THE IMPACT OF EDUCATIONAL LOAN BURDEN ON HOUSESTAFF CAREER DECISIONS

被引:10
作者
BERG, D
CERLETTY, J
BYRD, JC
机构
[1] Department of General Internal Medicine, Zablocki VA Medical Center, Milwaukee, Wisconsin
[2] Zablocki VA Medical Center, Milwaukee, Wisconsin
[3] Medical College of Wisconsin, Department of Ambulatory Care (DB, JCB), Zablocki VA Medical Center, Milwaukee, Wisconsin
[4] Department of General Internal Medicine, Zablocki VA Medical Center (111B), Milwaukee, Wisconsin
关键词
CAREER CHOICE; EDUCATIONAL DEBT; LOAN BURDEN; DECISION MAKING;
D O I
10.1007/BF02599760
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The past decade has seen declining interest in primary care medicine and a dramatic increase in the cost of a medical degree. Seventy-nine percent of housestaff in an internal medicine residency program responded to a survey to determine whether medical school loan burden was related to career choice in a primary care field or specialty area. Overall mean indebtedness was $45,185 (median $40,000). Thirty-eight percent of residents with debts < $40,000 chose a career in primary care, compared with 10% with debts > $40,000 (chi square = 9.44, p < 0.01). Fourteen percent of those with debts < 40,000 and 59% with debts > $40,000 stated that financial conditions had a moderate to marked impact on their career decision making. Excessive loan burden has a significant influence on residents' career decision making and a negative influence on choosing careers in primary care internal medicine.
引用
收藏
页码:143 / 145
页数:3
相关论文
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  • [1] Schwartz M.D., Linzer M., Babbott D., Divine G., Broadhead E., Medical student interest in internal medicine, Ann Intern Med, 114, pp. 6-15, (1991)
  • [2] Babbott D., Levey G., Weaver F., Killian C., Medical student attitudes about internal medicine: a study of U.S. medical school seniors in 1988, Ann Intern Med, 114, pp. 16-22, (1991)
  • [3] Graettinger J.S., Internal medicine in the National Resident Matching Program 1987: the ides of March, Ann Intern Med, 108, (1988)
  • [4] Kletke P.R., Schleiter M., Tarlov A., Changes in the supply of internists: the internal medicine population from 1978 to 1988, Ann Intern Med, 107, pp. 93-100, (1987)
  • [5] Dial T.H., Elliott P., Relationship of scholarships and indebtedness to medical students’ career plans, J Med Educ, 62, (1987)
  • [6] Lieu J.A., Schroeder S., Altman D., Specialty choices at one medical school: recent trends and analysis of predictive factors, Acad Med, 64, (1989)
  • [7] Taggert M.D., Wartman S., Wessen A., An analysis of medical students’ residency and specialty choices, Soc Sci Med, 25, (1987)
  • [8] Silliman R.A., Dittus R., Velez R., Wartman S., Young M., Fletcher R., Debt, moonlighting, and career decisions among internal medicine residents, J Med Educ, 62, (1987)