The Influence of Standardized Residency Training on Trainees’ Willingness to Become a Doctor: A Comparison between Traditional Chinese Medicine and Western Medicine

Junwen Yang-Huang, Wenji Qian, Kan Zhang, Lu Shi and Jiayan Huang
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Junwen Yang-Huang: Key Laboratory of Health Technology Assessment, National Health Commission, School of Public Health, Fudan University, Shanghai 200032, China
Wenji Qian: Key Laboratory of Health Technology Assessment, National Health Commission, School of Public Health, Fudan University, Shanghai 200032, China
Kan Zhang: Science and Education Department, Shanghai Municipal Health Commission, Shanghai 200125, China
Lu Shi: Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA
Jiayan Huang: Key Laboratory of Health Technology Assessment, National Health Commission, School of Public Health, Fudan University, Shanghai 200032, China

IJERPH, 2019, vol. 16, issue 17, 1-11

Abstract: A standardized residency training program (SRT) was launched in Shanghai in 2010, for both Western Medicine (WM) and Traditional Chinese Medicine (TCM). This study aimed to assess whether the program impacted trainees’ willingness to become a doctor and whether the program had different effects among WM and TCM trainees. A structured questionnaire was distributed to 2114 trainees to assess their perceptions and satisfaction with the program and their willingness to become a doctor after the exposure to the program. The trainees’ characteristics were compared between WM and TCM specialties using X 2 tests. The potential factors associated with trainees’ perception of the program and willingness to become a doctor after the exposure to the SRT program were assessed by multiple linear and logistic regression models. Compared to WM trainees ( n = 1853), TCM trainees ( n = 261) would be more likely to become doctors if there were no SRT program ( p = 0.003). Both individual and program-wide (different specialties) factors contributed to trainees’ perception, overall satisfaction, and willingness. Only specialty played an independent role in the associations with all three outcome variables. Inequality of characteristics between TCM and WM trainees reduced TCM trainees’ willingness to become a doctor after the exposure to the SRT program.

Keywords: Traditional Chinese Medicine; standardized residency training; satisfaction survey; willingness change (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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