A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved.
Acad Med
; 93(1): 90-97, 2018 01.
Article
de En
| MEDLINE
| ID: mdl-28678105
ABSTRACT
PURPOSE:
To explore students' intentions to practice in medically underserved areas.METHOD:
In January 2011, 960 third-year medical students from 24 MD-granting U.S. medical schools were invited to participate in a survey on their intention to practice in a medically underserved area. A follow-up survey was sent to participants in September 2011. Covariates included student demographics, medical school characteristics, environmental exposures, work experiences, sense of calling, and religious characteristics.RESULTS:
Adjusted response rates were 564/919 (61.4%, first survey) and 474/564 (84.0%, follow-up survey). Among fourth-year medical students, an estimated 34.3% had an intention to practice among the underserved. In multivariate logistic regression modeling, predictors for intentions to practice among the underserved included growing up in an underserved setting (odds ratio [OR] range 2.96-4.81), very strong sense of calling (OR range 1.86-3.89), and high medical school social mission score (in fourth year OR = 2.34 [95% confidence interval (CI), 1.31-4.21]). International experience was associated with favorable change of mind in the fourth year (OR = 2.86 [95% CI, 1.13-7.24]). High intrinsic religiosity was associated with intentions to practice primary care in underserved settings (in fourth year OR = 2.29 [95% CI = 1.13-4.64]).CONCLUSIONS:
Growing up in medically underserved settings, work experience in religiously affiliated organizations, very strong sense of calling, and high medical school social mission score were associated with intentions to practice in underserved areas. Lack of formative educational experiences may dissuade students from considering underserved practice.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Zone exercice professionnel
/
Étudiant médecine
/
Choix de carrière
/
Intention
/
Zone médicalement sous-équipée
Type d'étude:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspects:
Equity_inequality
Limites:
Female
/
Humans
/
Male
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
Acad Med
Sujet du journal:
EDUCACAO
Année:
2018
Type de document:
Article