A study of 184 third-year medical students randomly assigned to ambulatory care and traditional inpatient curricula in an internal medicine clerkship found those with the ambulatory care experience were somewhat more likely to choose an ambulatory care career than those in the traditional curriculum. However, the clerkship experience did not…

An analysis of data from the National Study of Internal Medicine Manpower and the National Resident Matching Program is presented. The degree of congruence of the data is determined and the potential of answering questions about why and when certain career choices are made is discussed. (MLW)

Projected labor shortages in psychiatry have prompted studies identifying factors that influence medical students in career choice. Self-images as individuals were compared with professional images of psychiatrists using subjects from internal medicine as a control group. (Author/MLW)

A survey of one university's internal medicine residency graduates from 1969-79 showed 30 percent had no change in plans regarding general versus subspecialty practice since medical school, and 41 percent made final decisions during residency. Inpatient care experiences, peer interactions, and faculty role models were most influential. (MSE)

Specialty choices for medical school graduates of the University of Sao Paolo (Brazil) in 1975-84 and 1989-94 were analyzed by gender. Results showed women predominating in pediatrics and men in surgery and orthopedics in both periods, with no gender predominance in other specialties. Significant changes occurred in specialty choice patterns…

Medical specialty choice and reasons for change among those Wright State University students who switched their choice between entry and graduation were studied, based on questionnaire findings. For the class of 1982, 35 of the 70 students chose as their eventual specialty their preference at entry to medical school. Primary care specialties…

A review of current trends in primary care career choice is reported. Questions addressed include whether students choosing the primary care specialties share similar attitudes toward their medical role, and whether student attitudes have changed during the last few years as the result of the national focus on primary care. (JMD)

A study of rotating interns' images of medical practitioners focuses on what images the interns have of obstetrician-gynecologists, pediatricians, internists, psychiatrists, and surgeons, and seeks to determine whether these images differ according to choice of specialty for postgraduate work. (JMD)

Perceptions of students who would have elected a preceptorship rotation had it not been required were compared with those of students who participated only to fulfill the requirement. Both groups perceived an increase in knowledge of primary care practices and confidence in relevant clinical skills. (Author/LBH)

Using data on 3,569 women and 15,582 men trained in internal medicine, this study investigated gender differences in choice of primary care practice and their possible relationship to training program type, traditional or primary care. Results indicate women pursued primary care more often than did men, regardless of training program completed.…

A follow-up study of 148 medical school graduates investigated the predictive value of medical college admissions data for choice of a generalist career (family practice, general internal medicine, general pediatrics). Factors indicating a high orientation toward community service before medical school were found predictive of generalist choices.…

A questionnaire was administered to 339 graduating senior medical students at the Medical College of Georgia to determine different potential sources of influence on career choice. Indebtedness may be associated with the choice of a non-primary care specialty with greater remuneration than primary care specialty. (MLW)

The different practice styles of young internists and the relationship between training and practice were studied as part of the National Study of Internal Medicine Manpower, Phase III. The practices of four groups of physicians were compared: general internists with traditional residencies, general internists who received their residency training…

Three Medical College of Pennsylvania (MCP) surveys are analyzed. One investigated 104 MCP graduating seniors' perceptions of their medical education and specialty and residency choices. The second asked 40 residency program directors in 4 specialties about resident selection criteria. The third had 30 physician employers identify desirable…