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Another look at learning style inventory and medical career choice.

It has been suggested that learning style, as measured by the Learning Style Inventory, can be associated with choice of a particular medical field and that individuals with certain learning styles in making career choices are influenced more than other students by particular learning experiences. In the replication study reported here the Learning Style Inventory was administered to over 200 practicing physicians and medical students. Contrary to the previous findings, the results of this study suggest that there is no association between learning style and career choice in medicine and no association between learning style and the kind of influences which were most important in making a career choice.

Career Choice

The effect of radiology electives on career choice at McMaster University.

Recruitment ot radiology is said to be affected by the extent to which radiologists participate in medical student teaching. At McMaster University, where radiologists make major contributions to the medical school curriculum, students appear to show little interest in radiology as a career. The characteristics, attitudes and career choices of students at McMaster who undertook elective periods in radiology between 1973 and 1976 were examined. Though students rated the elective experience very highly, none intended to become a radiologist. Half of the group wished to take up family practice, the proportion in the school as a whole being similar. This is consistent with policies of student selection and education at McMaster. Most of those choosing family practice did not change their career choice between entry to and exit from the school. Involvement of radiologists in the curriculum had no detectable positive influence on career choice.

Adult

The effect of a course in family medicine on future career choice: a long-range follow-up of a controlled experiment in medical education.

The career choices and professional behavior of three cohorts of students who participated in a family medicine program were studied by mail questionnaire. Cohort I (1957--1960), as part of an educational experiment, had been randomly assigned to the course; unselected classmates were used as controls. Cohort II (1961--1965) and Cohort III (1966--1970) were volunteers; alphabetically adjacent classmates were used as a comparison group. The results suggest that the impact of a given medical school course on future behavior must be evaluated in the context of general medical school orientation and societal trends extraneous to the school itself.

Boston

Longitudinal study of career choices of a SUNY-Upstate cohort of medical students.

A SUNY-Upstate cohort was observed during the four-year matriculation (1974--1978) of the students for changes in their career choices. Medical school exposure seemed to increase students' interest in all major specialties, with the exception of family practice for which there was an overall 3% decrease. Internship and residency appointments accepted indicated that 75% entered primary care specialties, 8% more than the national average for 1978.

Adult

Influence factors affecting career choice of preclinical medical technology students.

Over a seven-year period, data were gathered on 249 declared medical technology majors enrolled in an Introduction to Medical Technology course at the University of Iowa. The Kendall Tau C test for significance (p = less than .05) was utilized in determining the influence of several variables or factors in the students' choice of medical technology as a career. Such factors as the type of work, demand for medical technologists, and desire to help people were found to be highly motivating factors in choice. It appeared the motivation was primarily internalized with assistance sought from various sources. The decision of medical technology as a career was predominantly made in the junior/senior year in high school or freshman/sophomore year in college.

Career Choice

The magnitude of declining psychiatric career choice.

Previous studies are reviewed and new data are reported which document a decline in the percentage of American medical graduates choosing psychiatric careers. Data on absolute numbers are conflicting. While 7 percent of graduates from 1945 to 1964 and 6.4 percent of graduates from 1965 to 1970 chose psychiatry, only 5.3 percent of graduates of the classes of 1975 and 1976 did so. Available data for more recent medical classes indicate that further decrements will occur. Possible explanations and strategies for research are briefly outlines.

Career Choice

Family physician pathway and medical student career choice. Ten years after curriculum change at the University of Washington.

In 1968 the University of Washington School of Medicine initiated a new curriculum that included a family physician pathway. Six of these classes have now graduated. Two thirds of the planned strategies for the pathway were actually implemented. Approximately half of the students in each second-year class now choose this pathway. Ninety percent of those graduating have done so in the traditional four years. Seventy-three percent of those in the pathway actually pursued family practice training on graduation. Approximately one third of all University of Washington graduates now enter training for family practice, one third enter internal medicine, 10% enter surgical fields, and 8% enter pediatrics. These rates represent significant increases in the proportion of students entering directly into family practice, internal medicine, and pediatrics training.

Career Choice

Career choice and performance on state licensing examinations of "Fifth Pathway" students.

Between 1975 and 1977, 340 American citizens trained in foreign medical schools (mostly Mexican) completed a year of supervised clinical training (Fifth Pathway) in New York State before beginning residency training. Analysis of 335 such students revealed a greater tendency to remain in the State for residency training as compared to graduates of New York State medical schools (P less than 0.01). A primary-care specialty was chosen by these students significantly less often than be American graduates (P less than 0.001). Their pass rate on state licensing examinations, although higher than that of other foreign-trained medical graduates, was significantly lower than that of American-trained students (P less than 0.001). Fifth Pathway programs can provide a source of United States-citizen house officers for hospitals currently staffed mainly by alien physicians. Such programs offer foreign-trained United States physicians an opportunity to improve their clinical skills before starting residencies, but evidently do not fully overcome their educational deficits.

Career Choice