Medical career choice and practice location: early factors predicting course completion, career choice and practice location

Ward, Alison; Kamien, Max; Lopez, Derrick

doi:10.1046/j.1365-2923.2004.01762.x

Cited by 71 publications

(87 citation statements)

References 30 publications

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“…Generally, there seems to be little existing evidence of significant associations between parents' educational level and dropout in either Danish university education or international medical education. 1,[11][12][13][14][15] We found that having a doctor-parent did not significantly protect against dropout (OR = 0.51; p = 0.129) in a multivariate model (Table 3). Previous research on the doctor-parent variable as a predictor of dropout in large UK cohorts also showed conflicting results.…”

Section: Social Backgroundmentioning

confidence: 88%

Medical school dropout - testing at admission versus selection by highest grades as predictors

et al. 2011

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CONTEXT Very few studies have reported on the effect of admission tests on medical school dropout. The main aim of this study was to evaluate the predictive validity of non-gradebased admission testing versus grade-based admission relative to subsequent dropout.METHODS This prospective cohort study followed six cohorts of medical students admitted to the medical school at the University of Southern Denmark during 2002-2007 (n = 1544). Half of the students were admitted based on their prior achievement of highest grades (Strategy 1) and the other half took a composite non-grade-based admission test (Strategy 2). Educational as well as social predictor variables (doctor-parent, origin, parenthood, parents living together, parent on benefit, university-educated parents) were also examined. The outcome of interest was students' dropout status at 2 years after admission. Multivariate logistic regression analysis was used to model dropout.RESULTS Strategy 2 (admission test) students had a lower relative risk for dropping out of medical school within 2 years of admission (odds ratio 0.56, 95% confidence interval 0.39-0.80). Only the admission strategy, the type of qualifying examination and the priority given to the programme on the national application forms contributed significantly to the dropout model. Social variables did not predict dropout and neither did Strategy 2 admission test scores.CONCLUSIONS Selection by admission testing appeared to have an independent, protective effect on dropout in this setting.

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Section: Social Backgroundmentioning

confidence: 88%

Medical school dropout - testing at admission versus selection by highest grades as predictors

et al. 2011

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“…For rural physicians, the only consistent finding is that a rural upbringing is associated with the decision to practice in a rural area. [1][2][3] Previous residence in a rural area was also the primary factor associated with rural pharmacy practice in Australia. 4 Conflicting reports exist on the influence of rural educational experiences on rural career choice.…”

Section: Introductionmentioning

confidence: 99%

“…1,3,[5][6][7] Demographic and other personal characteristics are generally not predictive of rural practice. 1,2 Not all pharmacy graduates with a rural background will choose to work in a rural area upon completion of their education. In British Columbia, migration of young adults with university degrees from rural to urban areas has been demonstrated.…”

Section: Introductionmentioning

confidence: 99%

Job Location Decisions of Pharmacy Graduates in British Columbia

Pearson

Andres

2010

American Journal of Pharmaceutical Education

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Objectives. To determine the factors influencing pharmacy graduates' selection of their first professional job location. Methods. A survey was conducted of the 2007 graduating class of the University of British Columbia, examining hometown location, community and workplace factors, personal relationships, financial factors, and leisure activities. Responses were analyzed to determine whether community size or demographic characteristics affected the degree to which each factor influenced the job location decision.Results. The majority of graduates moved from their hometowns to larger communities, mainly to the largest city in British Columbia. Most of those taking jobs in rural and remote communities grew up in or near those communities, and were more influenced by community size and anticipated working conditions, and less influenced by access to cultural and social activities, than their urban counterparts. Conclusions. The admission of students from rural and remote communities is modestly effective in ensuring a supply of pharmacists for these areas.

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“…Au début des années 90, Beaudoin et al [11] avaient élaboré et validé un questionnaire (trois échelles, 13 items) qui ne visait pas tant à prédire les choix de carrière qu'à évaluer les différences dans les orientations des médecins à l'égard de divers aspects des soins, intégrés selon les caractéristiques de leur formation (résidence ou internat). En 2004, Ward et al [12] ont utilisé le questionnaire Attitudes to Social Issues in Medicine (ATSIM) [13] pour déceler les facteurs précoces pré-dictifs des choix de carrière. Ce questionnaire, qui comporte 63 items, ne mesure cependant que les attitudes à l'égard des dimensions sociales des soins comme prédicteurs des choix de carrière.…”

Section: Introductionunclassified

Validité et fidélité de la version française d’un questionnaire portant sur le choix de carrière des étudiants en médecine

et al. 2010

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Résumé -Contexte : La diminution constante, dans tous les pays industrialisés, du nombre d'étudiants en médecine qui optent pour une carrière en médecine générale suscite un intérêt marqué pour la compréhension des facteurs qui influent sur ces choix. Peu d'études s'appuient sur des instruments validés. La disponibilité de tels instruments en français est inexistante. But : Évaluer la fidélité d'une traduction française du questionnaire validé de Wright et al., conçu pour mesurer les facteurs associés aux choix de carrière des étudiants en médecine. Sujets/matériel/méthodes : Après une étape de traduction/retraduction, cent soixante-neuf étudiants terminant leur premier cycle d'études dans les quatre facultés de médecine de la province de Québec ont complété une version Web du questionnaire français. Des analyses factorielles de même que des analyses de régression logistique ont été employées pour éva-luer la validité conceptuelle et prédictive de la version française produite. Résultats : La résolution factorielle obtenue lors de l'analyse exploratoire différait légèrement de celle des auteurs de la version originale du questionnaire quant au nombre de facteurs et leur composition. Les différences observées peuvent être imputées à la surreprésentation d'étudiants ayant opté pour la médecine familiale dans notre échantillon. La résolution factorielle exploratoire et celle obtenue en contraignant la résolution factorielle de la version originale expliquent une proportion identique de la variance du choix de carrière de nos participants, soit 50 %. Conclusion : Notre traduction française du questionnaire de Wright est aussi valide et fiable que la version originale et peut être utilisée dans le cadre d'études visant des étudiants francophones.Article publié par EDP Sciences Keywords:Medical students; career choice; family medicine; general medicine; questionnaire validation Abstract -Context: The steady decline in the number of medical students choosing a career in general medicine has been observed in all industrialized countries. There is significant interest in understanding the factors that influence these choices. Few studies are based on validated instruments and no such instrument is available in French. Objective: To evaluate the reliability of the French version of a validated questionnaire designed to assess the factors associated with medical students' career choices. Participants/material/methods: Following the translation and retranslation of Wright et al.'s questionnaire, one hundred and sixty-nine medical students completing their undergraduate medical program in the four Quebec faculties of medicine completed a Web-based French version of the questionnaire. Factor analyses and logistic regressions were used to assess construct and predictive validity of the French version. Results: The exploratory factor analysis produced a factor solution slightly different from that of the authors of the original questionnaire in terms of number of factors and factor structure. These differences can be attribute...

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Medical career choice and practice location: early factors predicting course completion, career choice and practice location

Cited by 71 publications

References 30 publications

Medical school dropout - testing at admission versus selection by highest grades as predictors

Medical school dropout - testing at admission versus selection by highest grades as predictors

Job Location Decisions of Pharmacy Graduates in British Columbia

Validité et fidélité de la version française d’un questionnaire portant sur le choix de carrière des étudiants en médecine

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