Skip to main content
Log in

Influencing Factors on Choosing Psychiatry as a Career: An Exploration in Chinese University Students

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

There is a consistent need of psychiatric professionals in the world including China, and a consistent challenge to recruit more medical students into the psychiatric careers. We aimed to look for factors which have an impact on career-choosing of psychiatry in Chinese university students. We invited 508 non-medical students (NM), 304 medical students without (MO) and 123 medical students with clinical internship experience (MW), to answer a matrix of 43 questions regarding factors influencing career-choosing of psychiatry. Answers to these questions were analyzed through exploratory and confirmatory factor analyses, once the latent factors were identified and structurally-validated, their mean scores in three groups of students were calculated. Five factors with five items each were identified, namely social status inferiority, career importance, practice reward, career preference, and practice stress. NM scored lower than MO and MW did on Social Status Inferiority; NM group scored higher than MO and MW groups did on Career Importance; MW scored lower than NM and MO did on Practice Reward and on Career Preference; Regarding Practice Stress, NM scored higher than MO did, who then in turn, scored higher than MW did. In addition, Practice Stress was positively correlated with advice of the medical educators; and Social Status Inferiority and Career Preference were positively correlated with the psychiatry teaching of the medical educators. Raising career rewards, improving social status, and reinforcing psychiatric education might help to recruit more medical students to specialize in psychiatry practicing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. World Health Organization: The World Health Report 2001—Mental Health New Understanding. New Hope, WHO, 2001.

    Google Scholar 

  2. Shen YC, Zhang MY, Huang YQ, He YL, Liu ZR, Cheng H, et al.: Twelve month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China. Psychological Medicine 36: 257–268, 2006.

    Article  PubMed  Google Scholar 

  3. http://www.news.cn. http://news.xinhuanet.com/health/2013-07/18/c_116581355.htm. Accessed June 22, 2015.

  4. Lancet: Psychiatry’s identity crisis. The Lancet 379:1274, 2012.

    Google Scholar 

  5. Halder N, Hadjidemetriou C, Pearson R, Farooq K, Lydall GJ, Malik A, et al.: Student career choice in psychiatry: Findings from 18 UK medical schools. International Review of Psychiatry 25:438–444, 2013.

    Article  PubMed  Google Scholar 

  6. Pong RW, Pitblado JR: Geographic Distribution of Physicians in Canada. Ottawa (ON), Canadian Institute for Health Information, 2005.

    Google Scholar 

  7. Gowans MC, Wright BJ, Brenneis FR, Scott IM: Which students will choose a career in psychiatry? Canadian Journal of Psychiatry 56:605–613, 2011.

    PubMed  Google Scholar 

  8. Pailhez G, Bulbena A, Coll J, Balon R: Attitude and views on psychiatry: A comparison between Spanish and U.S medical students. Academic Psychiatry 29:82–91, 2005.

    Article  PubMed  Google Scholar 

  9. Wang X, Xiang X, Hao W, Liu T: Attitudes toward psychiatry as a prospective career among medical students in their pre-clinical year in China—A pilot study. PLoS One 8:e73395, 2013.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Zeldow PB, Daugherty SR: Personality profiles and specialty choices of students from two medical school classes. Academic Medicine 66:283–287, 1991.

    Article  CAS  PubMed  Google Scholar 

  11. Amini H, Nejatisafa AA, Shoar S, Kaviani H, Samimi-Ardestani M, Shabani A, et al.: Iranian medical students’ perception of psychiatry: Before and after a psychiatry clerkship. Iranian Journal of Psychiatry 8:37–43, 2013.

    PubMed  PubMed Central  Google Scholar 

  12. Malhi GS, Parker GB, Parker K, Carr VJ, Kirkby KC, Yellowlees P, et al.: Attitudes toward psychiatry among students entering medical school. Acta Psychiatrica Scandinavica 107:424–429, 2003.

    Article  CAS  PubMed  Google Scholar 

  13. Brockington I, Mumford D: Recruitment into psychiatry. British Journal of Psychiatry 180:307–312, 2002.

    Article  PubMed  Google Scholar 

  14. Farooq K, Lydall GJ, Malik A, Ndetei DM, ISOSCCIP Group, Bhugra D: Why medical students choose psychiatry—A 20 country cross-sectional survey. BMC Medical Education 14:12, 2014.

    Article  Google Scholar 

  15. Double DB: Financial implications of Calman changes in psychiatry. Psychiatric Bulletin 22:256, 1998.

    Article  Google Scholar 

  16. McCallum S, McGilvray L, Bennie P, Whyte S: Psychiatric training and the Calman reforms. Survey of 3rd year Senior House Officers. Psychiatrist 22:635–638, 1998.

    Google Scholar 

  17. Shah R: Medical staffing crisis in psychiatry (letter). Psychiatric Bulletin 22:641, 1998.

    Article  Google Scholar 

  18. Dean CE: Science, empathy and the disappearing resident. Journal of Clinical Psychiatry 57:178–179, 1996.

    CAS  PubMed  Google Scholar 

  19. Nielsen AC, and Eaton JS: Medical students’ attitudes about psychiatry. Implications for psychiatric recruitment. Archive of General Psychiatry 38:1144–1154, 1981.

    Article  Google Scholar 

  20. Perry S, CellaDF, Klar H, Simring S, Oldham J, Tardiff K: Medical students selecting psychiatric careers-a distinct breed. Journal of Psychiatric Education 12:177–181, 1988.

    Google Scholar 

  21. Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M: Physician empathy: Definition, components, measurement, and relationship to gender and specialty. American Journal of Psychiatry 159:1563–1569, 2002.

    Article  PubMed  Google Scholar 

  22. Goldacre MJ, Turner G, Fazel S and Lambert T: Career choices for psychiatry: national surveys of graduates of 1974–2000 from UK medical schools. The British Journal of Psychiatry 186:158–164, 2005.

    Article  PubMed  Google Scholar 

  23. McParland M, Noble LM, Livingston G, McManus C: The effect of a psychiatric attachment on students’ attitudes to and intention to pursue psychiatry as a career. Medical Education 37:447–454, 2003.

    Article  PubMed  Google Scholar 

  24. Kuzman MR, Lovrec P, Smoljan M, Kuzman T, Farooq K, Lydall G, et al.: Experience of psychiatry teaching at medical school influences Croatian medical students’ attitudes towards choosing psychiatry as a career. Psychiatria Danubina 25:188–193, 2013.

    PubMed  Google Scholar 

  25. Nielsen A: Choosing psychiatry: The importance of psychiatric education in medical school. American Journal of Psychiatry 137:428–431, 1980.

    Article  CAS  PubMed  Google Scholar 

  26. Ghadirian AM, Engelsman F: Medical students’ attitude towards psychiatry: 10-Year comparison. Medical Education 16:39–43, 1982.

    Article  CAS  PubMed  Google Scholar 

  27. Creed F, Goldberg D: Students’ attitude to psychiatry. Medical Education 21:227–234, 1987.

    Article  CAS  PubMed  Google Scholar 

  28. Pai BN, Vella SL: The importance of primary care psychiatry: An Australian perspective with global implications. Journal of Primary Care and Community Health 2:277–284, 2011.

    Article  PubMed  Google Scholar 

  29. Catthoor K, Hutsebaut J, Schrijvers D, De Hert M, Peuskens J, Sabbe B: Preliminary study of associative stigma among trainee psychiatrists in Flanders, Belgium. World Journal of Psychiatry 4:62–68, 2014.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Mahendran R, Lim HA, Verma S, Kua EH. The impact of the educational environment on career choice and attitudes toward psychiatry. Medical Teacher 19:1–4, 2015.

    Google Scholar 

  31. Wan X: Challenges for clinical medical education in China. Journal of Evidence-Based Medicine 6:19–20, 2013.

    Article  PubMed  Google Scholar 

  32. Mahendran R, Lim HA, Verma SK, Kua E: Attitudes to psychiatry can change but what about stigma? Annals of the Academy of Medicine 43:473–474, 2014.

    Google Scholar 

  33. Samimi M, Noroozi AR, Mottaghipour Y: The effect of psychiatric clerkship on fifth year medical students’ attitudes toward psychiatry and their intention to pursue psychiatry as a career. Iranian Journal of Psychiatry 1:98–103, 2006.

    Google Scholar 

  34. Syed EU, Siddiqi MN, Dogar I, Hamrani MM, Yousafzai AW, Zuberi S: Attitudes of Pakistani medical students towards psychiatry as a prospective career: A survey. Academic Psychiatry 32:160–164, 2008.

    Article  PubMed  Google Scholar 

  35. Shen Y, Dong H, Fan X, Zhang Z, Li L, Lv H, et al: What can the medical education do for eliminating stigma and discrimination associated with mental illness among future doctors? Effect of clerkship training on Chinese students’ attitudes. International Journal of Psychiatry in Medicine 47:241–254, 2014.

    Article  PubMed  Google Scholar 

  36. Feifel D, Moutier CY, Swerdlow NR: Attitudes toward psychiatry as a prospective career among students entering medical school. American Journal of Psychiatry 156:1397–1402, 1999.

    CAS  PubMed  Google Scholar 

  37. Adebowale TO, Adelufosi AO, Ogunwale A, Abayomi O, Ojo TM: The impact of a psychiatry clinical rotation on the attitude of Nigerian medical students to psychiatry. African Journal of Psychiatry 15:185–188, 2012.

    Article  CAS  PubMed  Google Scholar 

  38. Steele MM, Fisman S, Davidson B. Mentoring and role models in recruitment and retention: A study of junior medical faculty perceptions. Medical Teacher 35: e1130–e1138, 2013.

    Article  PubMed  Google Scholar 

  39. Lyons Z: Impact of the psychiatry clerkship on medical student attitudes towards psychiatry and to psychiatry as a career. Academic Psychiatry 38:35–42, 2014.

    Article  PubMed  Google Scholar 

  40. Bulbena A, Pailhez G, Coll J, Balon R: Changes in the attitudes towards psychiatry among Spanish medical students during training in psychiatry. European Journal of Psychiatry 19:79–87, 2005.

    Article  Google Scholar 

Download references

Authors’ contributions

Wei Wang carried out the study concept and design. Jiawei Zhong, Luna Zheng, Xiaoling Chen, Qianqian Gao, and Bingren Zhang participated in the acquisition of data. Jiawei Zhong, Luna Zheng, and Xiaoling Chen participated in the analysis and interpretation of data. Jiawei Zhong, Luna Zheng, Xiaoling Chen and Wei Wang wrote the draft of the manuscript. All authors read and approved the final manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wei Wang.

Ethics declarations

Funding

This study was funded by a Grant from the 2013 Exploratory Experiments of Public Health for Undergraduates of Zhejiang University to JZ.

Conflict of Interest

Regarding research work described in the paper, each one of our co-authors, JZ, LZ, XC, QG, BZ, and WW, declares that there is no competing interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhong, J., Zheng, L., Chen, X. et al. Influencing Factors on Choosing Psychiatry as a Career: An Exploration in Chinese University Students. Psychiatr Q 87, 739–748 (2016). https://doi.org/10.1007/s11126-016-9427-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-016-9427-1

Keywords

Navigation