Factors related to the choice of family medicine: A reassessment and literature review

Janet H. Senf, Doug Campos-Outcalt, Randa M Kutob

Research output: Contribution to journalArticle

157 Citations (Scopus)

Abstract

Background: Recent decreases in the number of students entering family medicine has prompted reconsideration of what is known about the factors affecting specialty choice. Methods: Thirty-six articles on family medicine specialty choice published since 1993 were reviewed and rated for quality. Results: Rural background related positively and parents' socioeconomic status relates negatively to choice of family medicine. Career intentions at entry to medical school predict specialty choice. Students who believe primary care is important, have low income expectations, and do not plan a research career are more likely to choose family medicine. The school characteristic related to choice of family medicine is public ownership. Large programs to increase numbers entering primary care seem effective. Required family medicine time in clinical years is related to higher numbers selecting family medicine. Faculty role models serve both as positive and negative influences. Students rejecting family medicine are concerned about prestige, low income, and breadth of knowledge required. Students planning on a career in a disadvantaged or rural area are more likely to enter family medicine. Conclusions: Multiple factors are consistently shown to be related to the choice of the specialty of family medicine.

Original languageEnglish (US)
Pages (from-to)502-512
Number of pages11
JournalJournal of the American Board of Family Practice
Volume16
Issue number6
StatePublished - Nov 2003

Fingerprint

Medicine
Students
Primary Health Care
Ownership
Vulnerable Populations
Medical Schools
Social Class
Parents
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Factors related to the choice of family medicine : A reassessment and literature review. / Senf, Janet H.; Campos-Outcalt, Doug; Kutob, Randa M.

In: Journal of the American Board of Family Practice, Vol. 16, No. 6, 11.2003, p. 502-512.

Research output: Contribution to journalArticle

@article{f3fc8ca0dda44823bc377b43c70ef80e,
title = "Factors related to the choice of family medicine: A reassessment and literature review",
abstract = "Background: Recent decreases in the number of students entering family medicine has prompted reconsideration of what is known about the factors affecting specialty choice. Methods: Thirty-six articles on family medicine specialty choice published since 1993 were reviewed and rated for quality. Results: Rural background related positively and parents' socioeconomic status relates negatively to choice of family medicine. Career intentions at entry to medical school predict specialty choice. Students who believe primary care is important, have low income expectations, and do not plan a research career are more likely to choose family medicine. The school characteristic related to choice of family medicine is public ownership. Large programs to increase numbers entering primary care seem effective. Required family medicine time in clinical years is related to higher numbers selecting family medicine. Faculty role models serve both as positive and negative influences. Students rejecting family medicine are concerned about prestige, low income, and breadth of knowledge required. Students planning on a career in a disadvantaged or rural area are more likely to enter family medicine. Conclusions: Multiple factors are consistently shown to be related to the choice of the specialty of family medicine.",
author = "Senf, {Janet H.} and Doug Campos-Outcalt and Kutob, {Randa M}",
year = "2003",
month = "11",
language = "English (US)",
volume = "16",
pages = "502--512",
journal = "Journal of the American Board of Family Medicine",
issn = "1557-2625",
publisher = "American Board of Family Medicine",
number = "6",

}

TY - JOUR

T1 - Factors related to the choice of family medicine

T2 - A reassessment and literature review

AU - Senf, Janet H.

AU - Campos-Outcalt, Doug

AU - Kutob, Randa M

PY - 2003/11

Y1 - 2003/11

N2 - Background: Recent decreases in the number of students entering family medicine has prompted reconsideration of what is known about the factors affecting specialty choice. Methods: Thirty-six articles on family medicine specialty choice published since 1993 were reviewed and rated for quality. Results: Rural background related positively and parents' socioeconomic status relates negatively to choice of family medicine. Career intentions at entry to medical school predict specialty choice. Students who believe primary care is important, have low income expectations, and do not plan a research career are more likely to choose family medicine. The school characteristic related to choice of family medicine is public ownership. Large programs to increase numbers entering primary care seem effective. Required family medicine time in clinical years is related to higher numbers selecting family medicine. Faculty role models serve both as positive and negative influences. Students rejecting family medicine are concerned about prestige, low income, and breadth of knowledge required. Students planning on a career in a disadvantaged or rural area are more likely to enter family medicine. Conclusions: Multiple factors are consistently shown to be related to the choice of the specialty of family medicine.

AB - Background: Recent decreases in the number of students entering family medicine has prompted reconsideration of what is known about the factors affecting specialty choice. Methods: Thirty-six articles on family medicine specialty choice published since 1993 were reviewed and rated for quality. Results: Rural background related positively and parents' socioeconomic status relates negatively to choice of family medicine. Career intentions at entry to medical school predict specialty choice. Students who believe primary care is important, have low income expectations, and do not plan a research career are more likely to choose family medicine. The school characteristic related to choice of family medicine is public ownership. Large programs to increase numbers entering primary care seem effective. Required family medicine time in clinical years is related to higher numbers selecting family medicine. Faculty role models serve both as positive and negative influences. Students rejecting family medicine are concerned about prestige, low income, and breadth of knowledge required. Students planning on a career in a disadvantaged or rural area are more likely to enter family medicine. Conclusions: Multiple factors are consistently shown to be related to the choice of the specialty of family medicine.

UR - http://www.scopus.com/inward/record.url?scp=3543097469&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3543097469&partnerID=8YFLogxK

M3 - Article

C2 - 14963077

AN - SCOPUS:3543097469

VL - 16

SP - 502

EP - 512

JO - Journal of the American Board of Family Medicine

JF - Journal of the American Board of Family Medicine

SN - 1557-2625

IS - 6

ER -