Professionals’ Career Choice: An Integration of Expectancy Theory and Multiple Criteria Decision Making
Dr. Chih-Young Hung
|關鍵字:||期望理論;醫學系學生;Bland-Meurer模型;專科選擇;多準則決策;層級分析法;模糊理論;Expectancy Theory;Medical students;Bland-Meurer Model;Specialty choice;Analytic Hierarchy Process,;Multiple Criteria Decision Making;Fuzzy Theory|
|摘要:||近幾年台灣各大教學醫院面臨外科、婦產科與麻醉科等科別住院醫師招募不足的現象，醫學系學生是各科醫師人力的主要來源，醫學院畢業後的選科行為，會直接影響各科的人力配置。本研究目的有：1. 以期望理論為主要架構結合多準則決策建構醫學系學生專科選擇模型。2. 應用本研究建構的專科選擇模型探討醫學系高年級學生專科選擇偏好因素及專科志願排序。3. 瞭解專科選擇因素對專科選擇的影響。4. 模型實證研究結果可做為其他產業之專業人員職業選擇參考與應用。
Medical centers in Taiwan have found it difficult to recruit sufficient residents in the fields of surgery and gynecology/obstetrics over the last few years. The specialties that recruit insufficient residents currently will encounter a shortage of manpower in the future. In this research the Expectancy Theory and the Multiple Criteria Decision Making Method were employed to construct a 3-tier model for forecasting one’s professional selection. The first tier assessed three aspects and the second tier assessed fourteen criteria, targeting the “factors considered when selecting specialty”, ten specialties for selected were on the third tier. The purposes of this decision model are to explore senior medical students’ choices of specialties, to identify the relative weight among these determinants, to survey the objective ranking of choices of specialties and to be a reference for other industries to structure their personnel selecting model. On the first tier, the aspect of “personal preferences/work achievement” had the highest weight of 0.460, followed by “specialty characteristics” with 0.291 and the “specialty training process” with 0.249. Of the 14 criteria on the second tier, “personal intelligence/ability /preference” had the highest weight of 0.197, which was followed by “career opportunities” with 0.107 and “lifestyle after completion of training” with 0.094. Of the 10 specialties on the third tier, Internal Medicine got the highest performance value with 72.40, which was followed by Surgery with 72.20, Obstetrics and Gynecology with 65.67 and Pediatrics with 64.11. The top four ranking specialties were Internal, Surgery, Pediatrics and others. There existed a great discrepancy between of medical students and the current residency application status of the teaching hospitals. The new generation of medical doctors highly values the quality of lives. When faced with the ultimate career decision, they would choose the specialties that are less stressful and support better quality of life. An understanding of the present specialty preferences of the medical students can help us remedy the existing uneven distribution of specialists. By devising incentives such as a well-developed specialty training environment so that the young medical doctors can live up to their interests and talents, and have chances for further promotion we can entice medical students to go into the specialties that are currently lacking in manpower.The structure of the model generated in this study can be a reference for other industries to structure their personnel selecting model. However, it is advisable to modify the model according to the characteristics of the specific industry.
|Appears in Collections:||Thesis|