Factors Influencing US Allopathic Medical Students to Choose Pathology as a Specialty

被引:37
作者
McCloskey, Cindy B. [1 ]
Johnson, Kristen [2 ]
Brissette, Mark [3 ]
Conran, Richard [4 ]
Childs, John [5 ]
George, Melissa [6 ]
Gratzinger, Dita [7 ]
Prieto, Victor G. [8 ]
Rojiani, Amyn M. [9 ]
Shyu, Irene [10 ]
Timmons, Charles, Jr. [11 ]
Hoffman, Robert [12 ]
机构
[1] Univ Oklahoma, Hlth Sci Ctr, Dept Pathol, Oklahoma City, OK 73104 USA
[2] Coll Amer Pathologists, Northfield, IL USA
[3] Joint Pathol Ctr, Silver Spring, MD USA
[4] Eastern Virginia Med Sch, Dept Pathol & Anat, Norfolk, VA 23501 USA
[5] Walter Reed Natl Mil Med Ctr, Dept Pathol & Lab Med Serv, Bethesda, MD USA
[6] Penn State Hlth Hershey Med Ctr, Dept Pathol, Hershey, PA USA
[7] Stanford Univ, Sch Med, Dept Pathol, Stanford, CA 94305 USA
[8] Univ Texas MD Anderson Canc Ctr, Dept Pathol, Houston, TX 77030 USA
[9] Augusta Univ, Dept Pathol, Med Coll Georgia, Augusta, GA USA
[10] Virginia Commonwealth Univ, Dept Pathol, Richmond, VA USA
[11] UT Southwestern Med Ctr & Childrens Hlth, Dept Pathol, Dallas, TX USA
[12] Vanderbilt Univ, Sch Med, Dept Pathol Microbiol & Immunol, Nashville, TN USA
来源
ACADEMIC PATHOLOGY | 2020年 / 7卷
关键词
career choices; pathology; pathology residency; specialty choice; medical student; CAREER; CURRICULUM;
D O I
10.1177/2374289520951924
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
The SARS-CoV-2 pandemic has highlighted the crucial role of pathologists in the health care system at a time of significant decline in the number of US medical students matching to pathology residency positions. To understand this decline, a national survey of fourth-year US allopathic medical students was conducted to assess experiences, knowledge, and attitudes of pathology and factors that impact specialty choice. Participating in a separate pathology course did not increase the probability of choosing pathology. Experiences significantly associated with choosing pathology included clinical or research opportunities in pathology during the last 2 years of medical school, autopsy observation/participation, and participation in pathology interest groups. Many respondents felt they were not sufficiently exposed to pathology to consider it as a specialty. Those who considered pathology but did not choose it were less likely to report understanding the activities of pathologists and being recruited by pathology faculty and more likely to express a preference for more direct patient contact as compared to those entering pathology. In general, respondents agreed that pathology has a good work-life balance and a satisfying degree of intellectual challenge. On the other hand, respondents generally agreed that information on social media and perception of the pathology job market do not seem to be positive and few agreed that pathology is a highly regarded specialty. We identify steps to address these issues and increase the number of US medical students choosing pathology as a specialty crucial to the future of medicine and public health.
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相关论文
共 20 条
[1]  
[Anonymous], 2019, TABL A 8 APPL US MED
[2]  
[Anonymous], 2017, TABL A 6 AG APPL US
[3]  
[Anonymous], 1986, REP ARCH RES DAT MAI
[4]  
[Anonymous], 2020, RES DAT 2020 MAIN RE
[5]  
[Anonymous], 2018, FUNCT STRUCT MED SCH
[6]   If not, why not? Reasons why Canadian postgraduate trainees chose-or did not choose-to become pathologists [J].
Ford, Jason C. .
HUMAN PATHOLOGY, 2010, 41 (04) :566-573
[7]   Influence of a problem-based learning curriculum on the selection of pathology as a career: evidence from the Canadian match of 1993-2004 [J].
Ford, JC .
HUMAN PATHOLOGY, 2005, 36 (06) :600-604
[8]   Will I Need to Move to Get My First Job? Geographic Relocation and Other Trends in the Pathology Job Market [J].
George, Melissa R. ;
Johnson, Kristen A. ;
Gratzinger, Dita A. ;
Brissette, Mark D. ;
McCloskey, Cindy B. ;
Conran, Richard Michael ;
Dixon, Lisa R. ;
Roberts, Cory Anthony ;
Rojiani, Amyn M. ;
Shyu, Irene ;
Timmons, Charles Franklin, Jr. ;
Hoffman, Robert D. .
ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 2020, 144 (04) :427-434
[9]   The Recent Pathology Residency Graduate Job Search Experience A Synthesis of 5 Years of College of American Pathologists Job Market Surveys [J].
Gratzinger, Dita ;
Johnson, Kristen A. ;
Brissette, Mark D. ;
Cohen, David ;
Rojiani, Amyn M. ;
Conran, Richard M. ;
Hoffman, Robert D. ;
Post, Miriam D. ;
McCloskey, Cindy B. ;
Roberts, Cory A. ;
Domen, Ronald E. ;
Talbert, Michael L. ;
Powell, Suzanne Z. .
ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 2018, 142 (04) :490-495
[10]   THE HIDDEN CURRICULUM, ETHICS TEACHING, AND THE STRUCTURE OF MEDICAL-EDUCATION [J].
HAFFERTY, FW ;
FRANKS, R .
ACADEMIC MEDICINE, 1994, 69 (11) :861-871