The role of negative factors in changes in career selection by medical students

Katz, Lesley-Anne; Sarnacki, Randolph E.; Schimpfhauser, F

doi:10.1097/00001888-198404000-00001

Cited by 15 publications

(16 citation statements)

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“…Factors shown to be associated with choosing family medicine include medical school characteristics, [4][5][6][7][8][9] personal interactions, [10][11][12][13][14][15][16][17] and lifestyle preferences, personal fit and workforce factors, including expected income, prestige, job opportunities, longitudinal care and societal need. 16,[18][19][20][21][22][23] Others have demonstrated that career preference at the time of entering medical school may be a significant predictor of students' eventual career choice.…”

mentioning

confidence: 99%

Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine

Wright

Scott²,

Woloschuk³

et al. 2004

Canadian Medical Association Journal

190

157

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mentioning

confidence: 99%

Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine

Wright

Scott²,

Woloschuk³

et al. 2004

Canadian Medical Association Journal

190

157

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“…The latter is an example of the elimination aspect of career selection. Negative factors have important influences both initially when medical students choose a specialty and also if they decide to switch their selection [22]. These finding are not unexpected nor novel to the Israeli and other national settings, but they add cross-specialty information that complement previous comparisons between students interested and not interested in family medicine [23].…”

Section: Discussionmentioning

confidence: 99%

Using medical specialty and selection criteria clusters to study specialty selection by Israeli medical students

et al. 2017

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BackgroundDuring their final year of medical school, Israeli students must consider which specialty to choose for residency. Based on the vocational counseling literature we presumed that choices are made by selecting from a cluster of related specialties while considering professional and socio-economic issues.MethodsQuestionnaires distributed to final-year medical students at two Israeli medical schools ascertained inclinations toward various medical specialties and the importance of various selection criteria. Analysis focused on seven specialties where >20% of students reported they had positive inclinations. For each such specialty, the specialty and selection criteria query were compared using unpaired two-tailed Student’s t-tests to determine differences between students with positive inclinations toward the specialty with those not so inclined. These data were placed in tables, with the significant differences highlighted to facilitate visual recognition of cluster patterns.ResultsCompleted questionnaires were obtained from 317 of 455 students. Students often had positive inclinations toward more than one specialty (specialty clusters) associated with a group of selection criteria (selection criteria clusters). For example, interest in internal medicine was clustered with interest in internal medicine subspecialties, cardiology and research. Furthermore, there was a “reciprocal” aspect to some specialty cluster patterns. For example, those interested in internal medicine had little interest in surgical specialties. Selection criteria clusters revealed occupational interests and socio-environmental factors associated with the specialty clusters. For example, family medicine, which clustered with pediatrics and psychiatry, had a sub-cluster of: Bedside specialty with family orientation affording long-term patient care. Another sub-cluster was time for childrearing and family, only daytime work and outpatient care. Clusters also revealed students’ perceptions that differed from expected: Cardiology is changing from a cognitive to a procedure-oriented subspecialty, clustering not only with internal medicine and its subspecialties but also with emergency medicine, surgical subspecialties and anesthesiology.ConclusionsThe concept that career choice involves selecting from a cluster of related specialties provides information about the specialties students might be considering. Moreover, students are not only looking for individual aspects of a specialty, but for a package including clusters of socio-economic and occupational features. Practically, examining clusters can help in career counseling of medical students and assist residency program directors in marketing their specialties.Electronic supplementary materialThe online version of this article (doi:10.1186/s12909-017-0854-y) contains supplementary material, which is available to authorized users.

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“…[12] In different countries that have a decreased number of students in choosing FM, the primary influences have been postulated as multifactorial, complex, dynamic, and individualized. Unique features of medical school,[131415161718] personal exposure,[1920212223242526] and lifestyle preferences, in addition to workplace factors, expected income, and high prestige, were the factors reported to be associated with choosing FM. Medical educators, on the other hand, have primarily emphasized the educational influences such as curriculum, primary care experiences, and faculty role models.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study on factors that influence Turkish medical students′ decisions to become family physicians after the health transformation programme

et al. 2014

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Background:In Turkey, general practitioners were authorized to work as family physicians without specialization, within the scope of the Health Transformation Programme, due to inadequate number of family medicine specialists since 2004. With this new implementation Family Medicine specialty became a less preferable option for medical students.Aims:The study was to investigate the perspectives of medical students and understand the issues to choose Family Medicine specialty as a career option.Materials and Methods:This qualitative study was performed with 48 final year medical students using a convenience sample from two medical universities.Results:Three main categories emerged from the data viewing Family Medicine ‘as a specialty’, ‘as an employment’, and finally ‘as a system’. Very few students stated that Family Medicine would be their choice for specialty.Conclusions:Family Medicine does not seem to be an attractive option in career planning by medical students. Several factors that may constrain students from choosing Family Medicine include: not perceiving Family Medicine as a field of expertise, and the adverse conditions at work which may originate from duality in the system.

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The role of negative factors in changes in career selection by medical students

Cited by 15 publications

References 0 publications

Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine

Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine

Using medical specialty and selection criteria clusters to study specialty selection by Israeli medical students

A qualitative study on factors that influence Turkish medical students′ decisions to become family physicians after the health transformation programme

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