دورية أكاديمية

Impact of financial background and student debt on postgraduate residency choices of medical students in Singapore.

التفاصيل البيبلوغرافية
العنوان: Impact of financial background and student debt on postgraduate residency choices of medical students in Singapore.
المؤلفون: Jie Ming Nigel Fong, Yeong Tze Wilnard Tan, Sayampanathan, Andrew Arjun, Niraj Mohan, Yun Qing Koh, Jin Hao Jang, Justin, Jin Rong Low, Ivan, Vasudevan, Anupama, Chew Lip Ng, Tambyah, Paul Ananth, Fong, Jie Ming Nigel, Tan, Yeong Tze Wilnard, Mohan, Niraj, Koh, Yun Qing, Jang, Jin Hao Justin, Low, Jin Rong Ivan, Ng, Chew Lip
المصدر: Singapore Medical Journal; Dec2018, Vol. 59 Issue 12, p647-651, 5p
مستخلص: Introduction: Medical school fees are rising globally. Student debt and financial background may affect residency choices, but few studies have been conducted in Asia. This study aimed to explore the relationship between financial background, student debt and postgraduate residency choices among medical students in Singapore.Methods: An anonymised survey of all medical students in Singapore was conducted and had a response rate of 67.9%.Results: 40.5% of our study population would graduate with debt. Medical students with monthly per capita household income < SGD 1,000 were more likely to graduate with debt (unadjusted odds ratio [OR] 2.0, 95% confidence interval [CI] 1.6-2.7; p < 0.001) and feel burdened by the cost of medical education (unadjusted OR 2.8, 95% CI 2.0-3.9; p < 0.001). Students with monthly per capita household income < SGD 1,000 (unadjusted OR 1.818, 95% CI 1.338-2.470, p < 0.001; adjusted OR 1.692, 95% CI 1.202-2.381, p = 0.003) and those with debt (unadjusted OR 1.623, 95% CI 1.261-2.090, p < 0.001; adjusted OR 1.393, 95% CI 1.048-1.851, p = 0.022) were more likely to rank at least one economic factor as 'very significant' in influencing their postgraduate training choices.Conclusion: It is concerning that despite financial aid schemes, the cost of medical education remains a burden to students from lower-income households in Singapore. Student debt and financial background may distort postgraduate career choices, creating an undue push towards high-paying specialties. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00375675
DOI:10.11622/smedj.2018068