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Can Fam Physician. Sep 2003; 49: 1131–1137.
PMCID: PMC2214282

Choosing family medicine. What influences medical students?


OBJECTIVE: To explore factors that influence senior medical students to pursue careers in family medicine. DESIGN: Qualitative study using semistructured interviews. SETTING: University of Western Ontario (UWO) in London. PARTICIPANTS: Eleven of 29 graduating UWO medical students matched to Canadian family medicine residency programs beginning in July 2001. METHOD: Eleven semistructured interviews were conducted with a maximum variation sample of medical students. Interviews were transcribed and reviewed independently, and a constant comparative approach was used by the team to analyze the data. MAIN FINDINGS: Family physician mentors were an important influence on participants' decisions to pursue careers in family medicine. Participants followed one of three pathways to selecting family medicine: from an early decision to pursue family medicine, from initial uncertainty about career choice, or from an early decision to specialize and a change of mind. CONCLUSION: The perception of a wide scope of practice attracts candidates to family medicine. Having more family medicine role models early in medical school might encourage more medical students to select careers in family medicine.

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Selected References

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  • Skinner BD, Newton WP. A long-term perspective on family practice residency match success: 1984-1998. Fam Med. 1999 Sep;31(8):559–565. [PubMed]
  • Kahn NB, Jr, Schmittling GT, Graham R. Results of the 1999 National Resident Matching Program: family practice. Fam Med. 1999 Sep;31(8):551–558. [PubMed]
  • Pugno PA, McPherson DS, Schmittling GT, Kahn NB., Jr Results of the 2000 National Resident Matching Program: family practice. Fam Med. 2000 Sep;32(8):543–550. [PubMed]
  • Schafer S, Shore W, French L, Tovar J, Hughes S, Hearst N. Rejecting family practice: why medical students switch to other specialties. Fam Med. 2000 May;32(5):320–325. [PubMed]
  • Blades DS, Ferguson G, Richardson HC, Redfern N. A study of junior doctors to investigate the factors that influence career decisions. Br J Gen Pract. 2000 Jun;50(455):483–485. [PMC free article] [PubMed]
  • Rosser Walter W. The decline of family medicine as a career choice. CMAJ. 2002 May 28;166(11):1419–1420. [PMC free article] [PubMed]
  • Robertson S. Little room for error in Canada's postgraduate training system. CMAJ. 1997 Mar 1;156(5):682–684. [PMC free article] [PubMed]
  • Mutha S, Takayama JI, O'Neil EH. Insights into medical students' career choices based on third- and fourth-year students' focus-group discussions. Acad Med. 1997 Jul;72(7):635–640. [PubMed]
  • Petchey R, Williams J, Baker M. 'Ending up a GP': a qualitative study of junior doctors' perceptions of general practice as a career. Fam Pract. 1997 Jun;14(3):194–198. [PubMed]
  • Kuzel AJ, Moore SS. Choosing a specialty during a generalist initiative: a focus group study. Fam Med. 1999 Oct;31(9):641–646. [PubMed]
  • Burack JH, Irby DM, Carline JD, Ambrozy DM, Ellsbury KE, Stritter FT. A study of medical students' specialty-choice pathways: trying on possible selves. Acad Med. 1997 Jun;72(6):534–541. [PubMed]
  • Linzer M, Beckman H. Honor our role models. J Gen Intern Med. 1997 Jan;12(1):76–77. [PMC free article] [PubMed]
  • Osborn EH. Factors influencing students' choices of primary care or other specialties. Acad Med. 1993 Jul;68(7):572–574. [PubMed]
  • Xu G, Hojat M, Brigham TP, Veloski JJ. Factors associated with changing levels of interest in primary care during medical school. Acad Med. 1999 Sep;74(9):1011–1015. [PubMed]
  • Musham C, Chessman A. Changes in medical students' perceptions of family practice resulting from a required clerkship. Fam Med. 1994 Sep;26(8):500–503. [PubMed]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada


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