The influence of medical school clinical experiences on career preferences: A multidimensional perspective

Brooks, Charles H.

doi:10.1016/0277-9536(91)90111-o

Cited by 15 publications

(6 citation statements)

References 28 publications

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“…[5][6][7][8] Numerous studies have attempted to identify predictors of specialty choice. [6][7][8][9][10][11][12] US student physicians have been typically attracted to surgical specialties. 9,11,12 They perceived non-primary care training as indicative of mastery of a "distinct field" where the combination of knowledge and technological advances enabled them to manage previously untreatable conditions.…”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8][9][10][11][12] US student physicians have been typically attracted to surgical specialties. 9,11,12 They perceived non-primary care training as indicative of mastery of a "distinct field" where the combination of knowledge and technological advances enabled them to manage previously untreatable conditions. 13 Perceptions of greater income potential and control over professional and personal life provide additional incentives.…”

Section: Introductionmentioning

confidence: 99%

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Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool

Kazzi

Langdorf

Ghadishah

et al. 2001

CJEM

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Introduction: Although some studies have tried to assess the factors leading to choice of specialty, none have been specific to emergency medicine (EM). With a doubling of the number of EM residency programs in the past decade, an assessment of the career motivations of residents is in order. Objectives: To identify and rank the factors that lead candidates to choose EM as a career. Methods: Fifty-four participating EM programs returned a total of 393 anonymous surveys completed by their 1996 National Residency Matching Program (NRMP) interviewees. The survey asked respondents to rank 12 factors on a 5-point (0–4) Likert scale. Results: Respondents ranked the 12 motivating factors in the following descending order of importance: diversity in clinical pathology, emphasis on acute care, flexibility in choice of practice location, flexibility of EM work schedules, previous work experience in EM, greater availability of EM faculty for bedside teaching, strong influence of an EM faculty advisor or mentor, relatively shorter length of training, better salaries for EM than for primary care specialties, the presence of an EM residency at the student’s medical school, perception that EM residents have more time to moonlight and popularity of EM among medical students. Conclusion: US applicants appear to choose a career in EM largely because of clinical factors (diversity of clinical pathology and emphasis on acute care) and practice-related factors (flexibility in practice location and schedule).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool

Kazzi

Langdorf

Ghadishah

et al. 2001

CJEM

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“…While some previous studies suggest up to 80% of medical students declare a specialty choice at graduation that differs from their anticipated specialty choice at the time of matriculation (Markert 1983;Babbott et al 1988;Brooks 1991;Forouzan and Hojat 1993;McLaughlin et al 1993;Fincher and Lewis 1999;Novielli et al 2001) other studies suggest that most specialty choices are made early and are stable (Zeldow et al 1992). Previous longitudinal studies suggest that the stability of specialty choice over time varies by gender (Babbott et al 1988;Forouzan and Hojat 1993;McLaughlin et al 1993;Novielli et al 2001), specialty choice (Markert 1983;Babbott et al 1988;Zeldow et al 1992;Forouzan and Hojat 1993;McLaughlin et al 1993;Novielli et al 2001), clerkship performance (McLaughlin et al 1993;Novielli et al 2001), personal values (Hojat et al 1998;Fincher and Lewis 1999;Connelly et al 2003), income expectations (Rosenthal et al 1992;Novielli et al 2001), and role models (Connelly et al 2003).…”

Section: Introductionmentioning

confidence: 99%

Distress and empathy do not drive changes in specialty preference among US medical students

et al. 2012

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Background: Although medical student specialty choices shape the future of the healthcare workforce, factors influencing changes in specialty preference during training remain poorly understood. Aim: To explore if medical student distress and empathy predicts changes in students' specialty preference. Methods: A total of 858/1321 medical students attending five medical schools responded to surveys in 2006 and 2007. The survey included questions about specialty choice, burnout, depression, quality of life, and empathy. Results: A total of 26% (205/799) changed their specialty preference over 1 year. Depersonalization -an aspect of burnout -was the only distress variable associated with change in specialty preference (OR, odds ratio 0.962 for each 1-point increase in score, p ¼ 0.03). Empathy at baseline and changes in empathy over the course of 1 year did not predict change in specialty preference (all p 4 0.05). On multi-variable analysis, being a third year (OR 1.92), being male (OR 1.48), and depersonalization score (OR 0.962 for each point increase) independently predicted a change in specialty preference. Distress and empathy did not independently predict students' losing interest in primary care whereas being a fourth-year student (OR 1.83) and being female (OR 1.83) did. Conclusion: Among those who did have a major change in their specialty preference, distress and empathy did not play a major role.

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“…Multiple nonneurosurgical studies, primarily from the general surgery literature, have identified several positive factors that improve medical student education and influence medical students into a future surgical career choice. Some of the identified factors are resident involvement and enthusiasm in medical student education, 30,32 the amount and quality of direct, positive interactions between medical students and faculty members, 10,25,30,32,40 relationships with formal mentors and surgical role models, 12,30 quantity and quality of didactic lectures given by clinical surgeons, 25,30 positive medical student perception of clerkship experiences, 10,11,40 and early clinical exposure. 31 When is the ideal time for neurosurgeons to get involved in teaching medical students?…”

Section: Discussionmentioning

confidence: 99%

Neurosurgical rotations or clerkships in US medical schools

Fox

Amhaz

Patel

et al. 2011

JNS

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The influence of medical school clinical experiences on career preferences: A multidimensional perspective

Cited by 15 publications

References 28 publications

Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool

Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool

Distress and empathy do not drive changes in specialty preference among US medical students

Neurosurgical rotations or clerkships in US medical schools

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