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

Wright, Bruce; Scott, Ian; Woloschuk, Wayne; Brenneis, Fraser

doi:10.1503/cmaj.1031111

Cited by 193 publications

(211 citation statements)

References 28 publications

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“…In one study, medical students choosing family medicine as a career were more likely to demonstrate a societal commitment and less likely to be concerned with personal prestige (Wright, Scott, Woloschuk, Brenneis, & Bradley, 2004). According to some scholars, liberal political orientation which indicates support for egalitarianism and the rights of minorities, and the acceptance of culturally competent power/assimilation attitudes are synonymous (Kerlinger, 1984).…”

Section: Discussionmentioning

confidence: 99%

Provider and clinic cultural competence in a primary care setting

Paez

Allen

Carson

et al. 2008

Social Science & Medicine

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A multilevel approach that enhances the cultural competence of clinicians and healthcare systems is suggested as one solution to reducing racial/ethnic disparities in healthcare. The primary objective of this cross-sectional study was to determine if there is a relationship between the cultural competence of primary care providers and the clinics where they work. Forty-nine providers from 23 clinics in Baltimore, Maryland and Wilmington, Delaware, USA. completed an on-line survey which included items assessing provider and clinic cultural competence. Using simple linear regression, it was found that providers with attitudes reflecting greater cultural motivation to learn were more likely to work in clinics with a higher percent of nonwhite staff, and those offering cultural diversity training and culturally adapted patient education materials. More culturally appropriate provider behavior was associated with a higher percent of nonwhite staff in the clinic, and culturally adapted patient education materials. Enhancing provider and clinic cultural competence may be synergistic strategies for reducing healthcare disparities.

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Section: Discussionmentioning

confidence: 99%

Provider and clinic cultural competence in a primary care setting

Paez

Allen

Carson

et al. 2008

Social Science & Medicine

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“…It is often assumed that students do not make their career preferences until after they have graduated from medical school. 1 The number of undergraduate medical seats is increasing in many countries, thus increasing the demand for specialty training. Trends in selection of particular specialties have implications in terms of arranging training and supervising positions and information on these trends is necessary to guide policy.…”

Section: Introductionmentioning

confidence: 99%

Career preferences and factors influencing speciality choices among the medical students in Telangana: A cross sectional study

Jothula¹,

Ganapa²,

Sreeharshika³

et al. 2020

JCHM

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Introduction: Aim of the study was to know career preferences and factors influencing speciality choices among the medical students in Telangana. Materials and Methods: An Institution based cross sectional study was carried out at Kamineni Institute of Medical Sciences, Narketpally with 150 first year medical students as study subjects from November 2017 to December 2017. Study tool was pretested semi structured questionnaire. Data was entered in Microsoft excel and analysis was done using SPSS statistical package version 22. Result: Out of 150 participants, 42 (28%) were boys and 108 (72%) were girls, with a mean age of 17.94 ± 0.82. Majority (62.6%) of the participants were city residents. 57.3% of the study population wants to pursue specialization. Among the students who wants to pursue specialization majority were interested in clinical branches compared to Community Medicine which was only 6.9%. There was significant difference between males and females selection of specialities like cardiology, gynaecology and orthopaedics. Most common factors for selection of speciality courses were reputation of the speciality (91.8%) and Self interest (76.7%). Conclusion: Majority of the medical students wants to pursue specialization and most of them showed interest in the clinical branches. Significant difference between males and females selection of specialities like cardiology, gynaecology and orthopaedics. Most common factors for selection of speciality courses were reputation of the speciality and Self interest followed by early settlement and to make more money.

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“…Conditions related to student life, that is, relating to the academic period, and not only to the student's professional skills and preferences, are among these factors (Wright et al, 2004;Takeda et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…These specialties have been increasingly chosen by medical students, as shown since 1989 (Wright et al, 2004). Conversely, non-controllable lifestyle specialties, including gynecology and obstetrics, pediatrics, internal medicine, general surgery, orthopedics and urology, have been increasingly chosen over controllable lifestyle specialties (Starfield et al, 2005;Knox et al, 2008; Xu, 2015;Saigal et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Determinants of the Medical Speciality Choice of Residents at University Hospital

Melo¹,

Lopes²,

Monteiro³

et al. 2017

MedEdPublish

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Choosing a medical specialty involves multifactorial components and is personally and socially important, determining professional performance and satisfaction. This cross-sectional study aimed to analyze the factors related to the choice of medical specialty of residents at University Hospital of the Federal University of Piauí (HU-UFPI) from 2014 to 2016. We used electronic questionnaire to evaluate the residents. Residents who either refused to participate of the survey or dropped out of medical residency were excluded. 86 questionnaires were sent. The response rate was 73.2%. According to the survey 74.6% were single at admission to medical residency; 87.1% were childless; 55.6% were 25-30 years old when started their residency. 60.3% of the residents chose HU-UFPI medical residency program due to the quality of education offered by the institution. Such factors may explain differences in medical specialty distribution and how those choices affect healthcare dynamics. The main domain of reasons that influenced the choice of medical specialty was "preference and personal identification". The least influential domain in the choice of medical residency was "educational system. Thus, multiple factors affect medical residents' choice of specialty. Such factors may be used to understand differences in medical specialty distribution and how those choices affect healthcare dynamics.Keywords: medical education, medical residency, medical specialty IntroductionThe choice of medical specialty involves multifactorial components and is personally and socially important, determining professional performance and satisfaction. The factors analyzed in this choice include variables intrinsic and extrinsic to the physician (Sousa, 2014).Conditions related to student life, that is, relating to the academic period, and not only to the student's professional skills and preferences, are among these factors (Wright et al, 2004;Takeda et al, 2013).New trends in the choice of medical specialty have been observed worldwide, with declines in the choice of some medical specialties and increases in others. Several factors account for this variation, including controllable lifestyle, compensation, study time, educator models and others (Sousa, 2014;Cooper, 2016).Controllable lifestyle specialties include the following: anesthesiology, dermatology, neurology, ophthalmology, otorhinolaryngology, pathology, psychiatry, radiology and medical emergency. These specialties have been increasingly chosen by medical students, as shown since 1989 (Wright et al, 2004). Conversely, non-controllable lifestyle specialties, including gynecology and obstetrics, pediatrics, internal medicine, general surgery, orthopedics and urology, have been increasingly chosen over controllable lifestyle specialties (Starfield et al, 2005;Knox et al, 2008; Xu, 2015;Saigal et al, 2013). This trend has been sustained in recent decades.Most non-controllable lifestyle specialties compose the primary level of healthcare (gynecology and obstetrics, family medicine, in...

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

Cited by 193 publications

References 28 publications

Provider and clinic cultural competence in a primary care setting

Provider and clinic cultural competence in a primary care setting

Career preferences and factors influencing speciality choices among the medical students in Telangana: A cross sectional study

Determinants of the Medical Speciality Choice of Residents at University Hospital

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