Factors That Influence Student Choice in Family Medicine: A National Focus Group

被引：21

作者：

Alavi, Mustafa ^{[1
]}

Ho, Tiffany ^{[2
]}

Stisher, Chandler ^{[3
]}

Richardson, Emma ^{[4
]}

Kelly, Christina ^{[5
]}

McCrory, KrisEmily ^{[6
]}

Zurek, Katie ^{[7
]}

Boltz, Mandy Ward ^{[8
]}

Snellings, John ^{[9
]}

机构：

[1] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[2] Swedish Family Med Residency Cherry Hill, Seattle, WA 98122 USA

[3] Univ Alabama, Med Sch, Tuscaloosa, AL 35487 USA

[4] Rush Univ, Med Ctr, Chicago, IL 60612 USA

[5] Mem Hlth Family Med Residency, Savannah, GA USA

[6] Ellis Family Med Residency, Schenectady, NY USA

[7] Mayo Clin, Family Med Residency, Rochester, MN USA

[8] Univ Arizona, Coll Med, Phoenix, AZ USA

[9] Eastern Virginia Med Sch, Norfolk, VA 23501 USA

来源：

FAMILY MEDICINE | 2019年 / 51卷 / 02期

关键词：

D O I：

10.22454/FamMed.2019.927833

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BACKGROUND AND OBJECTIVES: The Family Medicine for America's Health Workforce and Education Team aims to increase the number of medical students choosing family medicine to address the projected primary care physician shortage. This aim can be achieved by developing a well-trained primary care workforce. Our student- and resident-led FMAHealth work group aimed to identify factors that influenced fourth-year medical students' choice to become family physicians. The secondary objective compared such factors between the 10 medical schools with the highest percentage of students matching into family medicine and non-top 10 medical schools. METHODS: Fourth-year medical students nationwide participated in 90-minute virtual focus groups. Reviewers coded deidentified transcriptions and identified key themes and subthemes that were found to influence student choice. RESULTS: Fifty-five medical students participated in focus groups over a 2-year period. Three key themes were found to influence students: perspective, choice, and exposure. Subthemes included: (1) the importance of high-quality preceptors practicing full-scope family medicine, (2) the value of a rural experience, and (3) institutional support to pursue family medicine. Physician compensation and loan repayment concerns were not major factors influencing student choice. CONCLUSIONS: Many factors influence student choice of family medicine including preceptors, clinical exposures, and institutional support. These factors varied by institution and many were found to be different between top 10 and non-top 10 schools. Addressing these factors will help increase students' choice of family medicine and reduce the primary care shortage.

引用

页码：143 / 148

页数：6

共 9 条

[1] Finding, Recruiting, and Sustaining the Future Primary Care Physician Workforce: A New Theoretical Model of Specialty Choice Process [J].