생물정신의학 (Korean Journal of Biological Psychiatry)

  • 제19권4호
  • /
  • Pages.199-204
  • /
  • 2012
  • /
  • 1225-8709(pISSN)
  • /
  • 2005-7571(eISSN)
대한생물정신의학회 (The Korean Society of Biological Psychiatry)
권호 표지

기질 및 성격 특성이 의과대학 학생의 관심 전공 선택에 미치는 영향

Effects of Temperament and Character on the Specialty Interests of Medical Students

  • 김인향 (서울대학교 의과대학 정신과학교실) ;
  • 고은 (서울대학교 인문대학 인지과학협동과정) ;
  • 김은정 (이화여자대학교 뇌인지과학과) ;
  • 반순현 (이화여자대학교 뇌인지과학과) ;
  • 정지영 (르네스 병원 정신건강의학과) ;
  • 이선혜 (서울대학교병원 의생명연구원) ;
  • 류인균 (서울대학교 의과대학 정신과학교실) ;
  • 이정현 (서울대학교 의과대학 정신과학교실)
  • Kim, In Hyang (Department of Psychiatry, Seoul National University College of Medicine) ;
  • Ko, Eun (Interdisciplinary Program in Cognitive Science, Seoul National University College of Humanities) ;
  • Kim, Eun Jung (Department of Brain and Cognitive Sciences, Ewha Womans University) ;
  • Ban, Soon Hyun (Department of Brain and Cognitive Sciences, Ewha Womans University) ;
  • Jung, Jiyoung J. (Department of Psychiatry, Renaiss Hospital) ;
  • Lee, Sun Hea (Biomedical Research Institute, Seoul National University Hospital) ;
  • Lyoo, In Kyoon (Department of Psychiatry, Seoul National University College of Medicine) ;
  • Lee, Junghyun H. (Department of Psychiatry, Seoul National University College of Medicine)
  • 투고 : 2012.08.27
  • 심사 : 2012.09.07
  • 발행 : 2012.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives In the previous studies, it has been suggested that temperament and character may affect specialty choice in medical students. The aim of this study is to investigate the effects of temperament and character on specialty interests in medical students. Methods A total 132 third-year medical students initially participated in this study. Among these participants, 128 students had filled out both demographic and Temperament and Character Inventory (TCI) questionnaires. Socio-demographic data, specialty interests and Cloninger's TCI scores were obtained. The specialty interests were categorized into surgical, medical and other departments. Results Among 128 students, 88 (68.7%), 29 (22.7%) and 22 (8.6%) students chose medical, surgical and other departments, respectively. Students choosing surgery departments showed lower Harm Avoidance scores (F = 4.39, df = 1, p = 0.04) and higher Self-Directedness scores (F = 4.30, df = 1, p = 0.04) than those who chose medical departments. There was no significant differences in Novelty Seeking, Reward dependence, Persistence, Cooperativeness, Self-Transcendence scores between groups. Conclusions To the best of our knowledge, this is the first study that has demonstrated the relationship between TCI scores and specialty interests of medical students in Korea. The current study suggests that temperament and character influence specialty interests in medical students. These findings could have implications for medical education research and career counseling.

키워드

참고문헌

  1. Kassebaum DG, Szenas PL. Factors influencing the specialty choices of 1993 medical school graduates. Acad Med 1994;69:163-170. https://doi.org/10.1097/00001888-199402000-00027
  2. Kassebaum DG, Szenas PL. Specialty intentions of 1995 U.S. medical school graduates and patterns of generalist career choice and decision making. Acad Med 1995;70:1152-1157. https://doi.org/10.1097/00001888-199512000-00024
  3. Kassebaum DG, Szenas PL, Schuchert MK. Determinants of the generalist career intentions of 1995 graduating medical students. Acad Med 1996;71:198-209. https://doi.org/10.1097/00001888-199602000-00030
  4. Martini CJ, Veloski JJ, Barzansky B, Xu G, Fields SK. Medical school and student characteristics that influence choosing a generalist career. JAMA 1994;272:661-668. https://doi.org/10.1001/jama.1994.03520090025014
  5. Mowbray RM, Davies B. Personality factors in choice of medical specialty. Br J Med Educ 1971;5:110-117. https://doi.org/10.1111/j.1365-2923.1971.tb02013.x
  6. Rosenthal MP, Turner TN, Diamond J, Rabinowitz HK. Income expectations of first-year students at Jefferson Medical College as a predictor of family practice specialty choice. Acad Med 1992;67:328-331. https://doi.org/10.1097/00001888-199205000-00012
  7. Sierles FS, Taylor MA. Decline of U.S. medical student career choice of psychiatry and what to do about it. Am J Psychiatry 1995;152:1416-1426. https://doi.org/10.1176/ajp.152.10.1416
  8. Coombs RH, Fawzy FI, Daniels ML. Surgeons' personalities: the influence of medical school. Med Educ 1993;27:337-343. https://doi.org/10.1111/j.1365-2923.1993.tb00278.x
  9. Friedman CP, Slatt LM. New results relating the Myers-Briggs Type Indicator and medical specialty choice. J Med Educ 1988;63:325-327.
  10. Gorenflo DW, Ruffin MT 4th, Sheets KJ. A multivariate model for specialty preference by medical students. J Fam Pract 1994;39:570-576.
  11. Hojat M, Zuckerman M. Personality and specialty interest in medical students. Med Teach 2008;30:400-406. https://doi.org/10.1080/01421590802043835
  12. Kluger MT, Laidlaw TM, Kruger N, Harrison MJ. Personality traits of anaesthetists and physicians: an evaluation using the Cloninger Temperament and Character Inventory (TCI-125). Anaesthesia 1999;54:926-935. https://doi.org/10.1046/j.1365-2044.1999.01112.x
  13. Markert RJ, Rodenhauser P, El-Baghdadi MM, Juskaite K, Hillel AT, Maron BA. Personality as a prognostic factor for specialty choice: a prospective study of 4 medical school classes. Medscape J Med 2008;10:49.
  14. Schwartz RW, Barclay JR, Harrell PL, Murphy AE, Jarecky RK, Donnelly MB. Defining the surgical personality: a preliminary study. Surgery 1994;115:62-68.
  15. Stilwell NA, Wallick MM, Thal SE, Burleson JA. Myers-Briggs type and medical specialty choice: a new look at an old question. Teach Learn Med 2000;12:14-20. https://doi.org/10.1207/S15328015TLM1201_3
  16. Vaidya NA, Sierles FS, Raida MD, Fakhoury FJ, Przybeck TR, Cloninger CR. Relationship between specialty choice and medical student temperament and character assessed with Cloninger Inventory. Teach Learn Med 2004;16:150-156. https://doi.org/10.1207/s15328015tlm1602_6
  17. Wasserman E, Yufit RI, Pollack GH. Medical specialty choice and personality. II. Outcome and postgraduate follow-up results. Arch Gen Psychiatry 1969;21:529-535. https://doi.org/10.1001/archpsyc.1969.01740230017003
  18. Yufit RI, Pollock GH, Wasserman E. Medical specialty choice and personality. I. Initial results and predictions. Arch Gen Psychiatry 1969;20:89-99. https://doi.org/10.1001/archpsyc.1969.01740130091009
  19. Zeldow PB, Devens M, Daugherty SR. Do person-oriented medical students choose person-oriented specialties? Do technology-oriented medical students avoid person-oriented specialties? Acad Med 1990;65(9 Suppl):S45-S46.
  20. Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry 1993;50:975-990. https://doi.org/10.1001/archpsyc.1993.01820240059008
  21. Cloninger CR, Svrakic NM, Svrakic DM. Role of personality self-organization in development of mental order and disorder. Dev Psychopathol 1997;9:881-906. https://doi.org/10.1017/S095457949700148X
  22. Svrakic DM, Whitehead C, Przybeck TR, Cloninger CR. Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Arch Gen Psychiatry 1993;50:991-999. https://doi.org/10.1001/archpsyc.1993.01820240075009
  23. Sung HM, Kim JB, Park YN, Bai DS, Lee SH, Ahn HN. A study on the reliability and the validity of Korean version of the Beck Depression Inventory-II (BDI-II). J Korean Soc Biol Ther Psychiatry 2008;14:201-212.
  24. Sung SM, Kim JH, Yang E, Abrams KY, Lyoo IK. Reliability and validity of the Korean version of the Temperament and Character Inventory. Compr Psychiatry 2002;43:235-243. https://doi.org/10.1053/comp.2002.30794
  25. Kim ZS, Yook SP. A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient. Korean J Clin Psychol 1997;16:185-197.
  26. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio: Psychological Corporation;1996.
  27. Corbiere M, Bonneville-Roussy A, Franche RL, Coutu MF, Choiniere M, Durand MJ, et al. Further validation of the BDI-II among people with chronic pain originating from musculoskeletal disorders. Clin J Pain 2011;27:62-69. https://doi.org/10.1097/AJP.0b013e3181eef903
  28. Andriushchenko AV, Drobizhev MIu, Dobrovol'skii AV. [A comparative validation of the scale CES-D, BDI, and HADS(d) in diagnosis of depressive disorders in general practice]. Zh Nevrol Psikhiatr Im S S Korsakova 2003;103:11-18.
  29. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56:893-897. https://doi.org/10.1037/0022-006X.56.6.893
  30. Cloninger CR, Svrakic DM. Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry 1997;60:120-141. https://doi.org/10.1080/00332747.1997.11024793
  31. Zeldow PB, Daugherty SR. Personality profiles and specialty choices of students from two medical school classes. Acad Med 1991;66:283-287. https://doi.org/10.1097/00001888-199105000-00012
  32. Jung HY, Han SH, Choi EJ, Kim DW. Defense mechanisms in the specialty choice of medical students. J Korean Neuropsychiatr Assoc 1999;38:1412-1420.
  33. Shin AY, Lee YS, Chae JH. A relationship between 2nd to 4th digit length ratio and aggression related-sports entries characteristics in remale athletics of Korean national teams. Korean J Biol Psychiatry 2010;17:37-43.
  34. Kim HJ, Lee WK, Kim S, Lee SB, Park JW, Lee YS. The relationship between 2nd Digit/4th digit ratio and empathy, aggression, and sex role in college students. J Korean Neuropsychiatr Assoc 2010;49:210-216.
  35. Jeon SW, Kim SH, Oh DH, Lee YS, Lee SH. The correlation between 2nd to 4th digit length ratio and characteristics of temperament and character in university students. Korean J Biol Psychiatry 2010;17:136-144.
  36. Jeun JE, Lee SJ, Lee BD, Lee JJ, Bae GY, Rim HD. The comparison of psychological characteristics between undergraduate and graduate medical students. J Korean Neuropsychiatr Assoc 2009;48:374-380.
  37. Shin EY, Jung HY, Lee SI, Kim SG, Park JH. Eight years of follow-up study with regard to defense mechanisms in medical students. J Korean Neuropsychiatr Assoc 2010;49:332-338.