THE INFLUENCE OF MEDICAL-SCHOOL CLINICAL-EXPERIENCES ON CAREER PREFERENCES - A MULTIDIMENSIONAL PERSPECTIVE

被引:24
作者
BROOKS, CH
机构
[1] Health Care Administration, Cleveland State University, Cleveland
关键词
MEDICAL EDUCATION; CAREER CHOICES; PRIMARY CARE PRACTICE; PRACTICE SETTING; COMMUNITY SETTING;
D O I
10.1016/0277-9536(91)90111-O
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study examines the multiple influences of medical school clinical experiences on student career preferences. The analysis of responses to pre-clerkship and post-clerkship questionnaires administered to the 1983 graduating class of a well-established medical school in the Great Lakes region of the United States indicates significant changes in career plans: away from primary care practice towards the surgical specialties; away from office-based practice towards clinical practice in a university medical center; and away from practice in small towns and communities towards locations in larger cities. These changes in the last 2 years of medical school appear to stem from an increased exposure to research and sophisticated medical technology. If allowed to continue, this trend in medical education will contribute further to the clinical specialty and geographic maldistribution problems of medicine in the United States. © 1991.
引用
收藏
页码:327 / 332
页数:6
相关论文
共 32 条
[1]   CHOOSING A MEDICAL SPECIALTY - CRITIQUE OF LITERATURE IN LIGHT OF CURIOUS FINDINGS [J].
ANDERSON, RBW .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1975, 16 (02) :152-162
[2]   THE STABILITY OF EARLY SPECIALTY PREFERENCES AMONG UNITED-STATES MEDICAL-SCHOOL GRADUATES IN 1983 [J].
BABBOTT, D ;
BALDWIN, DC ;
JOLLY, P ;
WILLIAMS, DJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1988, 259 (13) :1970-1975
[3]  
Czinkota M R, 1983, Health Care Manage Rev, V8, P43
[4]  
DIAL TH, 1987, J MED EDUC, V62, P316
[5]   STUDIES IN MEDICAL-EDUCATION - CAREER CHOICE CONSISTENCY OF MEDICAL-STUDENTS [J].
DONOVAN, JC ;
ALLEN, PZ ;
SALZMAN, LF .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1972, 112 (04) :519-&
[6]   THE REFORM OF MEDICAL-EDUCATION [J].
EBERT, RH ;
GINZBERG, E .
HEALTH AFFAIRS, 1988, 7 (02) :5-38
[7]  
GEERTSMA RH, 1972, J MED EDUC, V47, P509
[8]  
GLASSER M, 1982, J MED EDUC, V57, P442
[9]  
GRAETTINGER JS, 1980, J MED EDUC, V55, P647
[10]  
Hadley J, 1977, Inquiry, V14, P384