DETERMINANTS OF SPECIALTY CHOICE OF RESIDENT DOCTORS; CASE STUDY- AMONG RESIDENT DOCTORS IN NIGERIA.

Roland I. Osuoji, Atinuke Adebanji, Moruf A. Abdulsalam,Mobolaji A. Oludara, Abimbola A. Abolarinwa

Available online Jul 19, 2018.

[ Original ] Volume 24, Issue 3, 2015, Pages 207-212


Abstract

OBJECTIVE: This study examined medical specialty selection by Nigerian resident doctors using a marketing
research approach to determine the selection criteria and the role of perceptions,expected remuneration,and job
placement prospects of various specialties in the selection process.
METHODS:Data were from the Community of residents from April 2014 to July 2014.The cohort included 200
residents,but only 171 had complete information.Data were obtained from a cross section of resident doctors in
the Lagos State University Teaching Hospital and at the 2014 Ordinary General Meeting of the National Association
of Resident Doctors(NARD) where representatives from over 50 Teaching hospitals in Nigeria attended. Using a
client behaviour model as a framework,a tripartite questionnaire was designed and administered to residents to
deduce information on their knowledge about and interests in various specialties, their opinions of sixteen
specialties,and the criteria they used in specialty selection.
RESULTS:A total of 171 (85.5%) questionnaires were returned.In many instances,consistency between selection
criteria and perceptions of a specialty were accompanied by interest in pursuing the specialty. Job security, job
availability on completion of programme, duration of training and qualifying examinations were highly correlated
with pvalue<0.05. Results of the Principal Component Analysis show two components(with Eigenvalues greater
than one) explaining 65.3% of the total variance.The first component had placement and training and practice
related variables loaded on it while the second component was loaded with job security and financial remuneration
related variables.
CONCLUSIONS: Using marketing research concepts for medical specialty selection (Weissmanet al 2012)
stipulates that choice of speciality is influenced by criteria and perception. This study shows that job security,
expected financial remuneration, and examination requirements for qualification are major determinants of the
choice of speciality for residents.


Keywords

Residency programme, choice determinants.,

July - September 2015

Volume 24 | Issue 3

Page Nos. 207-212

Online since Jul 12, 2018

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