Career development among residents completing primary care and traditional residencies in medicine at the Boston City Hospital, 1974–1983 (original) (raw)
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Journal of Graduate Medical Education, 2019
Background Specialized primary care internal medicine (PC IM) residency programs and tracks aim to provide dedicated PC training. How programs deliver this is unclear. Objective We explored how PC IM programs and tracks provide ambulatory training. Methods We conducted a cross-sectional survey from 2012 to 2013 of PC IM program and track leaders via a search of national databases and program websites. We reported PC IM curricular content, clinical experiences, and graduate career pursuits, and assessed correlation between career pursuits and curricular content and clinical experiences. Results Forty-five of 70 (64%) identified PC IM programs and tracks completed the survey. PC IM programs provide a breadth of curricular content and clinical experiences, including a mean 22.8 weeks ambulatory training and a mean 69.4 continuity clinics per year. Of PC IM graduates within 5 years, 55.8% pursue PC or general internal medicine (GIM) careers and 23.1% pursue traditional subspecialty fell...
Practice choices of graduating family medicine residents
Canadian family physician Médecin de famille canadien, 1998
To examine the types of practices family medicine residents chose during the first 2 years after residency, and how these choices have changed over a 15-year period. Mailed survey. Areas served by graduates of the Queen's University family medicine residency program. Two hundred thirty (76%) of the 303 graduates from 1977 to 1991 of the Queen's University family medicine residency program responded to the questionnaire. Type of practices residents entered immediately out of residency: whether they began full-time, part-time, locum tenens, or other type of practice; length of time spent in the first practice situation; and proportion of residents who had settled into a full-time practice within 2 years of completing residency. Residents who graduated before 1985 were significantly more likely to go into full-time practice immediately out of residency (P = .0001). The earlier residents had graduated from the program, the more likely they were to go immediately into full-time p...
Einstein Journal of Biology and Medicine
This study investigated factors influencing primary care–focused students’ selection of a family medicine residency at a private urban medical school. Reasons for why or why not students chose family medicine as opposed to other primary care–focused residencies is discussed. A questionnaire was sent to all fourth-year students (N=157) selected for residency with a primary care focus (medicine and pediatrics (medicine/pediatrics), emergency medicine (EM), obstetrics/gynecology (OB/GYN), internal medicine, pediatrics, and family medicine) from 2006 to 2008. Sixty-three surveys were completed. Respondents reported the most influential factor in primary care selection was patient-care model, followed by patient population and mentor/role model. The factor reported as having the strongest positive and negative influence on residency choice was clerkship experience. Half of respondents (53%) reported being told or directly overhearing negative comments about their career interest in prima...
Short report: factors that affect specialty choice and career plans of Wisconsin's medical students
WMJ : official publication of the State Medical Society of Wisconsin, 2008
To identify factors that influence specialty choice among Wisconsin medical students and provide insight into approaches to encourage more students to pursue careers in primary care. The importance of several factors in medical student career choice was surveyed using a Web survey convenience sample of all Wisconsin medical students. Students intending to pursue a career in primary care and in other specialties were compared. Respondents, regardless of specialty choice or gender, identified a similar group of factors as highly influential, and similar group of factors as non-influential in their decision-making. However, significantly more primary care students than other specialty students considered interest in underserved populations, relationships with patients, scope of practice, and role models important in their career choice. Significantly more primary care students than other specialty students responded that salary and competitiveness were "not at all" important....
A comparison of primary care residents with conventional internal medicine and pediatric residents
PubMed, 1981
A study was done of 15 residency training programs in primary care (not family practice residencies) to determine how the residents compared with their counterparts in conventional programs. Primary care residents are equally or more clinically skilled and equally or better grounded in the science of medicine. Their clinical research is directed toward different issues, and they are decidedly more psychosocially oriented.
Hospitalist Career Decisions Among Internal Medicine Residents
Journal of General Internal Medicine, 2014
BACKGROUND: Hospital medicine is a rapidly growing field of internal medicine. However, little is known about internal medicine residents' decisions to pursue careers in hospital medicine (HM). OBJECTIVE: To identify which internal medicine residents choose a career in HM, and describe changes in this career choice over the course of their residency education. DESIGN: Observational cohort using data collected from the annual Internal Medicine In-Training Examination (IM-ITE) survey. PARTICIPANTS: 16,781 postgraduate year 3 (PGY-3) North American internal medicine residents who completed the annual IM-ITE survey in 2009-2011, 9,501 of whom completed the survey in all 3 years of residency. MAIN MEASSURES: Self-reported career plans for individual residents during their postgraduate year 1 (PGY-1), postgraduate year 2 (PGY-2) and PGY-3. KEY RESULTS: Of the 16,781 graduating PGY-3 residents, 1,552 (9.3 %) reported HM as their ultimate career choice. Of the 951 PGY-3 residents planning a HM career among the 9,501 residents responding in all 3 years, 128 (13.5 %) originally made this decision in PGY-1, 192 (20.2 %) in PGY-2, and 631 (66.4 %) in PGY-3. Only 87 (9.1 %) of these 951 residents maintained a career decision of HM during all three years of residency education. CONCLUSIONS: Hospital medicine is a reported career choice for an important proportion of graduating internal medicine residents. However, the majority of residents do not finalize this decision until their final year.