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Medical faculty profile is an important determinant of student profile and future practice expectations of medical students in Angola

2021-12Artigo científico Acesso aberto
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dc.contributor.authorFronteira, Inês
dc.contributor.authorFreitas, Helga
dc.contributor.authorGuimarães, Nkanga
dc.contributor.authorFresta, Mário
dc.contributor.authorFerrinho, Paulo
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.pblSpringer Verlag
dc.date.accessioned2021-09-23T01:07:26Z
dc.date.available2021-09-23T01:07:26Z
dc.date.issued2021-12
dc.descriptionFunding Information: Rosa Ferrinho for assistance with data processing and literature search. COSEP for data collection. Funda??o para a Ci?ncia e Tecnologia for funds to GHTM UID/04413/2020. This study was part of a broader consultation for the Government of Angola. Authorization for publishing this study was obtained from the Ministry of Health of Angola. Funding Information: The study was sponsored by the Government of Angola. Publisher Copyright: © 2021, The Author(s).
dc.description.abstractBackground: Angola is among one of the most deprived countries in the world in terms of medical professionals. In the past decade, the Angolan Government has invested in the expansion of faculties of medicine in the country. We analysed the profiles of medical students in Angola according to four clusters of medical schools: older faculty in the country, private faculties, Cuban sponsored faculties and military faculty; under the assumption that the organizational culture of the different faculties might influence the expectations and decisions towards future professional life of medical students regarding where they want to work (community versus hospital) and in which sector (exclusively public versus not exclusively public). Methods: Observational cross-sectional study. Piloted, standardized questionnaire to final year medical students or higher year of training in the first four-month of 2014 (N = 402). Data were entered into a SPSS v.20 database and descriptive statistics computed. Statistical significance for categorical variables was tested by Pearson chi-square, Fisher exact or likelihood ratio tests as appropriate. Comparison of means was tested with Anova. Backward elimination binary logistic regression was used to test the hypothesis that type of faculty of medicine is an important determinant of future professional practice, i.e., level (hospital vs. community) or sector of practice (exclusive public sector vs. private or private and public), while controlling for confounders. Results: After controlling for age, sex, marital status, place of birth and place of primary and secondary education, type of family and family influence, students were more likely to choose community over hospital practice and to prefer exclusive public practice if attending a Cuba supported faculty of medicine. Conclusions: Medical education cannot be isolated from planning of the medical workforce. Some important and impactful careers choices, like choosing rural over urban practice, public over private sector practice, have deep influences in the medical professionals’ labour market. Some of these decisions are shaped even before the end of the medical training. As such, the monitoring of future professional intentions in medical schools should be done regularly to accommodate both the health system needs and the hopes and dreams of medical trainees.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent518199
dc.identifier.doi10.1186/s12909-021-02836-z
dc.identifier.issn1472-6920
dc.identifier.otherPURE: 33721704
dc.identifier.otherPURE UUID: e99e11c9-36d6-4f49-867a-efd8050122df
dc.identifier.otherScopus: 85114024637
dc.identifier.otherORCID: /0000-0003-1406-4585/work/100136463
dc.identifier.urihttp://hdl.handle.net/10362/125034
dc.identifier.urlhttps://www.scopus.com/pages/publications/85114024637
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAngola
dc.subjectMedical students
dc.subjectProfessional expectations
dc.subjectProfile
dc.subjectEducation
dc.subjectGeneral Health Professions
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 4 - Quality Education
dc.subjectSDG 10 - Reduced Inequalities
dc.subjectSDG 17 - Partnerships for the Goals
dc.titleMedical faculty profile is an important determinant of student profile and future practice expectations of medical students in Angolaen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Medical Education
degois.publication.volume21
dspace.entity.typePublication
rcaap.rightsopenAccess

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