Chinese Journal of Medical Education ›› 2023, Vol. 43 ›› Issue (2): 140-144.DOI: 10.3760/cma.j.cn115259-20220623-00819

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Analysis on influence factors of internal medicine residents' willingness to practice geriatrics

Lai Xuan1, Liu Huilin1, Wang Guan 2, Shen Ning3   

  1. 1Department of Geriatrics, Peking University Third Hospital, Beijing 100191, China;
    2Education Division of Peking University Third Hospital, Beijing 100191, China;
    3Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing 100191, China
  • Received:2022-06-23 Online:2023-02-01 Published:2023-01-31
  • Contact: Shen Ning, Email: puh3shenning@bjmu.edu.cn
  • Supported by:
    2021 Beijing Residency Standardized Training Quality Improvement Project (Residency Standardized Training 2021001)

Abstract: Objective To explore the willingness of internal medicine residents to practice geriatrics and the possible influencing factors. Methods A cross-sectional questionnaire survey was conducted among the internal medicine residents in three affiliated hospitals of Peking University. The general information, willingness to engage in geriatrics in the future and attitude towards the elderly (UCAL-GAS scale) were collected. Multivariate logistic regression analysis was used to screen out the factors that may affect the willingness to practice. Results A total of 106 residents completed the questionnaire, of which 55 (51.9%) chose to engage in geriatrics in the future. The UCLA-GAS score of residents who chose to engage in geriatrics in the future was 50.0 (46.0,54.0), higher than those of residents who did not choose to engage in geriatrics [46.0 (43.0,50.0)], with a statistically significant difference (Z=-3.72, P=0.001). Higher age (OR=1.536, 95%CI=1.203-1.963, P=0.001), higher UCLA-GAS score (OR=1.143, 95%CI=1.028-1.271, P=0.013) were the positive factors for residents to engage in geriatrics, while the negative factor was being pessimistic about the prospect of geriatrics (OR=0.058, 95%CI=0.011-0.317, P=0.001). Conclusions Internal medicine residents in general have a high willingness to practice geriatrics. Age, attitude towards the elderly and pessimism about the prospect of geriatrics will affect the willingness of internal medicine residents to engage in geriatrics.

Key words: Internal medicine, Geriatrics, Resident, Career willingness, Influence factor

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