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Chaos in Western Medicine: How Issues of Social-Professional Status are Undermining Our Health  [cached]
Nathan W Wilson
Global Journal of Health Science , 2012, DOI: 10.5539/gjhs.v4n6p1
Abstract: From the period immediately following the second world war, western (orthodox) medicine – both as a philosophy of medicine and as a professional guild of medical professionals actively practicing medicine – has made progress in leaps and bounds, especially considering the advances in technology and associated enterprises. Over the last thirty years, however, the practice of orthodox medicine has taken a turn for the worst despite progressive philosophies and tenets of basic practice as offered by the professional bodies that regulate how medicine is operated and implemented. Current healthcare environments are in a chaotic state of affairs, most notably due to issues involving affordability of medical professionals. It is argued that the social-professional status of medical doctors allow exorbitant and unreachable demands on governments for increased salaries. The title-based supremacy of doctors within the occupations domain is not supported by what they are offering society at large, and it compromises the ability of medical institutions and governments to provide better and more affordable healthcare. From a sociological point of view, this paper examines the social-religious history of such social class-based occupational power and dominance, and paves the way toward an overhaul of current medical education frameworks that proactively will ensure greater occupational equity in healthcare settings, across all healthcare disciplines tasked with patient care and improvement of healthcare services. In essence, doctoral titles should only be awarded after successful completion of postgraduate doctoral studies, and a new breed of medical professionals must emerge, able to contribute more meaningfully to the advancement of medicine as a profession, as well as toward increased standards of healthcare and improved health services delivery.
Stressors and their Influence on Job Performance of Career Administrative Staff in University Reform Implementation in Anambra State
GO Uzoechina, AP Onuselogu
African Research Review , 2009,
Abstract: The purpose of this study was to determine stressors and how they influence university career administrative staff in the implementation of reforms in Universities within Anambra state. The study, which was based on two research questions, adopted the descriptive survey design. The entire population of 183 career administrative staff in the three universities in Anambra State, were used in the study. A researcher-developed questionnaire was used to collect data. Mean ratings were used in answering the research questions. The findings of the study indicated that the university career administrative staff encountered stress due to workload, facilities, student management, administration and professional development. Stress influenced the staff in the implementation of reforms by poor job concentration, delay in meeting job deadlines due to stress anxiety, forgetfulness in conveying major university decisions to people concerned, and non-achievement of expected job results in university reform implementation. It was therefore recommended that government should match reform initiatives with adequate resources and management of universities should endeavor to take appropriate steps with respect to stipulating job deadlines, job specification and provision of physical facilities to reduce work over-load and its associated stressors among career administrative staff.
Swiss residents' arguments for and against a career in medicine
Barbara Buddeberg-Fischer, Claudia Dietz, Richard Klaghofer, Claus Buddeberg
BMC Health Services Research , 2006, DOI: 10.1186/1472-6963-6-98
Abstract: As part of a prospective cohort study of Swiss medical school graduates on career development, 567 fourth-year residents were asked to answer the free-response item of what arguments there still were in favour of or against a career in medicine. They also indicated whether they would choose the medical profession all over again (yes/no). The statements were transcribed, content categories inductively formulated, and their descriptions written down in a code manual. Arguments were encoded according to the code manual and assigned to eight content categories (Mayring's content analysis). Frequency distributions were given for categories and tested with Chi2-tests for differences in gender, speciality fields, and whether or not the respondent would again choose a career in medicine.The 567 participants made 1,640 statements in favour of and 1,703 statements against a career in medicine. The content analysis of the residents' answers yielded eight categories with arguments both for and against a career in medicine. Of all "statements for" responses, 70% fell into the two top-ranking categories of Personal experiences in day-to-day working life (41.2%) and Interpersonal experiences in professional relationships (28.8%). The top-ranking category of the "statements against" arguments was General work-related structural conditions (32%), followed by Social prestige and health-policy aspects (21%). Main arguments in favour of a career in medicine were interdisciplinary challenge, combination of basic sciences and interpersonal concerns, helping suffering people, guarantee of a secure job; arguments against comprised high workload, time pressure, emotional stress, poorly structured continuing education, increasing bureaucracy, work-life imbalance, low income, and decreasing social prestige. The statements revealed few differences depending on gender, medical field, and attitude towards choosing the medical profession again; one out of five young doctors would not do so.Reside
Academic career in medicine – requirements and conditions for successful advancement in Switzerland
Barbara Buddeberg-Fischer, Martina Stamm, Claus Buddeberg
BMC Health Services Research , 2009, DOI: 10.1186/1472-6963-9-70
Abstract: Thirty-one junior academics took part in semi-structured telephone interviews in 2007. The interview guideline focused on career paths to date, career support and barriers experienced, and recommendations for junior and senior academics. The qualitatively assessed data were evaluated according to Mayring's content analysis. Furthermore, quantitatively gained data from the total cohort sample on person- and career-related characteristics were analyzed in regard to differences between the junior academics and cohort doctors who aspire to another career in medicine.Junior academics differ in terms of instrumentality as a person-related factor, and in terms of intrinsic career motivation and mentoring as career-related factors from cohort doctors who follow other career paths in medicine; they also show higher scores in the Career-Success Scale. Four types of career path could be identified in junior academics: (1) focus on basic sciences, (2) strong focus on research (PhD programs) followed by clinical training, (3) one to two years in research followed by clinical training, (4) clinical training and research in parallel. The interview material revealed the following categories of career-supporting experience: making oneself out as a proactive junior physician, research resources provided by superior staff, and social network; statements concerning career barriers encompassed interference between clinical training and research activities, insufficient research coaching, and personality related barriers. Recommendations for junior academics focused on mentoring and professional networking, for senior academics on interest in human resource development and being role models.The conditions for an academic career in medicine in Switzerland appear to be difficult especially for those physicians combining research with clinical work. For a successful academic career it seems crucial to start with research activities right after graduation, and take up clinical training later
Kapichnikova Inna Jurevna,Nikitina Elena Aleksandrovna
Magister Dixit , 2011,
Abstract: The article shows some basic directions and experience of graduates’ employment and support of their professional career.
Dentistry – a professional contained career in healthcare. A qualitative study of Vocational Dental Practitioners' professional expectations
Jennifer E Gallagher, Wendy Clarke, Kenneth A Eaton, Nairn HF Wilson
BMC Oral Health , 2007, DOI: 10.1186/1472-6831-7-16
Abstract: Purposive sampling of schemes was undertaken to include urban, rural and metropolitan schemes, schemes in areas with and without dental schools and geographic coverage across England and Wales. All VDPs in these schemes were initiated to participate in this qualitative study using focus groups. A topic guide was utilised to standardise data collection. Informants' views were recorded on tape and in field notes. Data were transcribed and analysed using Framework Methodology.A total of 99 VDPs participated in the 10 focus groups. Their choice of dentistry as a professional career was motivated by multiple categories of influence: 'academic', 'healthcare', 'lifestyle', the influence of 'family', 'friends', 'careers advice' and 'work experience'. Consideration of the features of the 'professional job' appears to have been key to their choice of dentistry and the 'active rejection of medicine' as an alternative career.Entry into the profession was proving a challenging process for some but not all VDPs. Informants perceived that their vision had been moderated as a result of 'personal student debt', 'national workforce initiatives', 'limitations on clinical practice' and the 'cost of additional training'.Short term goals focused around 'recovery from the past' and 'preparation for the future'. Longterm goals covered the spectrum of opportunities within dentistry. Factors influencing VDPs longterm career plans fell into six main categories: professional, personal, financial, political, social and cultural.VDPs chose dentistry because they perceived that it provides a financially lucrative, contained career in healthcare, with professional status, job security and the opportunity to work flexibly. They perceive that their vision is challenged by changes affecting education and the healthcare system. Longterm professional expectations were closely linked with their personal lives and support a vision of a favourable work/life balance.An understanding of the motivation of th
Making the 2007-2010 Action Plan work for women in family medicine in the Asia Pacific
Jan Coles, Amanda Barnard, Amanda Howe, Jo Wainer, Zorayda Leopando, Sarah Strasser
Asia Pacific Family Medicine , 2010, DOI: 10.1186/1447-056x-9-1
Abstract: In October 2008, at the Asia Pacific Regional conference, the Wonca Working Party on Women in Family Medicine (WWPWFM) held a preconference day and conference workshops, building on the success and commitment to initiatives which enhance women's participation in Wonca developed in Ontario, Canada (2006) and at the Singapore World Congress (2007). At this meeting fifty women workshopped issues for women in Family Medicine in the Asia Pacific. Using the Action Plan formulated in Singapore (2007) the participants identified key regional issues and worked towards a solution.Key issues identified were professional issues, training in family medicine and women's health. Solutions were to extend the understanding of women's contributions to family medicine, improved career pathways for women in family medicine and improving women's participation in practices, family medicine organizations and academic meetings.Gender equity is a pressing need for family medicine [1], and in the communities of the Asia Pacific. Women earn less, are more likely to live in poverty and income inequality is rising [2]. Women are less likely to be managers and legislators in most countries within the region, with the exception of the Philippines [2]. Women are an integral part of family medicine, in the professional workforce and as patients. Women doctors are increasingly represented in the family medicine workforce around the world. In some countries of the Asia Pacific Region, women are the major providers of family medical care (Philippines), in many countries the numbers of women are increasing (Australia), while in some parts of Asia there are still few women family doctors [3,4].The health of our communities depends, in part, on the ability of the community to access appropriate medical care and the ability of the healthcare workforce to deliver the best possible care. Women still face barriers to achieving their full potential. Women doctors face barriers in training, in practice, in med
Professional Training and Promotion Programs in Career Management
Alexandru GR?DINAR
Revista Roman? de Statistic? , 2011,
Abstract: Professional training and promotion programs are elaborated by specialists in the field of career management. In elaborating the plans, they must consider a series of factors which contribute to the program’s success. Success is based to a large extent on application of several correct and adequate methods all to depend on the subject to be “professionally trained,” -employee or manager-, as well as the modality of approach, -external or internal. Finally, the evaluation of the training process represents the metrics of success of any professional training and promotion program. The professional promotion strategy, as short and middle term systematic means to obtain a better job, will be dealt with in the last part of the present study.
Career development of SA professional women who take career breaks  [cached]
H. M. Geber
South African Journal of Industrial Psychology , 2000, DOI: 10.4102/sajip.v26i2.701
Abstract: This article reports the findings of a study of career development and return to work of a group of professional South African women with children who work in a wide range of traditional and non traditional careers. The patterns of their career breaks and return to work are investigated alongside their activities during the break. There is a significant tendency to continue academic and professional qualifications and to embark on second careers when they return to work. The implications for Human Resource professionals are noted and factors such as mother tongue, self-employment and age at the birth of the first child that help or hinder the return to work are discussed. Opsomming In hierdie artikel word die bevindinge van'n studie gerapporteer wat gehandel het oor n groep professionele Suid-Afrikaanse vroue se loopbaanontwikkeling en hulle terugkeer na die beroepswereld na n werksonderbreking weens die geboortes van hulle kinders. Die vroue se beroepe het oor n wye reeks tradisionele en nie-tradisionele werke gestrek. Die studie het spesifiek gekonsentreer op die patroon van loopbaanonderbreking, die aktiwiteite tydens die onderbreking, asook die terugkeer na die werkplek. Die bevindinge dui daarop dat professionele vroue daartoe geneig is om hulle akademiese en professionele kwalifikasies tydens hulle werksonderbreking te verbeter en dat hulle eintlik met n tweede loopbaan begin na die hervatting van hulle werks aktiwiteite. Faktore soos huistaal, ouderdom ten tye van die geboorte van die eerste kind en self-geemplojeerdheid, is van die belangrikste determinante in die bepaling of professionele vroue weer na die beroepswereld sal terugkeer. Die menslike hulpbronbestuursimplikasies van die bevindinge word ook in die artikel uitgewys.
Factors affecting career preferences of medical students at the College of Medicine, Malawi
E Yeganeh-Arani, M Chandratilake, AS Muula
South African Medical Journal , 2012,
Abstract: Background. The shortage of doctors in all specialties in Malawi is particularly severe in rural areas. Contributory factors are the low number of students graduating each year, migration of doctors, and the preference of new graduates for practising in urban areas. Attempts to increase the output from Malawi’s only medical school are insufficient to meet the country’s healthcare needs. Methods. We studied the factors influencing career choices of medical undergraduates of the College of Medicine in Blantyre, Malawi, who were surveyed by means of a self-administered questionnaire (N=205) and individual interviews (N=17). Results. Most respondents (89.4%) indicated that they intend to specialise abroad, predominantly to study in ‘better institutions’ and to get the ‘experience’ of a different country; 87.0% indicated that they intend to live in Malawi long-term. Although, in general, the rural lifestyle was unattractive to medical students, respondents from rural areas and small towns, and whose parents were ‘non-professionals’, were more likely to intend working in rural areas and small towns, and to settle in Malawi, than students from urban and professional families. Conclusions. The College of Medicine should consider increasing its intake of students with lower socio-economic backgrounds and from rural areas/small towns to increase the number of doctors working in rural areas and settling in Malawi. However, the Ministry of Health may need a multipronged approach to reduce the mismatch between doctors’ career expectations and the country’s healthcare needs.
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