Changes in U.S. Medical Students’ Specialty Interests over the Course of Medical School
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Studies have examined factors affecting medical students’ specialty choice, but little research exists on stability of these specialty interests.
To describe patterns of change in specialty interests during medical school and examine associations between specialty change patterns and gender, desire for a high-prestige career, and interest in prevention.
Medical students (Class of 2003) at 15 representative US schools were invited to complete surveys during freshman orientation, entry to wards, and senior year.
This analysis used data from 942 students who completed all 3 surveys.
In addition to a number of other items, students were asked to choose the 1 specialty they were most interested in pursuing.
The most common specialty choices among freshman students were pediatrics (20%) and surgery (18%); least common choices were psychiatry and preventive medicine (1% each). General internal medicine was the initial specialty choice for 8%. Most students changed their specialty choices, regardless of initial interest. Only 30% of those initially interested in primary care (PC) remained interested at all 3 time points, compared to 68% of those initially interested in non-PC. Female versus male students were more commonly interested in PC at all 3 time points. Senior students interested in non-PC specialties were more likely to desire a high-prestige career (48%) than those interested in PC (31%).
Medical students may benefit from more intensive introduction to some specialties earlier in pre-medical and medical education. In addition, increasing the prestige of PC fields may shape the physician workforce.
KEY WORDSmedical students changes in specialty choices prestige
This research was supported by grant funding from the American Cancer Society and the Centers for Disease Control and Prevention.
Conflict of Interest
- 6.Pamies RJ, Lawrence LE, Helm EG, Strayhorn G. The effects of certain student and institutional characteristics on minority medical student specialty choice. J Nat Med Assoc. 1994;86:136–40.Google Scholar
- 9.Kassebaum DG, Szenas PL. Factors influencing the specialty choices of 1993 medical school graduates. Acad Med. 1994;69:164–70.Google Scholar
- 13.Stoll M. The Best Medical Schools. 2000 Edition. New York, NY: Princeton Review Publishing; 1999.Google Scholar
- 14.Association of American Medical Colleges. Applicant age at anticipated matriculation, 1992–2001. http://www.aamc.org/data/facts/archive/famg112001a.htm. Accessed 26 February 2008.
- 15.Association of American Medical Colleges. Total enrollment by gender and race/ethnicity, 1992–2001. http://www.aamc.org/data/facts/archive/famg82001.htm. Accessed 26 February 2008.
- 16.Association of American Medical Colleges. Medical schools. http://www.aamc.org/medicalschools.htm. Accessed 26 February 2008.
- 17.National Institutes of Health. Support to U.S. Medical Schools, Fiscal Year 2000. http://grants.nih.gov/grants/award/rank/medschrank00.txt. Accessed 26 February 2008.
- 21.Dillman DA. Mail and Telephone Surveys: The Total Design Method. New York, NY: Wiley; 1978.Google Scholar
- 22.Shah BV, Barnwell BG, Bieler GS. SUDAAN User’s Manual, Release 8.0: Software for the Statistical Analysis of Correlated Data. Research Triangle Park, NC: Research Triangle Institute; 2001.Google Scholar
- 25.Kassebaum DG, Szenas PL. Medical students’ career indecision and specialty rejection: roads not taken. Acad Med. 1995;70:938–43.Google Scholar