scholarly journals Impact of Virtual Interviewing on Time and Financial Costs for NRMP© Applicants: Did Regional Campus Students Save More?

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Tiffany Schwasinger-Schmidt ◽  
Tessa Rohrberg ◽  
Anne Walling ◽  
Kari Nilsen
Keyword(s):  
Primary Care ◽  
Medical School ◽  
Sudden Change ◽  
Specialty Choice ◽  
Senior Year ◽  
Chi Square ◽  
Time Saving ◽  
Main Campus ◽  
Before And After ◽  
Regional Campus

Background and Objectives: The sudden change from in-person to remote interviews by the National Residency Matching Program© (NRMP©) in 2020 was expected to result in significant financial and time savings for applicants. This project aimed to compare savings before and after the 2020-2021 interviewing season reported by students graduating from our institution’s regional and main campuses. Methods: Data were collected over a six-year period at a Midwestern medical school. Each year, approximately 120 main campus and 75 regional campus students are surveyed regarding specialty choice, number of applications and interviews, time, and expenses to complete the NRMP. Chi-square and t-tests were used to determine statistical differences by campus and by specialty in savings during the 2020-21 interviewing season compared to the previous five years. Results: Data were provided by 957 students. The response rates were 81.5% (regional) and 82% (main campus). Compared to the previous five years, in 2021 main campus students saved $3,990 (79.9%) and regional campus students saved $2,789 (77.1%). The previous highly significant differences in expenses between campuses ($1,386 ± $243) dropped to $185 (p = 0.3). On both campuses, applicants to non-primary care specialties saved more than their classmates applying to primary care. The largest average saving was reported by non-primary care applicants on the main campus ($4,207) and the smallest by regional applicants to primary care ($2,328). Main campus applicants reported saving 13.1 and regional campus 15.4 days interviewing in 2021. The smallest average time saving was reported by main campus applicants to non-primary care (12.7 days) and the largest (16.2 days) by regional campus applicants to primary care. No significant changes occurred in number of applications, interviews, or Match outcomes in 2021 compared to previous years. Conclusion: Prior to 2021, students from our institution’s regional campus reported lower costs and similar interviewing time than their peers on the main campus. Cost and time were significantly decreased in 2021 for both regional and main campus students applying to any specialty and differences between campuses reduced to non-significant levels. The number of applications, completed interviews, and Match outcomes remained similar to previous years. Changes to the NRMP© incorporating remote interviewing may reduce applicant costs by 80% and provide up to two weeks of available curricular time in the senior year of medical school.

scholarly journals Career choice in primary care: pre- and post-comparison of Honduran physicians completing social service

2017 ◽  
Vol 41 ◽  
pp. 1 ◽  
Author(s):  
E. Benjamín Puertas ◽  
Yoséf S. Rodríguez ◽  
E. Mariela Alvarado ◽  
Yolany Villanueva ◽  
Eyvilin Velasquez ◽  
...  
Keyword(s):  
Primary Care ◽  
Career Choice ◽  
Social Service ◽  
Quantitative Methods ◽  
Specialty Choice ◽  
Chi Square ◽  
Cross Sectional ◽  
Positive Difference ◽  
Before And After ◽  
Two Factors

Objective. To describe and compare patterns of specialty choice among physicians in Honduras before and after completing mandatory social service; and to identify and compare salary perceptions and factors that may influence their career choice. Methods. A quantitative methods approach was used on a cross-sectional questionnaire survey applied to 106 physicians completing social service in September 2015. Statistical analysis was performed using chi-square and factor analysis. Results. Interest in family medicine was low and declined from 2.2% before social service to 0.9% after. Median annual expected income was 19.5% lower overall compared to the beginning of social service, and in particular, for primary care specialties (US$ 17 733), it was significantly lower than for other specialties (US$ 27 281). Participants reported that the most important factors influencing career choice were: income potential (23.3%), making a positive difference in people’s lives (19.4%), challenging work (10.7%), and perceived prestige (7.8%). Two factors were significantly associated with a preference for specialties other than primary care: the opportunity to teach (P= 0.008) and “makes positive difference in people’s lives“ (P = 0.005). When all categories were compared, “makes positive difference in people’s lives“ (P = 0.043), and opportunities to practice with independence (P = 0.036) were factors significantly associated to career decision. Conclusion. Since interest in primary care among physicians decreased during social service and salary perception increased in favor of non-primary care careers, offering greater incentives for this specialty should be explored. Additional research to identify factors that might support the choice of a career in primary care are recommended.

scholarly journals Factors Affecting Specialty Choice Among Doctors Who Received Tuition Scholarships

2019 ◽  
Vol 51 (3) ◽  
pp. 276-281 ◽  
Author(s):  
Bich-May Nguyen ◽  
Gregory Bounds
Keyword(s):  
Primary Care ◽  
Medical School ◽  
Primary Care Physicians ◽  
Online Survey ◽  
The United States ◽  
Specialty Choice ◽  
Factors Affecting ◽  
Educational Debt ◽  
Medical School Graduation ◽  
School Graduation

Background and Objectives: The United States is projected to have a shortage of up to 46,000 primary care physicians by 2025. In many cases, medical students appear to select other specialties for financial reasons, including educational debt. Physicians who were part of two BS/MD programs and received full tuition and fee scholarships for college and medical school were surveyed to examine factors that may have impacted their specialty choice. This population of US students was selected because they do not have educational debt, so their choices could be examined independent of this influence. Methods: One hundred forty physicians who graduated from the programs as of June 2013 were invited to complete a 32-question online survey. Descriptive statistics described the population. χ2 tests and nonparametric Wilcoxon rank-sum (Mann-Whitney) tests compared primary care and nonprimary care physicians as well as those initially interested in primary care who changed before medical school graduation versus those who went into primary care. Factor analysis and Student t-test examined trends among Likert scale questions. Results: For the physicians for whom contact information was available, 74 (53%) responded. Out of 74 respondents, 18 (24%) went into primary care. Perceptions of family medicine, comments from faculty, and lifestyle played a role in deterring students from primary care. Conclusions: Full tuition and fee scholarships alone were not associated with more students choosing primary care.

Medical schools, primary care and family medicine: clerkship directors’ perceptions of the current environment

2019 ◽  
Vol 36 (6) ◽  
pp. 680-684
Author(s):  
Maribeth Porter ◽  
Denny Fe Agana ◽  
Robert Hatch ◽  
Susmita Datta ◽  
Peter J Carek
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Medical School ◽  
School Environment ◽  
Student Attitudes ◽  
Primary Care Physicians ◽  
Specialty Choice ◽  
Medicine Clerkship ◽  
Negative Comments ◽  
The Usa

Abstract Background The culture at a medical school and the positive experiences in primary care clerkships influence student specialty choice. This choice is significant if the demand for primary care physicians is to be met. The aim of this study was to examine family medicine clerkship directors’ perceptions of the medical school environment. Methods Data were collected as part of the 2015 Council of Academic Family Medicine Educational Research Alliance Family Medicine Clerkship Director survey. Questions asked included how clerkship directors perceived the environment of their medical school towards family medicine, has the environment towards family medicine changed between 2010 and 2015, do they take action to influence student attitudes towards family medicine and whether faculty members in other departments make negative comments about family medicine. Results The response rate was 79.4%. While most respondents indicated the environment of their medical school has become more positive towards family medicine, a majority of clerkship directors perceived the environment to be either very much against, slightly against or indifferent towards family medicine. Nearly one-half (41.4%) of the clerkship directors were notified more than once a year that a faculty member of another department made a negative comment about family medicine. Results varied among regions of the USA and between schools located in the USA and Canada. Conclusion Family medicine clerkship directors often perceived negativity towards family medicine, a finding that may limit the effectiveness of academic health centres in their mission to better serve their community and profession.

scholarly journals Do Regional Medical Campuses Contribute to the Production of General Surgeons? A Study of 789 Medical School Graduates from 3 Campuses Who Matched into General Surgery Residencies over 40 Years: 1974 to 2015

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Daniel Avery
Keyword(s):  
Medical Students ◽  
Medical School ◽  
General Surgery ◽  
University Of Alabama ◽  
Main Campus ◽  
School Of Medicine ◽  
Regional Medical ◽  
Regional Campus ◽  
General Surgeons ◽  
The University

Background A Regional Medical Campus (RMC) is a medical school campus separate from the main medical school at which a portion of preclinical or clinical training of medical students is carried out. The College of Community Health Sciences of The University of Alabama in Tuscaloosa, Alabama is the Tuscaloosa Regional Campus of the University of Alabama School of Medicine (UASOM). The question we sought to answer with this study is whether or not regional campuses produce general surgeons. Design, Setting and Participants Publicly available data for 6271 graduates of the University of Alabama School of Medicine from the Birmingham, Tuscaloosa and Huntsville campuses from 1974 to 2015 was obtained by using Google Search Engine. The list was expanded to include the data described by the variables in Table 1. Results Between 1974 and 2015, 789 graduates of the University of Alabama School of Medicine assigned to the Birmingham, Tuscaloosa and Huntsville Campuses matched into Categorical Surgery. All three campuses matched similar percentages of students ranging from 10.4% to 13.3% (Table 2). The main campus at Birmingham matched 599 medical students into general surgery and 202 practice general surgery. The Tuscaloosa Regional Campus matched 88 medical students into general surgery and 47 practice general surgery. The Huntsville Regional Campus matched 103 medical students into general surgery and 41 practice general surgery (Table 2). Conclusions A comparable percentage of medical students at each campus matched into general surgery. The main campus contributed a larger absolute number of practicing general surgeons while regional medical campuses contributed a higher percentage of practicing general surgeons. Regional medical campuses contribute significantly to the deficit of general surgeons in this country.

scholarly journals Student Expenses in Residency Interviewing

2017 ◽  
Vol 10 (3) ◽  
pp. 50-54 ◽  
Author(s):  
Anne Walling ◽  
Kari Nilsen ◽  
Paul Callaway ◽  
Jill Grothusen ◽  
Cole Gillenwater ◽  
...  
Keyword(s):  
Primary Care ◽  
Limiting Factor ◽  
Chi Square ◽  
Related Factors ◽  
Study Objective ◽  
Residency Programs ◽  
School Of Medicine ◽  
Regional Campus ◽  
The Impact

Introduction. The student costs of residency interviewing areof increasing concern but limited current information is available.Updated, more detailed information would assist studentsand residency programs in decisions about residency selection.The study objective was to measure the expenses and time spentin residency interviewing by the 2016 graduating class of the Universityof Kansas School of Medicine and assess the impact ofgender, regional campus location, and primary care application. Methods. All 195 students who participated in the 2016 NationalResidency Matching Program (NRMP) received a 33 item questionnaireaddressing interviewing activity, expenses incurred, timeinvested and related factors. Main measures were self-reported estimatesof expenses and time spent interviewing. Descriptive analyseswere applied to participant characteristics and responses. Multivariateanalysis of variance (MANOVA) and chi-square tests comparedstudents by gender, campus (main/regional), and primary care/other specialties. Analyses of variance (ANOVA) on the dependentvariables provided follow-up tests on significant MANOVA results. Results. A total of 163 students (84%) completed the survey. Theaverage student reported 38 (1 - 124) applications, 16 (1 - 54) invitations,11 (1 - 28) completed interviews, and spent $3,500($20 - $12,000) and 26 (1 - 90) days interviewing. No significantdifferences were found by gender. After MANOVA and ANOVAanalyses, non-primary care applicants reported significantlymore applications, interviews, and expenditures, butless program financial support. Regional campus students reportedsignificantly fewer invitations, interviews, and daysinterviewing, but equivalent costs when controlled for primarycare application. Cost was a limiting factor in acceptinginterviews for 63% and time for 53% of study respondents. Conclusions. Students reported investing significant time andmoney in interviewing. After controlling for other variables, primarycare was associated with significantly lowered expenses.Regional campus location was associated with fewer interviewsand less time interviewing. Gender had no significantimpact on any aspect studied. KS J Med 2017;10(3):50-54.

The Attitudes of Medical Inpatients toward Psychiatric Consultation: A Re-Examination

1996 ◽  
Vol 26 (3) ◽  
pp. 287-293 ◽  
Author(s):  
David A. Klein ◽  
Stephen M. Saravay ◽  
Simcha Pollack
Keyword(s):  
Primary Care ◽  
Primary Care Doctor ◽  
Patient Relationship ◽  
Psychiatric Consultation ◽  
Chi Square ◽  
Medical Inpatient ◽  
The Past ◽  
Careful Preparation ◽  
Before And After ◽  
Medical Inpatients

Objective: Several surveys from twenty to thirty years ago demonstrated that approximately 80 percent of patients were readily accepting of psychiatric consultation. The aim of this study was to re-examine whether medical inpatient attitudes toward psychiatric consultation have changed in the past twenty-five years and whether the type of psychiatric disorder affects the attitude toward consultation. Method: Forty-eight medical inpatients seen in psychiatric consultation consented to answering a questionnaire pre- and post-consultation to assess their attitudes to this intervention. Chi-square and t-tests were used to determine statistically significant differences between the “before” and “after” consultation groups. Results: Eight-one percent stated they would be moderately, to very, agreeable to psychiatric consultation if their primary care doctor felt it was indicted. Sixty-seven percent claimed not to have been informed beforehand that a psychiatric consultation was requested. Only 8 percent of patients were disinterested in having the consultation. Psychiatric diagnosis (primary vs. organic) and the attitude toward psychiatric consultation were not significantly related. Conclusions: Our results show little change in attitude over the past twenty-five years and support earlier studies that show medical inpatients are generally accepting of psychiatric consultation, that consultation does not pose a threat to the doctor-patient relationship, and that careful preparation of the patient by the primary care provider can improve patients' attitudes toward the consultation.

scholarly journals Personality distribution of Canadian medical students: A first look

2018 ◽  
Vol 9 (2) ◽  
pp. e11-19
Author(s):  
June Harris ◽  
Donald McKay
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Professional Identity ◽  
Identity Formation ◽  
Specialty Choice ◽  
Career Counselling ◽  
Professional Identity Formation ◽  
Medical School Admissions ◽  
Chi Square ◽  
Medical Graduates

Background: Personality is one of the key elements in professional identity formation and is self-identified as one of the top two influences for Canadian medical graduates when making a specialty choice yet little is known about the personalities of Canadian medical students. This study is the first to report personality data regarding Canadian medical students.Methods: Personality is one of the key elements in professional identity formation and is self-identified as one of the top two influences for Canadian medical graduates when making a specialty choice yet little is known about the personalities of Canadian medical students. This study is the first to report personality data regarding Canadian medical students.Results: The data were analyzed using Chi square. The distribution of personalities [Guardian, Idealist, Artisan, Rational] for medical students differs from the distribution reported for the general Canadian population. The distribution of personalities is similar for each Canadian medical school.Conclusion: Results from this first national accounting of the personalities of Canadian medical students suggest either that the personalities of medical school applicants differ from the general population or that personality affects medical school admissions success. Knowing the personalities of medical students could be important for medical schools in such areas as admissions, career counselling and professional identity formation.

scholarly journals A Longitudinal Measure of Medical Student Empathy at a Regional Campus

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
William J. Crump ◽  
Craig H. Ziegler ◽  
R. Steve Fricker
Keyword(s):  
Medical School ◽  
Control Group ◽  
Evaluation Tool ◽  
Cross Sectional ◽  
Longitudinal Measure ◽  
Before And After ◽  
Regional Campus ◽  
Steep Decline ◽  
Medical Educators ◽  
The Ideal

Introduction Empathy is an important characteristic of the ideal physician. Various quantitative measures of empathy have shown a steep decline during the third year of medical school. Methods We had 4 classes of medical students at our regional rural campus complete the Jefferson Scale of Empathy after each of the first 3 years. We report longitudinal results of 30 students, individually matched, including an analysis by gender. Separately, we report the cross-sectional results for 39 of our students as they began medical school. We compare our student scores to other allopathic and osteopathic student scores from large urban campuses. The Baptist Health Madisonville IRB approved the protocol as exempt. Results As they begin medical school, our students have similar scores to those at large urban campuses (difference of 1.1 points, p=.421). After the M-2 year, our students had significantly higher scores than those at urban campuses (5.7 points, p=.002) and after the M-3 year, they show an even larger positive difference (9.0 points, p<.001). As in previous publications, females had higher overall mean scores at each measure, but with our students this was only significant in post-M-2 measures (8.9 points, p=.01). Discussion We conclude that something about our students’ experience during their M-3 year is associated with a smaller decline in empathy measures than reported previously. We propose that some of this difference could be due to a formal professional identity curriculum we implemented recently during the M-3 year. However, without a concurrent or historical control group, we cannot be certain. We offer the concept of measuring empathy before and after curricular change as another useful evaluation tool for medical educators.

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