Introduction: Medical residency (MR) programs consist of medical education systems based on the healthcare network as a teaching place. The Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) is a referral center for several medical specialties and presents one of the largest MR programs in Brazil.
Objective: To assess the main reasons why residents choose a reference hospital to apply for a medical residency position.
Methods: Cross-sectional study performed with 165 medical residents of a reference hospital (IMIP) located in the Northeast region of Brazil between 2019 and 2020. Sociodemographic characteristics, medical formation, preparation for the residency exam, expectations regarding the program, and the reasons leading the residents to choose the IMIP were assessed.
Results: Most participants initiated the residency program 2 to 3 years after graduating the medical school. Most of the sample (78.8%) took preparation courses for the residency. The main expectations that led the residents to choose the IMIP were: the complexity of cases (81.2%), the number of patients (79.4%), technical quality of the preceptors (76.4%), prestige of the institution (75.1%), and preceptors’ motivation (57.6%).
Conclusion: Medical residents join residency programs based on expectations of medical practice scenarios that enable an adequate number of patients and quality preceptorship.

Keywords: internship, residency, specialization, motivation


中文翻译：

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在申请住院医师计划期间选择参考医院的原因：一项横断面研究

简介：医学住院医师（MR）计划由以医疗保健网络为教学场所的医学教育系统组成。Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) 是多个医学专业的转诊中心，是巴西最大的 MR 项目之一。
目的：评估居民选择参考医院申请住院医师职位的主要原因。
方法：2019 年至 2020 年间，对位于巴西东北部地区的一家参考医院 (IMIP) 的 165 名住院医师进行了横断面研究。社会人口学特征、医疗形成、住院医师考试的准备、对该计划的期望以及导致居民选择IMIP进行了评估。
结果：大多数参与者在医学院毕业后 2 至 3 年开始了住院医师计划。大多数样本（78.8%）参加了住院医师准备课程。导致居民选择IMIP的主要期望是：病例的复杂性（81.2%）、患者数量（79.4%）、导师的技术质量（76.4%）、机构的声望（75.1%）、和导师的动机（57.6%）。
结论：医疗居民根据对医疗实践场景的期望加入住院医师计划，以实现足够数量的患者和高质量的指导。

关键词：实习，住院医师，专业化，动机