Factors associated with choosing Nephrology as a subspecialty by Internal Medicine Residents in Nigeria
Keywords:
career decisions, education, nephrology, training, NigeriaAbstract
Background: There is a projected shortage of kidney specialists in Nigeria and there is need to train more residents in nephrology to meet the need of the teaming population of patients with chronic kidney Disease. The study identify factors affecting the choice of Nephrology among resident doctors in selected training institutions in Nigeria.
Methods: This cross-sectional study was conducted among the resident doctors in Internal Medicine in four randomly selected training institutions across the northern and southern parts of Nigeria. We developed a self-administered questionnaire in the English language after a thorough review of relevant literature. Data were gathered through the two-part questionnaire. In the first part, demography, gender, age, marital status, and level of training were documented and the second section included 24 questions about factors that influence the residents' choice of subspecialty.
Results: A total of 78 respondents were interviewed. The mean age of the respondent was 33.52 ± 3.52. A higher proportion of the respondents were males (70.5%), 56.4% were senior registrars with the mean residency year of 3.46 ± 2.00. A total of 52.6% never had interested in nephrology as a career choice while of 47.4% that showed interest in nephrology, only 11.5% are currently in Nephrology. Most of those who had interest in Nephrology changed their mind along the line and are now registrars or senior registrars in other subspecialty. The most common factors identified were advice from other mentors or senior consultants (80.8%), outcome of most patients with renal condition (79.5%) and positive role model in nephrology medicine (76.9%). The least identified factors were prestige and respect accorded a nephrologist (35.9%) and societal expectation, peer encouragement and family's expectations (42.3%).
Conclusion: There is an urgent need to address factors that affects the choice of Nephrology. Effective steps towards addressing these factors may go a long way in improving the internal medicine residents' choice of Nephrology as a career in the near future.
References
Alebiosu CO, Ayodele OE. The global burden of chronic kidney disease and the way forward. Ethn Dis. 2005;15:418–23.
Levey AS, Atkins R, Coresh J, Cohen EP, Collins AJ, Eckardt KU, et al. Chronic kidney disease as a global public health problem: Approaches and initiatives - A position statement from Kidney Disease Improving Global Outcomes. Kidney Int. 2007;72:247–59.
Ulasi II, Ijoma CK. The enormity of chronic kidney disease in Nigeria: The situation in a teaching hospital in South-East Nigeria. J Trop Med. 2010;2010:501957.
Ijoma CK, Ulasi II, Kalu AO. Cost implications of treatment of end-stage renal disease in Nigeria. J Coll Med. 1998;3:95–6.
Nephrology Association of Nigeria. 30th annual scientific conference and general meeting, Ilorin, t h e K w a r a , 2 0 1 8 .
https://www.dailytrust.com.ng/3-in-10Nigerian-adults-have-kidney-disease-saysnephrologists.html Assessed Feb 13, 2018, 4:55
PM
Daniels MN, Maynard S, Porter I, Kincaid H, Jain D, Aslam N (2017). Career interest and perceptions of Nephrology: A repeated crosssectional survey of internal medicine residents.
P L o S O N E 1 2 ( 2 ) : e 0 1 7 2 1 6 7 . doi:10.1371/journal. pone.0172167.
National Resident Matching Program Specialties Matching Services Historical Reports, www.nrmp.org/ match-data/nrmp-historicalreports/, accessed 7/1/2016.
Parker MG, Ibrahim T, Shaffer R, Rosner MH, Molitoris BA. The future nephrology workforce: will there be one? Clin J Am Soc Nephrol. 2011; 6:1501–1506.
Parker MG, Pivert KA, Ibrahim T, Molitoris BA. Recruiting the next generation of nephrologists. Adv Chronic Kidney Dis. 2013; 20:326–335.
Adams ND. Attracting more residents into nephrology. Clin J Am Soc Nephrol. 2012; 7:1382–1384.
Parker MG, Ibrahim T, Shaffer R, Rosner MH, Molitoris BA: the future nephrology workforce: Will there be one? Clin J Am Soc Nephrol 6: 1501–1506, 2011
Rosner M, Parker M, Kohan D: Nephrology as a career choice: A survey of medical students [Abstract]. J AmSocNephrol 20: 767A: SAPO2867, 2009
Kohan DE: Training the next generation of nephrologists. Clin J Am Soc Nephrol 6: 2564–2566, 2011.
Estimating workforce and training requirements for nephrologists through the year 2010. Ad Hoc Committee on Nephrology Manpower Needs. J Am Soc Nephrol 8[Suppl 9]: S9–13, i–xxii, 1–32
Lorin S, Heffner J, Carson S. Attitudes and perceptions of IM residents regarding pulmonary and critical care subspecialty training. Chest. 2005; 127:630–6.
Horn L, Tzanetos K, Thorpe K, Straus SE. Factors associated with the subspecialty choices of IM residents in Canada. BMC Med Educ. 2008; 8:37
Cohn DE, Roney JD, O'Malley DM, Valmadre S. Residents' perspectives on surgical training and the resident-fellow relationship: comparing residency programs with and without gynaecological oncology fellowships. Int J Gynecol Cancer. 2008; 18:199–204.
Sierles FS, Taylor MA. Decline of United States medical student career choice of psychiatry and what to do about it. Am J Psychiatry. 1995;152:1416–26.
Jhaveri KD, Sparks MA, Shah HH, et al. Why not nephrology? A survey of US IM subspecialty fellows. Am J of Kidney Dis. 2013; 61:540–6.
Parker MG, Ibrahim T, Shaffer R, Rosner MH, Molitoris BA. The future nephrology workforce: will there be one? Clin J Am Soc Nephrol. 2011; 6:15y01–1506.
Yousef K, Dema A, Zouhair A, Ahmad A,
Mohammad K, Samar B, Khalid El S, Mousa O Factors affecting medical students in formulating their speciality preferences in Jordan. BMC Med. Edu. 2008; 8:32.
Hoenig MP Share your passion for nephrology: ten tips to invigorate attending rounds and precepting sessions. Amer J Kidney Dis. 2015; 66:28–32.
Jhaveri KD, Sparks MA, Shah HH. Novel educational approaches to enhance learning and interest in nephrology. Adv Chronic Kidney Dis. 2013; 20: 336–346.
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