Residents’ reasons for specialty choice: influence of gender, time, patient and career

Horst, Klazine van der; Siegrist, Monika; Orlow, Pascale; Giger, Max

doi:10.1111/j.1365-2923.2010.03631.x

Cited by 83 publications

(69 citation statements)

References 16 publications

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“…This was found to be consistent with previous studies published on this topic 14 . A study done in United Kingdom on 15,759 doctors showed that about a quarter of doctors were working in a specialty that was different from the one chosen in their third year after graduation 13 .Another study found out that a disproportionately higher percentage of women considered but rejected a career in surgery.…”

Section: Discussionsupporting

confidence: 94%

“…The highest match rate found in this study was for specialty choice they made five yearsafter graduation. The greatest increase in match rate occurred between one year after graduation and three years after graduation indicating that this period was the key period in which the final choice of specialty is made 16 .Training duration and gender differences in reason for choosing a specialty may become more pronounced with passage of time and can lead to change in preferred specialty 14 . Night duties were the most common cause amongst resident to leave their current specialty training.…”

Section: Discussionmentioning

confidence: 99%

“…Nowadays Quality of life has become the major factor in deciding which specialty a person should opt for. [10][11] . Astudy done on senior UK doctors found out that 23.2% of all doctor were not satisfied with the "adequacy of juniors training" 12 .…”

Section: Introductionmentioning

confidence: 99%

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Selection of Specialty and its satisfaction in Medical graduates

Tasleem¹,

Akhter²,

Tasleem

et al. 2016

Bangladesh J Med Sci

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Abstract:Background: Selection of specialty in medical graduates is a challenging job. Consultants and residents are suffering from some unknown discomfort. The aim of this study was to survey the resident's selection and their wish to change it and analyze the factors responsible for this wish. Methods: Cross sectional survey was done on residents of different specialty working in different hospitals of Rawalpindi and Islamabad (Pakistan) with the help of selfmade questionnaire from 2012 to 2014. SPSS 21 was used to analyze the result. Results: We gave a total of 1200 questionnaires out of which 946 questionnaires were completely filled. Out of 946 residents, 48.5% (459) were male residents whereas 51.5 % (487) were female residents. Majority of residents 75.4% (713) did not want to change their specialty whereas 24.6% (233) wanted to change their specialty if they would have been provided with such opportunity. Patient Contact, Interesting Diseases and Hospital based careers were the 3 main reasons for selecting a particular specialty. Night duties, Clinical Work and heavy work load were the 3 main causes for having the desire to leave their current specialty. Conclusion: Awareness should be given to medical students during their MBBS program about the challenges they would face in different specialty. Proper sessions should be arranged to help students realize their actual interest and identify field which would suit their temperament.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Selection of Specialty and its satisfaction in Medical graduates

Tasleem¹,

Akhter²,

Tasleem

et al. 2016

Bangladesh J Med Sci

View full text Add to dashboard Cite

show abstract

“…Previous literature has explored many possible factors that affect specialty choice, including personality and values [18], medical school experiences and financial aid [19], and gender [20]. Research has also shown that residents’ reasons for choosing a specific specialty varies by specialty [20,21].…”

Section: Introductionmentioning

confidence: 99%

The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location

Gauer

Jackson

2017

Medical Education Online

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Background: For future physicians, residency programs offer necessary extended training in specific medical specialties. Medical schools benefit from an understanding of factors that lead their students to match into certain residency specialties. One such factor, often used during the residency application process, is scores on the USA Medical Licensing Exam (USMLE). Objectives: To determine the relationship between USMLE Step 1 and Step 2 Clinical Knowledge (CK) scores and students’ residency specialty match, and the association between both USMLE scores and state of legal residency (Minnesota) at the time of admission with students staying in-state or leaving the state for residency program. Design: USMLE scores and residency match data were analyzed from five graduating classes of students at the University of Minnesota Medical School (N = 1054). Results: A MANOVA found significant differences (p < 0.001) between residency specialties and both USMLE Step 1 and Step 2 CK scores, as well as the combination of the two. Students who matched in Dermatology had the highest mean USMLE scores overall, while students who matched in Family Medicine had the lowest mean scores. Students who went out of state for residency had significantly higher Step 1 scores (p = 0.027) than students who stayed in-state for residency, while there was no significant difference between the groups for Step 2 scores. A significant positive association was found between a student who applied as a legal resident of Minnesota and whether the student stayed in Minnesota for their residency program. Conclusions: Residency specialty match was significantly associated with USMLE Step 1 and USMLE Step 2 CK scores, as was staying in-state or leaving the state for residency. Students who were legal residents of the state at the time of application were more likely to stay in-state for residency, regardless of USMLE score. Abbreviations: CK: Clinical knowledge; COMLEX: Comprehensive Osteopathic Medical Licensing Examination; GME: Graduate medical education; NRMP: National Resident Matching Program; UME: Undergraduate medical education; USMLE: United States Medical Licensing Examination

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“…2 Studies of doctors' choice of specialty tend to focus on what they choose, and why, rather than what they reject and why. 3 In recent national surveys of doctors' career choices in the UK, we have asked both about positive specialty choices and about any specialty that the doctors have seriously considered and then not pursued. We report here on the findings from surveys of graduates of 2002, 2005 and 2008 undertaken towards the end of the first postqualification year.…”

Section: Introductionmentioning

confidence: 99%

Doctors who considered but did not pursue specific clinical specialties as careers: questionnaire surveys

Goldacre

Lambert

2012

J R Soc Med

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SummaryObjectives To report doctors' rejection of specialties as long-term careers and reasons for rejection. Design Postal questionnaires.Setting United Kingdom.Participants Graduates of 2002, 2005 and 2008 from all UK medical schools, surveyed one year after qualification.Main outcome measures Current specialty choice; any choice that had been seriously considered but not pursued (termed 'rejected' choices) with reasons for rejection.Results 2573 of 9155 respondents (28%) had seriously considered but then not pursued a specialty choice. By comparison with positive choices, general practice was under-represented among rejected choices: it was the actual choice of 27% of respondents and the rejected choice of only 6% of those who had rejected a specialty. Consideration of 'job content' was important in not pursuing general practice (cited by 78% of those who considered but rejected a career in general practice), psychiatry (72%), radiology (69%) and pathology (68%). The surgical specialties were the current choice of 20% of respondents and had been considered but rejected by 32% of doctors who rejected a specialty. Issues of work-life balance were the single most common factor, particularly for women, in not pursuing the surgical specialties, emergency medicine, the medical hospital specialties, paediatrics, and obstetrics and gynaecology. Competition for posts, difficult examinations, stressful working conditions, and poor training were mentioned but were mainly minority concerns.Conclusions There is considerable diversity between doctors in their reasons for finding specialties attractive or unattractive. This underlines the importance of recruitment strategies to medical school that recognize diversity of students' interests and aptitudes. RESEARCH IntroductionMedicine is a single profession with a very wide variety of jobs. There are likely to be many differences between doctors in their interests in, and aptitudes for, such diverse areas of work as general practice, surgery, psychiatry, laboratory medicine and public health. Factors that influence specialty career choice include fundamental interest in the specialty, aptitude, temperament and personality, preferred styles of working, opportunities, luck and other practicalities. 1 The process of making a choice consists partly of selection of a chosen path and partly of decisions not to pursue alternatives.2 Studies of doctors' choice of specialty tend to focus on what they choose, and why, rather than what they reject and why. In recent national surveys of doctors' career choices in the UK, we have asked both about positive specialty choices and about any specialty that the doctors have seriously considered and then not pursued. We report here on the findings from surveys of graduates of 2002, 2005 and 2008 undertaken towards the end of the first postqualification year. We were interested in whether some specialties had been considered and rejected more commonly than others, and, if so, whether particular specialties were rejected for distinctive reaso...

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Residents’ reasons for specialty choice: influence of gender, time, patient and career

Cited by 83 publications

References 16 publications

Selection of Specialty and its satisfaction in Medical graduates

Selection of Specialty and its satisfaction in Medical graduates

The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location

Doctors who considered but did not pursue specific clinical specialties as careers: questionnaire surveys

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