Educational Debt and Reported Career Plans among Internal Medicine Residents
Annals of Internal MedicinePublished 16 September 2008
Furman S. McDonald, Colin P. West, Carol Popkave, Joseph C. Kolars
Citations51
SJR quartileQ1
SJR score3.38
SNIP3.27
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TL;DR
The association of educational debt with reported career plans among a national cross section of internal medicine residents in their final year of training is assessed to assess the impact of debt on the decision to subspecialize amonginternal medicine residents.
Abstract
Educational debt is associated with differences in reported career plans among internal medicine residents.
Keywords
Social SciencesMedicineHealth Professions
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396 Citations1995C J Bland, Linda N. Meurer +1 more
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The authors describe how the 8,128 medical school seniors who completed the 1993 AAMC Medical School Graduation Questionnaire rated the influence that each of 36 factors had on their specialty decisions, using a 0 to 4 Likert-type scale where 4 indicated a major influence on specialty choice.
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The purpose of this study was to examine changes in expressed career preferences in a national cohort of categorical internal medicine residents as they progressed through 3 years of residency training.
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Economic returns to certain specialties and personal background appear to play a more important role in specialty choice and an increase in debt from subsidized loan sources has mixed effects while an increase from Health Education Assistance Loans reduces the likelihood of becoming a primary care physician.
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The results do not support the hypothesis that debt level is a determining factor among the variables that influence choices of residency by graduating medical students.
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In the study reported here, medical residents were surveyed to determine their patterns of educational indebtedness, the effects of debt on their decisions about training and career, the frequency with which they begin making loan payments during training, the extent to which they moonlight and the reasons for doing so, and their opinions about the effect of moonlighting on house staff training.
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While the overall effect of debt was small, some individuals were influenced by debt in a variety of ways and paying attention to the effects of debt on this small population may improve training for some physicians and help better target programs that attempt to influence physicians by alleviating debt.
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Trends in students' responses to the annual graduation questionnaire of the Association of American Medical Colleges from 1981 to 1986 were examined and reflected increasing interest by the students in full-time academic appointments and decreasing interest in solo, private practices.
PubMedEffect of rising medical student debt on residency specialty selection at the University of Minnesota.
16 Citations2006Paul Tonkin
A significant correlation between debt and specialty selection at the University of Minnesota, Duluth campus, and no significant correlation at the Twin Cities campus in Minneapolis are found.
Journal of General Internal MedicineManaged care, attitudes, and career choices of internal medicine residents
14 Citations1998Heidi D Nelson, Annette M. Matthews +2 more
Those from high managed care communities were only slightly more accepting of managed care, but were more likely to choose general internal medicine as a career than those from communities with lower managed care penetration.
Academic MedicineEducational debt, specialty choices, and practice intentions of underrepresented-minority medical school graduates
12 Citations1993D G Kassebaum, P L Szenas +1 more
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Academic MedicineFactors influencing studentsʼ borrowing that may affect their specialty choices and other after-graduation behaviors
11 Citations1998Robert B. Cooter, T Bross +1 more
The results suggest that medical students borrow for a variety of reasons, ranging from financial need to personal financing or lifestyle choices, and these reasons should be considered in relation to institutional and governmental financial aid policies and future research on the relationship between debt and speciality choice.
Teaching and Learning in MedicineThe Subspecialization Rate of Third Year Internal Medicine Residents From 1992 Through 1998
10 Citations2004Louis J. Grosso, L D Goode +4 more
There was a downward trend in the rate at which internists entered subspecialty training during the 1990s, and almost identical estimates where produced by the cohort and F-1/R-3 approaches.
