The authors attempted to measure the influence of a physical diagnosis course and its preceptors on the career decisions of second-year medical students.
They designed pre-and post-course questionnaires for 204 second-year medical students in a University of Texas Health Science Center at San Antonio Advanced Physical Diagnosis course.
They found that 48% of students changed their career choice during the study period, 75% believed their preceptor was a very good role model, and 39% thought their preceptor influenced their career choice.
Students who believed their preceptor was a good role model were 31 times more likely to consider their preceptors'career (confidence interval [Cl] 95,4.1-236).
In results from students precepted by primary care physicians, there was a nonsignificant trend toward choosing a primary care career (Odds Ratio [OR]) 1.6 [CI95,0.7-3.3]). Factors associated with a final career choice of primary care were a primary care career choice at baseline (OR 8.5 [CI95,3.8-19.0]) and a belief that physical diagnosis skills would be important to a future career (OR 4.7 [CI95,1.1-20.0]). The authors concluded that good role models can influence students to consider alternative career choices, but this effect is still overshadowed bv a student's baseline career choice.
This reinforces the importance of selecting medical school applicants already inclined toward a primary care career.
Mots-clés Pascal : Diagnostic, Homme, Décision, Etudiant, Influence, Médecine, Enseignant
Mots-clés Pascal anglais : Diagnosis, Human, Decision, Student, Influence, Medicine, Teacher
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0422243
Code Inist : 002B30A05. Création : 01/03/1996.