Choosing emergency medicine: Influences on medical students' choice of emergency medicine. PLoS One 2018;13(5):e0196639
Date
05/10/2018Pubmed ID
29742116Pubmed Central ID
PMC5942813DOI
10.1371/journal.pone.0196639Scopus ID
2-s2.0-85046777937 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
BACKGROUND: Relatively little is understood about which factors influence students' choice of specialty and when learners ultimately make this decision.
OBJECTIVE: The objective is to understand how experiences of medical students relate to the timing of selection of Emergency Medicine (EM) as a specialty. Of specific interest were factors such as how earlier and more positive specialty exposure may impact the decision-making process of medical students.
METHODS: A cross-sectional survey study of EM bound 4th year US medical students (MD and DO) was performed exploring when and why students choose EM as their specialty. An electronic survey was distributed in March 2015 to all medical students who applied to an EM residency at 4 programs representing different geographical regions. Descriptive analyses and multinomial logistic regressions were performed.
RESULTS: 793/1372 (58%) responded. Over half had EM experience prior to medical school. When students selected EM varied: 13.9% prior to, 50.4% during, and 35.7% after their M3 year. Early exposure, presence of an EM residency program, previous employment in the ED, experience as a pre-hospital provider, and completion of an M3 EM clerkship were associated with earlier selection. Delayed exposure to EM was associated with later selection of EM.
CONCLUSIONS: Early exposure and prior life experiences were associated with choosing EM earlier in medical school. The third year was identified as the most common time for definitively choosing the specialty.
Author List
Ray JC, Hopson LR, Peterson W, Santen SA, Khandelwal S, Gallahue FE, White M, Burkhardt JCMESH terms used to index this publication - Major topics in bold
AdultCareer Choice
Cross-Sectional Studies
Delphi Technique
Emergency Medicine
Female
Humans
Male
Medicine
Motivation
Students, Medical
United States
Young Adult
