Does community-based experience alter career preference? New evidence from a prospective longitudinal cohort study of undergraduate medical students

Howe, Amanda; Ives, Galen

doi:10.1046/j.1365-2923.2001.00866.x

Cited by 73 publications

(64 citation statements)

References 8 publications

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“…23 The impact on students' career choices at graduation varied across studies. Most interventions with a positive impact were clerkships in family medicine 22,26,30,31,39 or general practice, 19,32,34 as opposed to other types of clerkships (such as community placements). Only one study included a longterm outcome-8 years after a general practice placement, physicians' attitudes were still positively influenced-but this was unrelated to final career choices.…”

Section: Impact Of Interventions On Primary Care Specialty Choicementioning

confidence: 99%

Impact of Interventions to Increase the Proportion of Medical Students Choosing a Primary Care Career: A Systematic Review

et al. 2015

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BACKGROUND: Increasing the attractiveness of primary care careers is a key step in addressing the growing shortage of primary care physicians. The purpose of this review was to (1) identify interventions aimed at increasing the proportion of undergraduate medical students choosing a primary care specialty, (2) describe the characteristics of these interventions, (3) assess the quality of the studies, and (4) compare the findings to those of a previous literature review within a global context. METHODS: We searched MEDLINE, EMBASE, ERIC, CINAHL, PsycINFO, The Cochrane Library, and Dissertations & Theses A&I for articles published between 1993 and February 20, 2015. We included quantitative and qualitative studies reporting on primary care specialty choice outcomes of interventions in the undergraduate medical curriculum, without geographic restrictions. Data extracted included study characteristics, intervention details, and relevant outcomes. Studies were assessed for quality and strength of findings using a five-point scale. RESULTS: The review included 72 articles reporting on 66 different interventions. Longitudinal programs were the only intervention consistently associated with an increased proportion of students choosing primary care. Successful interventions were characterized by diverse teaching formats, student selection, and good-quality teaching. Study quality had not improved since recommendations were published in 1995. Many studies used cross-sectional designs and non-validated surveys, did not include control groups, and were not based on a theory or conceptual framework. DISCUSSION: Our review supports the value of longitudinal, multifaceted, primary care programs to increase the proportion of students choosing primary care specialties. Isolated modules or clerkships did not appear to be effective. Our results are in line with the conclusions from previous reviews and add an international perspective, but the evidence is limited by the overall low methodological quality of the included studies. Future research should use more rigorous evaluation methods and include long-term outcomes.

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Section: Impact Of Interventions On Primary Care Specialty Choicementioning

confidence: 99%

Impact of Interventions to Increase the Proportion of Medical Students Choosing a Primary Care Career: A Systematic Review

et al. 2015

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“…1 SAMJ Among factors that influence health professionals' career choices in favour of rural and under-served communities, the role of undergraduate and postgraduate training is assumed to be significant. [1][2][3] Selection criteria for entry to training, timing, duration, site and type of exposure to educational opportunities in rural and underserved areas during the undergraduate phase, and the availability of postgraduate programmes that support rural practitioners, all influence the decisions of health science graduates regarding their site of practice. 4 However, the extent of this influence has not been assessed in resource-constrained settings, and the applicability of international studies in South Africa has been questioned.…”

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confidence: 99%

Educational factors that influence the urban-rural distribution of health professionals in South Africa: A case-control study

2011

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“…Atualmente, há uma tendência mundial em descentralizar parcial ou totalmente a formação médica (35). Essa descentralização já se mostrou eficaz em influenciar na escolha futura do local de trabalho e no tipo de orientação na pós-graduação, aumentando a chance do profissional de ter uma orientação generalista e trabalhar fora de grandes centros urbanos (36,37).…”

Section: Formação Médica Em áReas Ruraisunclassified

Atenção primária à saúde: fundamentos para a prática

2016

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Does community-based experience alter career preference? New evidence from a prospective longitudinal cohort study of undergraduate medical students

Abstract: The findings support the hypothetical advantages of shifting medical education to primary care settings, both in encouraging a career in general practice and in the retention of appropriate professional attitudes.

Cited by 73 publications

References 8 publications

Impact of Interventions to Increase the Proportion of Medical Students Choosing a Primary Care Career: A Systematic Review

Impact of Interventions to Increase the Proportion of Medical Students Choosing a Primary Care Career: A Systematic Review

Educational factors that influence the urban-rural distribution of health professionals in South Africa: A case-control study

Atenção primária à saúde: fundamentos para a prática

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