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J Gen Intern Med. 2006 May;21(5):471-5.

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

Author information

1
Department of Medicine, University of Chicago, Chicago, IL, USA. varora@medicine.bsd.uchicago.edu

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.

PMID:
16704390
PMCID:
PMC1484782
DOI:
10.1111/j.1525-1497.2006.00429.x
[Indexed for MEDLINE]
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