To determine whether medical students supervised by general internist attendings during the third-year medicine clerkship are more likely to choose primary care careers than students supervised by subspecialist attendings.
One hundred forty-four consecutive medical students rotating on the general medicine inpatient service during the 1993-1994 academic year were surveyed about their career choice and professional expectations, both at the beginning and end of the clerkship ; an additional 50 students completed a post-clerkship survey only.
The cohort of students was surveyed at graduation to determine stability of their career preferences.
Both pre-and post-clerkship surveys were completed by 138 of 144 students (96%) ; post-clerkship surveys were completed by 181/194 (93%) ; and graduation surveys were completed by 137/188 (73%). Fifty-eight students (32%) designated primary care (general internal medicine, general pediatrics, or family practice) as their career choice post-clerkship ; of these, 45 students (78%) also indicated a primary care career choice at graduation.
Characteristics associated with choosing primary care post-clerkship were : low income expectation, desire to interact closely with patients, desire to contribute to society, low class rank, female gender, and high educational debt.
Having a physician parent was negatively associated with choosing primary care. (...)
Mots-clés Pascal : Médecin généraliste, Spécialité médicale, Médecin, Formation professionnelle, Pratique professionnelle, Expérience professionnelle, Choix, Carrière professionnelle, Modèle, Etudiant, Interaction sociale, Etude comparative, Homme, Personnel sanitaire
Mots-clés Pascal anglais : General practitioner, Medical specialty, Physician, Occupational training, Professional practice, Professional experience, Choice, Career, Models, Student, Social interaction, Comparative study, Human, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0137238
Code Inist : 002B30A05. Création : 21/05/1997.