ArticleJournal of general internal medicine2026
U.S. Medical School Graduates' Intentions to Pursue Patient Care and Non-clinical Career Activities.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 authors.
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Abstract
backgroundWith a predicted shortage of 13,500 to 86,000 physicians across specialties by 2036, there is a need to graduate students who will enter full-time clinical practice. However, the breadth of U.S. medical graduates' intended career activities has not been studied recently.
objectiveTo identify factors associated with medical graduates' plans to provide full-time patient care and to describe other career activities. DESIGN AND
participantsThis was a cross-sectional study of 2016-2021 data from the Association of American Medical Colleges Graduation Questionnaire (GQ), an annual survey of all medical students at MD-granting schools in the U. S MAIN MEASURES: The associations between predictor variables (graduation year, demographics, personal factors, medical school experience) and graduates' patient care plans (full-time, part-time, no patient care). KEY
resultsOf 119,018 students graduating during the 6-year period, 90,262 (75.8%) were included in the study. Most respondents planned to provide full-time patient care (n = 78,331, 86.8%) vs part-time (n = 9,565, 10.6%), or no patient care (n = 2,366, 2.6%). The odds of full-time patient care increased between 2016 and 2021 (full-time vs part-time: OR 1.03, CI 1.02-1.05; full-time vs no patient care: OR 1.06, CI 1.03-1.08). In fully adjusted multivariate logistic regressions, younger age, white-only race, greater debt, and less disengagement from burnout were associated with full-time care compared to part-time or no patient care. Most respondents (n = 66,702, 75.9%) intended to engage in two or more non-patient care activities.
conclusionsWhile many assume that medical students are being dissuaded from clinical practice, the proportions of students anticipating full-time clinical care has been increasing. Students also intend to incorporate a wide variety of non-clinical activities into their careers.
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