The power of rotation schedules on the career selection decisions of medical students.

Choosing a career pathway in medicine is a high stakes decision for both medical students and the field of medicine as a whole. While past research has examined how characteristics of the medical student or specialties influence this decision, we introduce temporal elements as novel variables influencing career selection decisions in medicine. Specifically, we investigate how timing and duration of residency options, based on a rotation schedule that medical students have limited control over, influence their career selection decisions. An archival study investigating 5 years of medical student rotation schedules (N = 115) reveals that clinical rotation options appearing earlier and more often in the schedule were more likely to be selected. Moreover, timing and duration of exposure interacted such that residency options appearing later in the schedules were more likely to be selected if they also appeared more often. Conditional logistic regressions using student fixed-effects to control for idiosyncratic medical student differences (i.e., gender, & debt, etc.), and residency fixed-effects to control for idiosyncratic residency differences (income, and lifestyle, etc.), revealed the rotation schedule had a significant impact on residency selection decisions even when controlling for factors typically influencing this decision. Medical students' career decisions are influenced by when and how long different choice options appear in their rotation schedule, especially when they have limited influence over this schedule. The results have implications for healthcare policy by highlighting a tool for adjusting physician workforce composition by broadening exposure to a greater array of career options.

Rookies connected: Interpersonal relationships among newcomers, newcomer adjustment processes, and socialization outcomes.

How do relationships among newcomers in the same cohort impact how quickly they develop clear understandings of their new roles and, ultimately, key socialization outcomes? We study newcomers' relationships with cohort members in the same unit (i.e., intra-unit relationships) and those in different units (i.e., inter-unit relationships). While organizations invest substantial time and resources in promoting broad networking among newcomers, we offer a theoretical and empirical account of how too many connections among fellow newcomers early in the socialization process can slow their adjustment-namely, their growth in role clarity. In Study 1, we surveyed 189 newcomers in an international conglomerate from their orientations through their first 4 months and linked responses to 3 years of their job performance and turnover records. After controlling for the initial level of role clarity, we found an inverted U-shaped relationship between newcomers' intra-unit peer connections and growth in role clarity, whereas their inter-unit peer connections did not significantly relate to growth in role clarity. Growth in role clarity positively related to subsequent newcomers' job satisfaction and job performance, which were then negatively related to turnover. Study 2's results indicated that sensemaking with fellow newcomers operated as a key mechanism linking the nonlinear relationships between intra-unit newcomer-newcomer relationships and growth in role clarity. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Diagnosing the locus of trust: A temporal perspective for trustor, trustee, and dyadic influences on perceived trustworthiness.

Extant trust research champions 3 different centers of action that determine perceptions of trust: the trustor (the individual rendering trust judgments), the trustee (the party being trusted), and the trustor-trustee dyad. We refer to the centers of action as loci of trust. Thus far, researchers have investigated determinants residing within each locus independently but have not concurrently investigated all 3 loci. Thus, the relative influence of each locus on perceptions of trust is unknown. Nor is it known how the influence of each locus changes with time. Where is the dominant locus of trust? And how does it change over time? We address these questions by examining the influence of trustors, trustees, and dyads on perceived ability, benevolence, and integrity. We find that trustor influence decreases over time while trustee and dyadic influences increase. We also find that the trustor is the dominant locus for perceived ability, benevolence, and integrity initially, but over time the trustee becomes the dominant locus for perceived ability and integrity. For perceived benevolence, the trustor remains the dominant driver over time.