Exploring US internal medicine resident career preferences: a Q-methodology study.

Autor: Roberts JK; Department of Medicine, Division of Nephrology, Duke University Medical Center, Box 3512, Durham, NC, 27710, USA. john.roberts@duke.edu., Schub M; Department of Medicine, Division of Nephrology, Duke University Medical Center, Box 3512, Durham, NC, 27710, USA., Singhal S; Department of Medicine, Stanford University, Stanford, CA, USA., Norwood J; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA., Cassini T; National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA., Hudler A; Department of Medicine, University of Colorado, Denver, CO, USA., Ramadurai D; Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Smith CC; Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA., Desai SS; Department of Medicine, Oregon Health & Science University, Portland, OR, USA., Weintraub J; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Hasler SH; Department of Medicine, Rush University Medical Center, Chicago, IL, USA., Schwiesow TM; University of Iowa Carver College of Medicine, Iowa City, IA, USA., Connors GR; Department of Medicine, University of Colorado, Denver, CO, USA., Didwania A; Department of Medicine, Northwestern University, Chicago, IL, USA., Hargett CW; Department of Medicine, Division of Nephrology, Duke University Medical Center, Box 3512, Durham, NC, 27710, USA., Wolf M; Department of Medicine, Division of Nephrology, Duke University Medical Center, Box 3512, Durham, NC, 27710, USA.
Jazyk: angličtina
Zdroj: Advances in health sciences education : theory and practice [Adv Health Sci Educ Theory Pract] 2023 Aug; Vol. 28 (3), pp. 669-686. Date of Electronic Publication: 2022 Oct 20.
DOI: 10.1007/s10459-022-10172-0
Abstrakt: Career selection in medicine is a complex and underexplored process. Most medical career studies performed in the U.S. focused on the effect of demographic variables and medical education debt on career choice. Considering ongoing U.S. physician workforce shortages and the trilateral adaptive model of career decision making, a robust assessment of professional attitudes and work-life preferences is necessary. The objective of this study was to explore and define the dominant viewpoints related to career choice selection in a cohort of U.S. IM residents. We administered an electronic Q-sort in which 218 IM residents sorted 50 statements reflecting the spectrum of opinions that influence postgraduate career choice decisions. Participants provided comments that explained the reasoning behind their individual responses. In the final year of residency training, we ascertained participating residents' chosen career. Factor analysis grouped similar sorts and revealed four distinct viewpoints. We characterized the viewpoints as "Fellowship-Bound-Academic," "Altruistic-Longitudinal-Generalist," "Inpatient-Burnout-Aware," and "Lifestyle-Focused-Consultant." There is concordance between residents who loaded significantly onto a viewpoint and their ultimate career choice. Four dominant career choice viewpoints were found among contemporary U.S. IM residents. These viewpoints reflect the intersection of competing priorities, personal interests, professional identity, socio-economic factors, and work/life satisfaction. Better appreciation of determinants of IM residents' career choices may help address workforce shortages and enhance professional satisfaction.
(© 2022. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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