 89 first-year BDS students enrolled at Lahore Medical and Dental College from 5th June to 18th August 2023. The Strength of Motivation for Medical School (SMMS) questionnaire was given to the participants after ethical board approval. Data analysis was done through SPSS version 26. The SMMS score was presented as the means standard deviation and an independent t-test was used to find the difference between the groups. The maximum score possible is 80 and the minimum is 16. The higher the score, the greater the strength of motivation. In this study, a total of 89 first-year BDS students completed motivation questionnaires, with 34.8% males and 65.2% females. The average age was 19.92 ± 3.13. The overall Strength of Motivation Score (SMMS) averaged 45.53 ± 6.82. Results indicated 9% low, 89.9% moderate, and 1.1% strong motivation. Females had a slightly higher mean SMMS (45.93 ± 6.88) than males (44.80 ± 6.76), but the difference was deemed insignificant (p = 0.462) via independent t-test. Motivation is vital to achieving excellence in academic pursuits. Nevertheless, there isn't a single criterion that can be utilized to assess success and motivation. Our primary focus must be on every possible outcome of success, not just the scoring criteria.

Factors and Motives for Professional Self-Determination

The article is devoted to the study of factors and motives that determine professional self-determination. The article examines the content of the concepts “career guidance”, “professional self-determination”, “professional identity”. The aim of the article is to determine the factors and motives influencing the choice of profession. Under the term “vocational guidance” it is proposed to understand the free and independent choice of profession in accordance with the abilities, aptitudes, interests and desires of the individual, requiring personality-oriented assistance aimed at preparing young people to choose a profession. The term “professional self-determination” is interpreted as a long and continuous process of purposeful work, conscious creative and professional choice of a person seeking to form himself as a full-fledged participant of the community of professionals, requiring individual assistance starting from the stage of choosing a future profession. “Professional identity” should be considered as a set of leading characteristics of a person’s professional development, personal and professional values, reflecting the unity of a person with his activity in interaction with a professional group. The research methodology consists of a comprehensive comprehensive study of the choice of future profession by a person depending on vocational guidance, professional self-determination, development of professional identity, indicating the psychological acceptance of the chosen professional activity, as well as depending on some factors that determine such a choice. Methods of research: general theoretical – analysis, synthesis of materials from scientific sources on the stated topic, empirical – diagnosis of factors of choice of future profession by students, statistical calculations of the obtained data. Conclusion. The article emphasized objective and subjective factors that are taken into account when choosing a profession. According to the results of the research on revealing the motives for choosing a profession of 1st year students of Saratov State Medical University named after V. I. Razumovsky, according to the original methodology of E. A. Klimov, it is proved that the choice of profession is mostly influenced by such motives as the desire to build their professional path in an exciting and useful way for other people, and only then there is a desire to ensure their material well-being.