Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions

To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. Survey that was created based on a comprehensive literature review to determine which...

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Veröffentlicht in:Canadian family physician 2017-02, Vol.63 (2), p.e107-e113
Hauptverfasser: Osborn, Heather Ann, Glicksman, Jordan T, Brandt, Michael G, Doyle, Philip C, Fung, Kevin
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container_end_page e113
container_issue 2
container_start_page e107
container_title Canadian family physician
container_volume 63
creator Osborn, Heather Ann
Glicksman, Jordan T
Brandt, Michael G
Doyle, Philip C
Fung, Kevin
description To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Ontario medical school. An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). The main factors that influenced participants' decision to choose a career in primary care or pediatrics, and the main factors that influenced participants' decision to choose a career in a non-front-line specialty. A total of 323 participants were included in this study. Factors that significantly influenced participants' career choice in family medicine or pediatrics involved work-life balance (acceptable hours of practice [ = .005], acceptable on-call demands [ = .012], and lifestyle flexibility [ = .006]); a robust physician-patient relationship (ability to promote individual health promotion [ = .014] and the opportunity to form long-term relationships [  
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Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Ontario medical school. An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). The main factors that influenced participants' decision to choose a career in primary care or pediatrics, and the main factors that influenced participants' decision to choose a career in a non-front-line specialty. A total of 323 participants were included in this study. Factors that significantly influenced participants' career choice in family medicine or pediatrics involved work-life balance (acceptable hours of practice [ = .005], acceptable on-call demands [ = .012], and lifestyle flexibility [ = .006]); a robust physician-patient relationship (ability to promote individual health promotion [ = .014] and the opportunity to form long-term relationships [  < .001], provide comprehensive care [ = .001], and treat patients and their families [ = .006]); and duration of residency program ( = .001). The career-related factors that significantly influenced participants' decision to choose a non-front-line specialty were as follows: becoming an expert (  < .001), maintaining a focused scope of practice (  < .001), having a procedure-focused practice ( = .001), seeing immediate results from one's actions (  < .001), potentially earning a high income (  < .001), and having a perceived status among colleagues (  < .001). In this study, 8 factors were found to positively influence medical students' career choice in family medicine and pediatrics, and 6 factors influenced the decision to choose a career in a non-front-line specialty. Medical students can be encouraged to explore a career in family medicine or pediatrics by addressing misinformation, by encouraging realistic expectations of career outcomes in the various specialties, and by demonstrating the capacity of primary care fields to incorporate specific motivating factors.]]></description><identifier>ISSN: 0008-350X</identifier><identifier>EISSN: 1715-5258</identifier><identifier>PMID: 28209702</identifier><language>eng</language><publisher>Canada: College of Family Physicians of Canada</publisher><subject>Adult ; Career Choice ; College students ; Decision making ; Family Practice - education ; Female ; Humans ; Income ; Life Style ; Male ; Medicine ; Ontario ; Pediatrics - education ; Physician-Patient Relations ; Primary care ; Primary Health Care ; Specialization ; Students, Medical - psychology ; Surveys and Questionnaires</subject><ispartof>Canadian family physician, 2017-02, Vol.63 (2), p.e107-e113</ispartof><rights>Copyright© the College of Family Physicians of Canada.</rights><rights>Copyright College of Family Physicians of Canada Feb 2017</rights><rights>Copyright© the College of Family Physicians of Canada 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395408/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395408/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28209702$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Osborn, Heather Ann</creatorcontrib><creatorcontrib>Glicksman, Jordan T</creatorcontrib><creatorcontrib>Brandt, Michael G</creatorcontrib><creatorcontrib>Doyle, Philip C</creatorcontrib><creatorcontrib>Fung, Kevin</creatorcontrib><title>Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions</title><title>Canadian family physician</title><addtitle>Can Fam Physician</addtitle><description><![CDATA[To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Ontario medical school. An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). The main factors that influenced participants' decision to choose a career in primary care or pediatrics, and the main factors that influenced participants' decision to choose a career in a non-front-line specialty. A total of 323 participants were included in this study. Factors that significantly influenced participants' career choice in family medicine or pediatrics involved work-life balance (acceptable hours of practice [ = .005], acceptable on-call demands [ = .012], and lifestyle flexibility [ = .006]); a robust physician-patient relationship (ability to promote individual health promotion [ = .014] and the opportunity to form long-term relationships [  < .001], provide comprehensive care [ = .001], and treat patients and their families [ = .006]); and duration of residency program ( = .001). The career-related factors that significantly influenced participants' decision to choose a non-front-line specialty were as follows: becoming an expert (  < .001), maintaining a focused scope of practice (  < .001), having a procedure-focused practice ( = .001), seeing immediate results from one's actions (  < .001), potentially earning a high income (  < .001), and having a perceived status among colleagues (  < .001). In this study, 8 factors were found to positively influence medical students' career choice in family medicine and pediatrics, and 6 factors influenced the decision to choose a career in a non-front-line specialty. Medical students can be encouraged to explore a career in family medicine or pediatrics by addressing misinformation, by encouraging realistic expectations of career outcomes in the various specialties, and by demonstrating the capacity of primary care fields to incorporate specific motivating factors.]]></description><subject>Adult</subject><subject>Career Choice</subject><subject>College students</subject><subject>Decision making</subject><subject>Family Practice - education</subject><subject>Female</subject><subject>Humans</subject><subject>Income</subject><subject>Life Style</subject><subject>Male</subject><subject>Medicine</subject><subject>Ontario</subject><subject>Pediatrics - education</subject><subject>Physician-Patient Relations</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Specialization</subject><subject>Students, Medical - psychology</subject><subject>Surveys and Questionnaires</subject><issn>0008-350X</issn><issn>1715-5258</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9LAzEQxRdRbK1-BQl48bKQTXY3iQdBiv9A0EMFb8s0mdqUbVKTrODFz26kKuppZng_3rxhdopxJaqmbFgjd4sxpVSWvKFPo-IgxhWlrK15tV-MmGRUCcrGxftDsGsIb0RDQBI3qC30aTtiIHrprUYCa--eyRQcGAuOrNFYDT2JaTDoUjwjj85giAmcsRlMSyQL0MmHmHtIxLpFP6DLTlmygZi8Jlrv4mGxt4A-4tFXnRSzq8vZ9Ka8u7--nV7clRum6lTWLfK5rARyMMaAEQiGK86EmYvWcElxUc2Z4G2eleBUSl1rQ1XTmlYB55PifGu7GeY5vM6hA_TdZnt758F2fxVnl92zf-0arpqaymxw-mUQ_MuAMXVrGzX2PTj0Q-wq2SrVNpJ9oif_0JUfgsvXZUrQT7KmmTr-negnyvdn-AdS_I6z</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Osborn, Heather Ann</creator><creator>Glicksman, Jordan T</creator><creator>Brandt, Michael G</creator><creator>Doyle, Philip C</creator><creator>Fung, Kevin</creator><general>College of Family Physicians of Canada</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201702</creationdate><title>Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions</title><author>Osborn, Heather Ann ; Glicksman, Jordan T ; Brandt, Michael G ; Doyle, Philip C ; Fung, Kevin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p294t-46e3b817e3adddad7ead39327db76d380ef1b2736db7973088c4cd0956d69a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Career Choice</topic><topic>College students</topic><topic>Decision making</topic><topic>Family Practice - education</topic><topic>Female</topic><topic>Humans</topic><topic>Income</topic><topic>Life Style</topic><topic>Male</topic><topic>Medicine</topic><topic>Ontario</topic><topic>Pediatrics - education</topic><topic>Physician-Patient Relations</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Specialization</topic><topic>Students, Medical - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osborn, Heather Ann</creatorcontrib><creatorcontrib>Glicksman, Jordan T</creatorcontrib><creatorcontrib>Brandt, Michael G</creatorcontrib><creatorcontrib>Doyle, Philip C</creatorcontrib><creatorcontrib>Fung, Kevin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian family physician</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osborn, Heather Ann</au><au>Glicksman, Jordan T</au><au>Brandt, Michael G</au><au>Doyle, Philip C</au><au>Fung, Kevin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions</atitle><jtitle>Canadian family physician</jtitle><addtitle>Can Fam Physician</addtitle><date>2017-02</date><risdate>2017</risdate><volume>63</volume><issue>2</issue><spage>e107</spage><epage>e113</epage><pages>e107-e113</pages><issn>0008-350X</issn><eissn>1715-5258</eissn><abstract><![CDATA[To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Ontario medical school. An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). The main factors that influenced participants' decision to choose a career in primary care or pediatrics, and the main factors that influenced participants' decision to choose a career in a non-front-line specialty. A total of 323 participants were included in this study. 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In this study, 8 factors were found to positively influence medical students' career choice in family medicine and pediatrics, and 6 factors influenced the decision to choose a career in a non-front-line specialty. Medical students can be encouraged to explore a career in family medicine or pediatrics by addressing misinformation, by encouraging realistic expectations of career outcomes in the various specialties, and by demonstrating the capacity of primary care fields to incorporate specific motivating factors.]]></abstract><cop>Canada</cop><pub>College of Family Physicians of Canada</pub><pmid>28209702</pmid></addata></record>
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subjects Adult
Career Choice
College students
Decision making
Family Practice - education
Female
Humans
Income
Life Style
Male
Medicine
Ontario
Pediatrics - education
Physician-Patient Relations
Primary care
Primary Health Care
Specialization
Students, Medical - psychology
Surveys and Questionnaires
title Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions
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