Evidence map›Paper›PMID 34457576›Full record

ArticleMedical science educator2019

Specialty and Lifestyle Preference Changes during Medical School.

Jonathan P Fischer, Kimberly Clinite, Eric Sullivan, Tania M Jenkins, Christina L Bourne, Calvin Chou, Gretchen Diemer, Dana Dunne, Paul J Hartung, Doug Paauw and 1 more

Abstract read
In one paragraph

Article in Medical science educator, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Debunking the Myth of the Specialty Soulmate.Medical science educator · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Exploring Doctors' Emerging Commitment to Rural and General Practice Roles over Their Early Career.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jonathan P FischerUniversity of Chicago Pritzker School of Medicine, 924 E 57th St., Suite 104, Chicago, IL 60637 USA.ORCID 0000-0001-6950-7801
Kimberly CliniteSanta Rosa Family Medicine Residency, University of California, San Francisco, San Francisco, CA USA.
Eric SullivanUniversity of Chicago Pritzker School of Medicine, 924 E 57th St., Suite 104, Chicago, IL 60637 USA.
Tania M JenkinsDepartment of Sociology, University of North Carolina- Chapel Hill, Chapel Hill, NC USA.
Christina L BourneDivision of Emergency Medicine, Department of Medicine, Medical University of South Carolina, Charleston, SC USA.
Calvin ChouDepartment of Medicine, University of California, San Francisco School of Medicine, San Francisco, CA USA.
Gretchen DiemerDepartment of Medicine, Thomas Jefferson University, Philadelphia, PA USA.
Dana DunneSection of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT USA.
Paul J HartungDepartment of Family & Community Medicine, Northeast Ohio Medical University, Rootstown, OH USA.
Doug PaauwDivision of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA USA.
Shalini ReddyDepartment of Medicine, Cook County Hospital and Health System, Chicago, IL USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMedical student specialty choices have significant downstream effects on the availability of physicians and, ultimately, the effectiveness of health systems. This study investigated how medical student specialty preferences change over time in relation to their demographics and lifestyle preferences.

methodStudents from ten medical schools were surveyed at matriculation (2012) and graduation (2016). The two surveys included questions about specialty and lifestyle preferences, demographics, educational background, and indebtedness. Student data from 2012 to 2016 were paired together and grouped into those whose specialty preferences remained constant or switched.

resultsResponse rates in 2012 and 2016 were 65% (997/1530) and 50% (788/1575), respectively. Fourth-year students ranked "enjoying the type of work I am doing" as less important to a good physician lifestyle than did first-year students (from 59.6 to 39.7%). The lifestyle factors "having control of work schedule" and "having enough time off work" were ranked as more important to fourth-year students than first-year students (from 15.6 to 18.2% and 14.8 to 31.9%, respectively). The paired dataset included 19% of eligible students (237/1226). Demographic and lifestyle factors were not significantly associated with specialty preference switching. Additionally, no significant association existed between changing lifestyle preferences and switching specialty preference (

conclusionsDuring the course of medical school, lifestyle preferences became more focused on day-to-day factors and less on deeper motivational factors. Neither demographics nor lifestyle preferences appear to relate to a student's decision to switch specialty preference during medical school. These findings represent an important step in uncovering causes of specialty preference trends.

Indexed as

Attitudes and psychosocial factorsCareer choiceCurriculum developmentUndergraduate medical education

Identifiers

PMID34457576
PMCPMC8368833

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.