Reasons geriatrics fellows choose geriatrics as a career, and implications for workforce recruitment

Blachman, Nina L.; Blaum, Caroline S.; Zabar, Sondra

doi:10.1080/02701960.2019.1604341

Cited by 22 publications

(21 citation statements)

References 10 publications

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“…11 Studies of other specialties, particularly infectious disease and geriatrics, also have found the importance of early exposure. 12,13 Early exposure to nephrology role models and mentors is also very important. In our study, only three residents reported a role model or mentor in nephrology.…”

Section: Discussionmentioning

confidence: 99%

Internal Medicine Residents’ Perceptions of Nephrology as a Career: A Focus Group Study

et al. 2020

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BackgroundInterest in nephrology as a career has declined dramatically over the past several years. Only 62% of nephrology fellowship positions are filled for the upcoming 2020 appointment year. The purpose of this study was to identify perceptions, attitudes, motivators, and barriers to a career in nephrology among internal medicine residents.MethodsWe recruited focus groups of internal medicine residents (N=25) from the University of Colorado, and asked questions aimed at exploring perceptions, attitudes, and barriers to a career in nephrology, and ways to increase interest in nephrology. All focus groups were conducted on the University of Colorado Denver Anschutz Medical Campus. Focus group sessions were recorded and transcribed. Thematic analysis was used to identify key concepts and themes.ResultsResidents described many barriers to a career in nephrology, including lack of exposure, lack of advances in the field, low monetary compensation, high complexity, lack of role models/mentors, and low-prestige/noncompetitive nature of the field. Most residents had no exposure to outpatient nephrology. Lack of new therapeutics was a significant deterrent to nephrology. Nephrology teaching in medical school was described as not clinically relevant and too complicated. Several residents felt they were not smart enough for nephrology. Only three residents had a role model within nephrology. Residents used the word “stigmatized” to describe nephrology, and discussed how low prestige decreased their interest in a field. Participants expressed suggestions to increase interest in nephrology through earlier and more outpatient nephrology exposure, enhanced interactions with nephrologists, and research and advancements in the field.ConclusionsResidents identified several modifiable barriers to a career in nephrology. Changing how nephrology is taught in medical school, enhancing interactions with nephrologists through increased exposure, and highlighting research and advancements in nephrology may change the perception of nephrology and increase the number of residents entering the field.

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Section: Discussionmentioning

confidence: 99%

Internal Medicine Residents’ Perceptions of Nephrology as a Career: A Focus Group Study

et al. 2020

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“…Location, salary, multidisciplinary environment, and flexible scheduling were also listed as the most important controllable lifestyle factors in one study of postfellowship oncology physicians 11 . Studies conducted among other specialties, such as geriatric fellowships, have found similar results, with physicians listing mentorship, and early exposure to subspecialty as top factors for career choice 12 …”

Section: Discussionmentioning

confidence: 96%

Understanding Graduating Pediatric Emergency Medicine Fellow Priorities for Career Pathways and Faculty Recruitment for Academic or Community Emergency Departments

Sampayo

Agrawal²,

Mittiga

et al. 2020

AEM Education and Training

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Objectives Factors influencing the employment of pediatric emergency medicine (PEM) fellows in a career in academic medicine versus community emergency department (ED) settings have not previously been explored. The purpose of this study was to explore PEM fellows' priorities in selecting jobs and to identify factors that influence their decisions regarding career choices through a multicenter, qualitative approach. We also explored program directors' beliefs about graduates' job selection priorities. Methods This was a cross‐sectional study among a convenience sample of PEM fellows and PEM fellowship program directors and/or associate program directors in the United States. The data were collected in 2017, using a qualitative methodology known as free listing. The fellows and program directors were solicited through the American Academy of Pediatrics Section on Emergency Medicine. Using content analysis, all free‐listing responses from participant samples were categorized into 14 distinct groupings. Thematic saturation was achieved, and member checking was performed to ensure trustworthiness. Results A sample of 63 fellows from six geographically diverse programs and 41 program and/or associate program directors were surveyed. Location, schedule/work‐life balance and compensation were the most frequently cited factors taken into consideration for employment; these are not specific to PEM as a career choice. Other factors included patient population and ED resources. When deciding between academic and community employment, similar areas for the PEM physician emerged on both sides of the dichotomy: work–life balance, clinical hours, burnout, and acuity/patient complexity. Conclusions There are universal factors that PEM physicians consider when choosing employment. The information elicited from this exploratory technique can inform content for national survey or other qualitative work to achieve richer descriptions of reported items and dichotomies to guide fellow recruitment and retention strategies.

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“…Interestingly, this finding was reported in geriatrics. Blachman et al 7 conducted a qualitative study of geriatric fellows and showed that early exposure to geriatrics was the most influential career-affecting factor. Exposure to the specialty of interest was also recognized in the rheumatology literature 8 and the surgical literature, the latter emphasizing specifically that early exposure increased students' interest.…”

Section: Discussionmentioning

confidence: 99%

Residents’ Perception of the Nephrology Specialty

Nakhoul

Mehdi

Taliercio

et al. 2020

Kidney International Reports

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Reasons geriatrics fellows choose geriatrics as a career, and implications for workforce recruitment

Cited by 22 publications

References 10 publications

Internal Medicine Residents’ Perceptions of Nephrology as a Career: A Focus Group Study

Internal Medicine Residents’ Perceptions of Nephrology as a Career: A Focus Group Study

Understanding Graduating Pediatric Emergency Medicine Fellow Priorities for Career Pathways and Faculty Recruitment for Academic or Community Emergency Departments

Residents’ Perception of the Nephrology Specialty

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