Impact of a First‐year Primary Care Experience on Residency Choice

We designed a retrospective cohort study of first‐year medical students to assess the impact of a community‐based primary care course, Introduction to Primary Care (IPC), on residency choice. In the group that took IPC (n = 282), 48.2% entered generalist residencies (internal medicine, pediatrics, f...

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Published inJournal of general internal medicine : JGIM Vol. 16; no. 12; pp. 860 - 863
Main Authors Grayson, Martha S., Klein, Martin, Franke, Kathleen B.
Format Journal Article
LanguageEnglish
Published Boston, MA, USA Blackwell Science Inc 01.12.2001
Springer
Springer Nature B.V
Subjects
Adult
Age
Biological and medical sciences
Career Choice
Careers
Cohort Studies
Community Health Services
community‐based training
Confidence intervals
Core curriculum
Female
Gender
General aspects
Humans
Internal medicine
Internship and Residency
Life Change Events
Male
Medical sciences
Medical students
Medicine
Odds Ratio
Pediatrics
Planification. Prevention (methods). Intervention. Evaluation
Primary care
Primary Health Care
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Students, Medical
Human
Professional experience
Choice
Resident(student)
Managed care
Public health organization
Cohort study
Environment impact
Public health
Career
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Summary:We designed a retrospective cohort study of first‐year medical students to assess the impact of a community‐based primary care course, Introduction to Primary Care (IPC), on residency choice. In the group that took IPC (n = 282), 48.2% entered generalist residencies (internal medicine, pediatrics, family medicine, or medicine/pediatrics), compared to 38.2% in the group that wanted IPC (n = 398) and 39.6% in the group that did not want IPC (n = 245). Controlling for gender, students who took IPC had a 40% higher odds of selecting a generalist residency than those who wanted to take IPC (odds ratio [OR], 1.42; 95% confidence interval [CI], 1.04 to 1.95). There was no difference between those who wanted IPC and those who did not (OR, 1.08; CI, 0.78 to 1.52). The community‐based primary care experience was positively associated with students' selection of generalist residencies.
Bibliography:*
Preliminary results were presented as a poster at the annual meeting of the Society of General Internal Medicine, May 6, 2000, Boston, Mass.
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ISSN:0884-8734
1525-1497
DOI:10.1046/j.1525-1497.2001.10117.x