A systematic analysis of how medical school characteristics relate to graduatesʼ choices of primary care specialties

Senf, Janet H.; Campos‐Outcalt, Doug; Watkins, Angela; Bastacky, Stanford; Killian, Charles D.

doi:10.1097/00001888-199706000-00020

Cited by 56 publications

(55 citation statements)

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“…Research funding has not been found to relate to choice of family practice 23,27 Based on this somewhat limited body of research, it seems that research funding is not directly related to production of primary care graduates and, as suggested by Bland et al, 9 most probably influences the characteristics and values of the faculty attracted to the school who in turn influence the attitudes of the students who are taught by them.…”

Section: School Research Fundingmentioning

confidence: 99%

“…Two studies have found that more primary care faculty on admissions committees 27 and an admission preference for generalists were not related to increased numbers of family medicine graduates. 23 Although these findings are counterintuitive, these data suggest that admissions policies or committees that favor generalism do not have an impact on the production of family physicians.…”

Section: Admission Policiesmentioning

confidence: 99%

“…In a study using medical schools as the unit of analysis, Senf et al 27 found that percentage of students interested in family medicine at matriculation was the most powerful predictor of the estimated number of students in a family medicine practice 6 years later, although the proportion of students interested in family medicine did increase over the course of medical school at three fourths of US medical schools.…”

Section: Career Intentions On Entry To Medical Schoolmentioning

confidence: 99%

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Factors Related to the Choice of Family Medicine: A Reassessment and Literature Review

Senf

Campos‐Outcalt

Kutob

2003

The Journal of the American Board of Family Medicine

209

159

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Background: Recent decreases in the number of students entering family medicine has prompted reconsideration of what is known about the factors affecting specialty choice.Methods: Thirty-six articles on family medicine specialty choice published since 1993 were reviewed and rated for quality.Results: Rural background related positively and parents' socioeconomic status relates negatively to choice of family medicine. Career intentions at entry to medical school predict specialty choice. Students who believe primary care is important, have low income expectations, and do not plan a research career are more likely to choose family medicine. The school characteristic related to choice of family medicine is public ownership. Large programs to increase numbers entering primary care seem effective. Required family medicine time in clinical years is related to higher numbers selecting family medicine.

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Section: School Research Fundingmentioning

confidence: 99%

Section: Admission Policiesmentioning

confidence: 99%

Section: Career Intentions On Entry To Medical Schoolmentioning

confidence: 99%

See 1 more Smart Citation

Factors Related to the Choice of Family Medicine: A Reassessment and Literature Review

Senf

Campos‐Outcalt

Kutob

2003

The Journal of the American Board of Family Medicine

209

159

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“…Age is a variable that varies considerably among medical students in various countries, along with the percentage of married students; these factors are closely correlated (Senf et al, 1997;Hauer et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Determinants of the Medical Speciality Choice of Residents at University Hospital

Melo¹,

Lopes²,

Monteiro³

et al. 2017

MedEdPublish

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Choosing a medical specialty involves multifactorial components and is personally and socially important, determining professional performance and satisfaction. This cross-sectional study aimed to analyze the factors related to the choice of medical specialty of residents at University Hospital of the Federal University of Piauí (HU-UFPI) from 2014 to 2016. We used electronic questionnaire to evaluate the residents. Residents who either refused to participate of the survey or dropped out of medical residency were excluded. 86 questionnaires were sent. The response rate was 73.2%. According to the survey 74.6% were single at admission to medical residency; 87.1% were childless; 55.6% were 25-30 years old when started their residency. 60.3% of the residents chose HU-UFPI medical residency program due to the quality of education offered by the institution. Such factors may explain differences in medical specialty distribution and how those choices affect healthcare dynamics. The main domain of reasons that influenced the choice of medical specialty was "preference and personal identification". The least influential domain in the choice of medical residency was "educational system. Thus, multiple factors affect medical residents' choice of specialty. Such factors may be used to understand differences in medical specialty distribution and how those choices affect healthcare dynamics.Keywords: medical education, medical residency, medical specialty IntroductionThe choice of medical specialty involves multifactorial components and is personally and socially important, determining professional performance and satisfaction. The factors analyzed in this choice include variables intrinsic and extrinsic to the physician (Sousa, 2014).Conditions related to student life, that is, relating to the academic period, and not only to the student's professional skills and preferences, are among these factors (Wright et al, 2004;Takeda et al, 2013).New trends in the choice of medical specialty have been observed worldwide, with declines in the choice of some medical specialties and increases in others. Several factors account for this variation, including controllable lifestyle, compensation, study time, educator models and others (Sousa, 2014;Cooper, 2016).Controllable lifestyle specialties include the following: anesthesiology, dermatology, neurology, ophthalmology, otorhinolaryngology, pathology, psychiatry, radiology and medical emergency. These specialties have been increasingly chosen by medical students, as shown since 1989 (Wright et al, 2004). Conversely, non-controllable lifestyle specialties, including gynecology and obstetrics, pediatrics, internal medicine, general surgery, orthopedics and urology, have been increasingly chosen over controllable lifestyle specialties (Starfield et al, 2005;Knox et al, 2008; Xu, 2015;Saigal et al, 2013). This trend has been sustained in recent decades.Most non-controllable lifestyle specialties compose the primary level of healthcare (gynecology and obstetrics, family medicine, in...

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“…Cabe realçar os efeitos potenciais da escola médica -na confirmação ou eliminação da preferência inicial e inclusão de preferência nova -, conforme descrito em vários estudos [6][7][8][9] . As influências abrangem múltiplos aspectos da ambiência institucional, incluindo cenários de formação, currículo e recursos humanos.…”

Section: Introductionunclassified

Escolha de ginecologia e obstetrícia por graduandos da Universidade de Brasília: um estudo de influências numa série histórica

Sobral

Wanderley

2008

Rev. bras. educ. med.

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A systematic analysis of how medical school characteristics relate to graduatesʼ choices of primary care specialties

Abstract: The results suggest that the most effective way to increase the number of physicians with generalist practices is to increase the number of students interested in a family medicine career at matriculation.

Cited by 56 publications

References 0 publications

Factors Related to the Choice of Family Medicine: A Reassessment and Literature Review

Factors Related to the Choice of Family Medicine: A Reassessment and Literature Review

Determinants of the Medical Speciality Choice of Residents at University Hospital

Escolha de ginecologia e obstetrícia por graduandos da Universidade de Brasília: um estudo de influências numa série histórica

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