The Prevalence and Factors Associated with the Dissatisfaction in Medical Study Among the Medical Students

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Akeatit Trirattanapikul
Chayapat Chakajnarodom
Tanapat Buntoenphithak
Praewpanit Toomsongkram
Wannapot Thaenchaikul
Weerin Sawangkajohn
Penpitcha Samerton
Thannapat Ditsatapomcharoen
Amorn Premgamone


Background and objective: A substantial number of medical students dislike   the clinical training of medical profession. The study in the risk factors in this area is limited. Our study aims to find the factors associated with the dislike  in  the clinical training   among the clinical year medical student (MS). 

Methods: This is a retrospective case-control study at Srinagarind hospital, faculty of Medicine. Khon Kaen University. The case were medical students who reported they dislike the medical profession training (DMPT) and the controls were the ones who still satisfied. The first step was performing the survey, by a systematic sampling, to identify the cases and controls.  All cases were included while the controls, twice as big of the cases, selected by systematic sampling technique from  the list from the first survey.  Data obtained by the self-administered questionnaire.

Result: The response rate of the first survey were 77.48 %( 203/262) and the prevalence of DMPT  were 12.32% (25/203). Data of the 25 cases and the 50 controls were obtained in the second step. With multiple logistic regression analysis we found the associated between  the DMPT and these factors :   no free time ,  the student himself who decided  to be the medical profession , the willingness to give their time for patients and the recognition of the burden in study of medical profession with the  adjusted odds ratio (95% confident interval) were 40.39 (1.03,1586.41), 0.03 (0.001,0.82), 0.06 (0.01,0.56)  and  0.09 (0.01 ,0.72)],  respectively.

Conclusion: There were 12.3 % of the MS dissatisfied the training of medical profession. The risk factor was the feeling no time. The protective factors were: the willingness to sacrifice their own time for the benefit of patient, self- determination for entering the medical profession. 


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