How often do medical students change career preferences over the course of medical school?

BMC Medical Education

Research

Sabrina Gordon¹  Natali Franzblau²  M. Olguta Vilceanu³  Jean-Sebastien Rachoin⁴  Elizabeth Cerceo⁴ 

[1] Department of Medicine, Cooper University Healthcare, Camden, NJ, USA;Department of Obstetrics and Gynecology, Cooper University Healthcare, Cooper Medical School of Rowan University, Camden, NJ, USA;Department of Public Relations and Advertising, Rowan University, Glassboro, NJ, USA;Division of Hospital Medicine, Department of Medicine, Cooper University Healthcare, Cooper Medical School of Rowan University, Suite 223 Dorrance Bldg. One Cooper Plaza, 08103, Camden, NJ, USA;

关键词: Medical students;    Medical school;    Residency;    Career;    Choice;   

DOI  :  10.1186/s12909-023-04598-2

 received in 2023-02-12, accepted in 2023-08-17,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionDuring the preclinical years, students typically do not have extensive exposure to clinical medicine. When they begin their clinical rotations, usually in the third year, the majority of the time is spent on core rotations with limited experience in other fields of medicine. Students then must decide on their careers early in their fourth year. We aimed to analyze how often medical students change their career preferences between the end of their second and their fourth year.MethodsWe conducted a retrospective, cohort study using the American Association of Medical Colleges Year 2 Questionnaire (Y2Q) and Graduating Questionnaire (GQ) from 2016 to 2020.Results20,408 students answered both surveys, but 2,165 had missing values on the career choice question and were excluded. Of the remaining students, 10,233 (56%) changed their career choice between the Y2 and GQ surveys. Fields into which students preferentially switched by the GQ survey included anesthesia, dermatology, ENT, family medicine, OB/GYN, pathology, PM&R, psychiatry, radiology, urology, and vascular surgery. Many characteristics, including future salary, the competitiveness of the field, and the importance of work-life balance, were significantly associated with a higher likelihood of changing career choices. On the other hand, having a mentor and the specialty content were associated with a lower likelihood of change.ConclusionA majority of students switched their career preferences from the Y2Q to the GQ. Additional research should be focused on curricular design that optimizes student satisfaction with career decisions. This may include early integration of a variety of specialties.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023