Journal article
Effect of the inpatient general medicine rotation on student pursuit of a generalist career
Journal of general internal medicine : JGIM, Vol.21(5), pp.471-475
05/2006
DOI: 10.1111/j.1525-1497.2006.00429.x
PMCID: PMC1484782
PMID: 16704390
Abstract
BACKGROUND: Entry into general internal medicine (GIM) has declined. The effect of the inpatient general medicine rotation on medical student career choices is uncertain.
OBJECTIVE: To assess the effect of student satisfaction with the ipatient general medicine rotation on pursuit of a career in GIM.
DESIGN: Multicenter cohort study.
PARTICIPANTS: Third-year medical students between July 2001 and June 2003.
MEASUREMENTS: End-of-internal medicine clerkship survey assessed satisfaction with the rotation using a 5-point Likert scale. Pursuit of a career in GIM defined as: (1) response of “Very Likely” or “Certain” to the question “How likely are you to pursue a career in GIM?”; and (2) entry into an internal medicine residency using institutional match data.
RESULTS: Four hundred and two of 751 (54%) students responded. Of the student respondents, 307 (75%) matched in the 2 years following their rotations. Twenty-eight percent (87) of those that matched chose an internal medicine residency. Of these, 8% (25/307) were pursuing a career in GIM. Adjusting for site and preclerkship interest, overall satisfaction with the rotation predicted pursuit of a career in GIM (odds ratio [OR] 3.91, P < .001). Although satisfaction with individual items did not predict pursuit of a generalist career, factor analysis revealed 3 components of satisfaction (attending, resident, and teaching). Adjusting for preclerkship interest, 2 factors (attending and teaching) were associated with student pursuit of a career in GIM (P < .01).
CONCLUSIONS: Increased satisfaction with the inpatient general medicine rotation promotes pursuit of a career in GIM.
Details
- Title: Subtitle
- Effect of the inpatient general medicine rotation on student pursuit of a generalist career
- Creators
- Vineet Arora - Department of Medicine University of Chicago Chicago IL USATosha Wetterneck - Department of Medicine University of Wisconsin School of Medicine and Public Health Madison WI USAJeffrey Schnipper - Women’s Hospital and Harvard Medical School Boston MA USAAndrew Auerbach - Department of Medicine University of California, San Francisco San Francisco CA USAPeter Kaboli - Iowa City Veterans Affairs Medical Center and University of Iowa Carver College of Medicine Iowa City IA USARobert Wachter - Department of Medicine University of California, San Francisco San Francisco CA USAWendy Levinson - Department of Medicine University of Toronto Toronto ON CanadaHolly Humphrey - Pritzker School of Medicine University of Chicago Chicago IL USADavid Meltzer - Departments of Economics and Public Policy University of Chicago Chicago IL USA
- Resource Type
- Journal article
- Publication Details
- Journal of general internal medicine : JGIM, Vol.21(5), pp.471-475
- Publisher
- Springer-Verlag
- DOI
- 10.1111/j.1525-1497.2006.00429.x
- PMID
- 16704390
- PMCID
- PMC1484782
- ISSN
- 0884-8734
- eISSN
- 1525-1497
- Language
- English
- Date published
- 05/2006
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984094597202771
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