| The impact of the internal medicine sub-internship on medical student career choice. | |
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MedLine Citation:
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PMID: 20229140 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Medical student interest in internal medicine is decreasing. Whether the internal medicine sub-internship affects intent to pursue internal medicine is unknown. OBJECTIVE: Determine the immediate and longer-term effect of the medicine sub-internship on students' decision to pursue internal medicine residency. DESIGN: Mixed method, single institution, prospective cohort study. PARTICIPANTS: Ninety-two students completing an internal medicine sub-internship in 2006. MEASUREMENTS: Survey administered prior to and immediately after the sub-internship and prior to the match. Questions included likelihood of applying in internal medicine and perceived impact of the sub-internship on career choice. MAIN RESULTS: Seventy-seven percent of students (N = 63) completed the first two surveys; 63% (N = 58) completed the second and third. Immediately post sub-internship, 21% (N = 13) were less likely to apply in internal medicine and 11% (N = 7) were more likely to apply (net change in plans was not significant, p = 0.38). There was a significant relationship between the perceived impact of the sub-internship and likelihood of applying in medicine (ANOVA comparison across means, p < 0.001). Compared to the second survey, on the third survey more students (41%, N = 24) believed the sub-internship positively impacted their decision to apply in medicine, though overall shifting was not significant (p = 0.39). Key themes describing sub-internship impact included the intense workload, value of experiencing internship, rewards of assuming the physician role, and education received (30%, 25%, 20% and 16% of comments, respectively). CONCLUSIONS: Overall, there was not a significant effect of the sub-internship on students' decision to apply in internal medicine. Additional research about the relative impact of the sub-internship in relationship to other career choice predictors is needed to better address factors that may encourage or dissuade students from pursuing internal medicine. |
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Authors:
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Jennifer R Kogan; Judy A Shea; Elizabeth O'Grady; Lisa M Bellini; Frank Ciminiello |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-03-13 |
Journal Detail:
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Title: Journal of general internal medicine Volume: 25 ISSN: 1525-1497 ISO Abbreviation: J Gen Intern Med Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-15 Completed Date: 2010-11-30 Revised Date: 2011-07-28 |
Medline Journal Info:
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Nlm Unique ID: 8605834 Medline TA: J Gen Intern Med Country: United States |
Other Details:
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Languages: eng Pagination: 403-7 Citation Subset: IM |
Affiliation:
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University of Pennsylvania School of Medicine, Suite 640, Philadelphia, PA 19104, USA. jennifer.kogan@uphs.upenn.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Career Choice* Cohort Studies Data Collection / methods Humans Internal Medicine / methods, trends* Internship and Residency / methods, trends* Prospective Studies Specialization / trends* Students, Medical / psychology* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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