Comparison of Changes in Speciality Choices and Future Career Plans between Public and Private Medical Students Over Five Years of Medical Studies.

This study aimed to compare medical students' satisfaction with their choice of the medical field in their fifth year to their first year of MBBS and to compare speciality choices and career plans between public and private medical students. It was an online survey conducted from December 2020 to April 2021. Two consecutive classes of final-year medical students from five medical schools (2 public and 3 private) were included. They were asked about their satisfaction with the medical profession, intentions to practice abroad, intended speciality, and career plans in the final year and the first year of medical school via a 24-item semi-structured pre-piloted questionnaire. Of 468 responses (34.41% response rate), 331 (70.7%) were females. There was a significant change (p = 0.002) in the intention of students to practice abroad, however, no significant change (p=0.11) in their satisfaction with the medical profession was observed. Key Words: Career choices, Medical students, Medical schools, Personal satisfaction, Pakistan.

Knowledge, attitudes and practices of parents regarding antibiotic use in children.

BACKGROUND: Emerging resistance to antimicrobial chemotherapy is becoming a challenge for medicine in recent times. Un-prescribed use of antibiotics is a major contributor to development of this problem. In Pakistan access to antibiotics remains unchecked and hence results in it are over use. The aim of this study was to assess knowledge of parents regarding use of antibiotics, its associated problems, their source of information and their expectations from Paediatricians for prescription of anti-biotics. METHODS: This is a questionnaire based cross sectional study conducted in Hayatabad town, District Peshawar. Parents who were consenting, had children aged between 0-16 years, and were not related to medical profession were included in study. Total number of participants interviewed was 400. Analysis was done using prevalence ratios. RESULTS: Most of the participants were mothers. Majority of respondents were literate with education up till level of Graduation. 64% mentioned that they enjoyed a good access to healthcare. Most common source for use of antibiotics was Physician. 35% mentioned that antibiotics must be administered in any case of fever, 47% thought antibiotics to increase recovery time and 51% knew that antibiotics have their own side effect. The most common reason to administer un-prescribed antibiotics was same antibiotic being prescribed by a physician earlier followed by family member or pharmacist recommending use of antibiotic. Lack of resources was denied as a reason for self-administration of antibiotics by majority of parents. CONCLUSION: There is a need of intervention to increase awareness regarding judicious use of antibiotics and to check un-prescribed dispensing of antibiotics.

'Student Lady Health Visitors': their stress profile and willingness to practice.

BACKGROUND: Lack of Reproductive health facilities including high maternal and neonatal mortality is a major problem of our region. Skilled healthcare providers like Lady Health Visitors can play a significant role in improving parameters of reproductive healthcare. The objectives of this study were to assess stress profiles in student lady health visitors and their willingness to practice in future. METHODS: Cross sectional survey conducted at two public health schools in District Peshawar with student Lady Health Visitors as study participants. RESULTS: Majority (64.4%) of respondents were satisfied with their choice of career, 78% thought they had adequate knowledge to practice independently, 47.7% thought that their life in this profession will be stressful. Most of them were facing financial difficulties during their course, 84.8% enjoyed support of their family in choice of career, 50-82% reported psychosomatic problems arising as result of stress in their lives. CONCLUSION: Most of the respondents were happy with their choice of profession and were willing to practice in future. High prevalence of stress in lives of respondents warrants counselling services by institutions.