Document Detail

Why medical students change to and from primary care as career choice.
MedLine Citation:
PMID:  1884927     Owner:  NLM     Status:  MEDLINE    
While many factors have been proposed to explain the specialty choice decisions of medical students, little has been reported on the reasons for change of career choice during medical school. The purpose of this study was to determine why medical students switched from primary care to nonprimary care as a career choice and why others changed from nonprimary care to primary care as a specialty preference. Of the 1981-1990 graduates of Wright State University School of Medicine (n = 832) investigated, 217 switched preference during medical school (53 to primary care, 164 to nonprimary care). Reasons relating to the medical school experience were more influential than personal or societal reasons, more so for students changing to nonprimary care than for those changing to primary care. Increased awareness of specialties and positive clinical experience in chosen specialties were indicated by 76% and 70% of those who switched. Among reasons selected less frequently, content and emphasis of the curriculum (19% versus 7%) and location of residency (17% versus 6%) were more likely to be cited by those switching to primary care than by those who switched to nonprimary care, while better financial opportunities were more important for those who switched to nonprimary care (17% versus 4%).
R J Markert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Family medicine     Volume:  23     ISSN:  0742-3225     ISO Abbreviation:  Fam Med     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-10-07     Completed Date:  1991-10-07     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8306464     Medline TA:  Fam Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  347-50     Citation Subset:  IM    
Department of Medicine, Wright State University School of Medicine, Dayton, OH 45401-0927.
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MeSH Terms
Career Choice*
Education, Medical
Medicine / statistics & numerical data*
Physicians, Family / education*,  statistics & numerical data
Students, Medical / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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