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Effect of the inpatient general medicine rotation on student pursuit of a generalist career.

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 inpatient 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.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Arora V,Wetterneck TB,Schnipper JL,Auerbach AD,Kaboli P,Wachter RM,Levinson W,Humphrey HJ,Meltzer D

doi

10.1111/j.1525-1497.2006.00429.x

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

471-5

issue

5

eissn

0884-8734

issn

1525-1497

pii

JGI429

journal_volume

21

pub_type

杂志文章,多中心研究

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