Where Do They Come From and Where Do They Go: Implications of Geographic Origins of Medical Students

Pretorius, Richard W.; Lichter, Michael I.; Okazaki, Goroh; Sellick, John A.

doi:10.1097/acm.0b013e3181ed3e78

Cited by 8 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In many countries efforts have been made to increase the number of rural physicians. These efforts, which have met with varying degrees of success, include recruiting medical students who reside in rural areas, rural-oriented medical curriculum, and rural rotations during medical school and residency [25,27,28]. To increase the recruitment of quality medical students to residency programs in the country's peripheral areas, the Israeli healthcare leadership should consider similar initiatives.…”

Section: Discussionmentioning

confidence: 99%

Medical specialty considerations by medical students early in their clinical experience

Weissman

Zisk-Rony

Schroeder

et al. 2012

Isr J Health Policy Res

View full text Add to dashboard Cite

Background Specialty selection by medical students determines the future composition of the physician workforce. Selection of career specialties begins in earnest during the clinical rotations with exposure to the clinical and intellectual environments of various specialties. Career specialty selection is followed by choosing a residency program. This is the period where insight into the decision process might help healthcare leaders ascertain whether, when, and how to intervene and attempt to influence students' decisions. The criteria students consider important in selecting a specialty and a residency program during the early phases of their clinical rotations were examined. Methods Questionnaires distributed to fifth-year medical students at two Israeli medical schools. Results 229 of 275 (83%) questionnaires were returned. 80% of the students had considered specialties; 62% considered one specialty, 25% two, the remainder 3-5 specialties. Students took a long-range view; 55% considered working conditions after residency more important than those during residency, another 42% considered both equally important. More than two-thirds wanted an interesting and challenging bedside specialty affording control over lifestyle and providing a reasonable relationship between salary and lifestyle. Men were more interested in well-remunerated procedure-oriented specialties that allowed for private practice. Most students rated as important selecting a challenging and interesting residency program characterized by good relationships between staff members, with positive treatment by the institution, and that provided much teaching. More women wanted short residencies with few on-calls and limited hours. More men rated as important residencies affording much responsibility for making clinical decisions and providing research opportunities. More than 50% of the students considered it important that their residency be in a leading department, and in a large university medical center. Only 5% considered it important to do their residency in the country's peripheral areas, while 30% reported interest in a residency in the country's center. Conclusions The fifth year of a six-year medical school is an opportune time to provide students with information and guidance on the various specialties and selecting a residency program as they begin to solidify their perceptions and ideas about the various specialties. This study serves as an impetus to medical educators and healthcare leaders to become interested in students' career selection.

show abstract

Section: Discussionmentioning

confidence: 99%

Medical specialty considerations by medical students early in their clinical experience

Weissman

Zisk-Rony

Schroeder

et al. 2012

Isr J Health Policy Res

View full text Add to dashboard Cite

show abstract

“…Although definitions of rurality are varied, it is recognized that people self-identifying as having grown up rural have high probability to continue in their careers in a rural or underserved community ( Owen et al. , 2007 ; Pretorius et al. , 2010 ; Rabinowitz et al.…”

Section: Discussionmentioning

confidence: 99%

An Undergraduate Health Care Experience Course Increases Confidence and Improves Student Understanding of Health Care Careers

Williams,

Williams

2024

LSE

View full text Add to dashboard Cite

show abstract

“…2 Diversity is also beneficial in working towards broader access to healthcare, in that healthcare providers are more likely to practice in the region of their community of origin. 3 Furthermore, they are likely more apt to understand their patients' health within the cultural and social context.…”

Section: Introductionmentioning

confidence: 99%

Performance of Black and Indigenous applicants in a medical school admissions process

2021

View full text Add to dashboard Cite

Background: Diversity in medical schools has lagged behind Canada’s growing multicultural population. Dalhousie medical school allows Black and Indigenous applicants to self-identify. We examined how these applicants performed and progressed through the admissions process compared to Other group (applicants who did not self-identify). Methods: Retrospective analysis of four application cycles (2015-2019) was conducted, comparing demographic data, scores for application components (Computer-Based Assessment for Sampling Personal Characteristics (CASPer), MCAT, GPA, supplemental, discretionary, Multiple Mini Interview (MMI)), and final application status between the three groups. Results: Of 1322 applicants, 104 identified as Black, 64 Indigenous, and 1154 Other. GPA was higher in the Other compared to the Indigenous group (p < 0.001). CASPer score was higher in the Other compared to the Black group (p = 0.047). There was no difference between groups for all other application components. A large proportion of Black and Indigenous applicants had incomplete applications. Acceptance rates were similar between all groups. Black applicants declined an admission offer substantially more than expected (31%; p < 0.001). Conclusions: Black and Indigenous applicants who completed their application progressed well through the admissions process. The pool of diverse applicants needs to be increased and support provided for completion of applications. Further study is warranted to understand why qualified applicants decline acceptance.

show abstract

Where Do They Come From and Where Do They Go: Implications of Geographic Origins of Medical Students

Abstract: Midcareer practice location is related to geographic origins. Using multiple indicators of geographic origins available at the time of application can allow admissions committees to make higher-quality decisions.

Cited by 8 publications

References 10 publications

Medical specialty considerations by medical students early in their clinical experience

Medical specialty considerations by medical students early in their clinical experience

An Undergraduate Health Care Experience Course Increases Confidence and Improves Student Understanding of Health Care Careers

Performance of Black and Indigenous applicants in a medical school admissions process

Contact Info

Product

Resources

About