Evidence map›Paper›PMID 34484935›Full record

ArticleNeurology. Clinical practice2021

Longitudinal Qualitative Study of Career Decision-making of First-Year Medical Students: Why Neurology (or Not)?

Rachel Gottlieb-Smith, Douglas J Gelb, Benjamin Becker, Braydon Dymm, Olivia Gutgsell, Namrata Patel, Dorene F Balmer

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Employment Decisions of Newly Graduated Occupational Therapists.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2025
    Article
  2. Article
  3. 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

7 authors.

Rachel Gottlieb-SmithDepartment of Pediatrics (RG-S, NP), and Department of Neurology, University of Michigan (DJG, BB, BD, OG), Ann Arbor; and Department of Pediatrics (DFB), Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0002-6066-5966
Douglas J GelbDepartment of Pediatrics (RG-S, NP), and Department of Neurology, University of Michigan (DJG, BB, BD, OG), Ann Arbor; and Department of Pediatrics (DFB), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Benjamin BeckerDepartment of Pediatrics (RG-S, NP), and Department of Neurology, University of Michigan (DJG, BB, BD, OG), Ann Arbor; and Department of Pediatrics (DFB), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Braydon DymmDepartment of Pediatrics (RG-S, NP), and Department of Neurology, University of Michigan (DJG, BB, BD, OG), Ann Arbor; and Department of Pediatrics (DFB), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Olivia GutgsellDepartment of Pediatrics (RG-S, NP), and Department of Neurology, University of Michigan (DJG, BB, BD, OG), Ann Arbor; and Department of Pediatrics (DFB), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Namrata PatelDepartment of Pediatrics (RG-S, NP), and Department of Neurology, University of Michigan (DJG, BB, BD, OG), Ann Arbor; and Department of Pediatrics (DFB), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Dorene F BalmerDepartment of Pediatrics (RG-S, NP), and Department of Neurology, University of Michigan (DJG, BB, BD, OG), Ann Arbor; and Department of Pediatrics (DFB), Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe growing shortage of neurologists is in part due to suboptimal recruitment. Little is known about students' decision making regarding a career in neurology, particularly early in training. Using a longitudinal qualitative approach, we aimed to understand factors that influence first-year medical students' decisions about neurology.

methodsWe conducted 1-on-1 semistructured interviews with 15 first-year medical students at 1 institution before and after the preclinical neurology course (2018-2019). In the first interview, we asked about career intentions, factors likely to influence specialty choice, and perceptions of neurology. In the second interview, we asked about changes in students' views over the year. Using thematic analysis, we generated codes and clustered coded data into themes.

resultsThe 2 most prominent factors influencing career choice in general were lifestyle and personal interest. No students expressed concerns about lifestyle in neurology. Most students were neutral about neurology or had a positive personal interest, which typically increased after the neurology course. Students frequently worried about content difficulty and the curative potential of neurology.

conclusionsInterventions should include early education about the factors important to students in determining specialty choice, including lifestyle, and address potentially negative perceptions of neurology. Increasing time allotment to the preclinical neurology course may combat perception of the content as difficult.

Identifiers

PMID34484935
PMCPMC8382411

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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.