Training satisfaction for subspecialty fellows in internal medicine: Findings from the Veterans Affairs (VA) Learners' Perceptions Survey
BMC Medical EducationPublished 17 May 2011Open access
Catherine P. Kaminetzky, Sheri A. Keitz, T. Michael Kashner, David C. Aron, John M. Byrne, Barbara K. Chang
Citations19
SJR quartileQ1
SJR score0.95
SNIP1.56
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Internal medicine fellows are highly satisfied with their VA training, and for both procedural and non-procedural fellows, clinical faculty/preceptor and personal experience have the strongest impact on overall satisfaction.
Abstract
Internal medicine fellows are highly satisfied with their VA training. Nonprocedural fellows reported higher satisfaction with most items. For both procedural and non-procedural fellows, clinical faculty/preceptor and personal experience have the strongest impact on overall satisfaction.
Keywords
Social SciencesMedicineHealth Professions
Archives of Internal MedicinePhysician Career Satisfaction Across Specialties
288 Citations2002James Leigh, Richard L. Kravitz +3 more
Career satisfaction and dissatisfaction vary across specialty as well as age, income, and region, and these variations are likely to be of interest to residency directors, managed care administrators, students selecting a specialty, and physicians in the groups with high satisfaction and dissatisfied.
Infectious Diseases in Clinical PracticePHYSICIAN CAREER SATISFACTION ACROSS SPECIALTIES
230 Citations2002&NA;
Academic MedicineCareer Plans for Trainees in Internal Medicine Residency Programs
156 Citations2005Richard A. Garibaldi, Carol Popkave +1 more
There has been a dramatic decrease in the number of internal medicine residents planning to pursue careers in general medicine, and this trend will likely continue for the next few years, at least, and may have an impact on the manner in which the health needs of patients are met in the future.
BMC Medical EducationFactors associated with the subspecialty choices of internal medicine residents in Canada
83 Citations2008Leora Horn, Katina Tzanetos +2 more
This study suggests that internal medicine trainees, and particularly males, are increasingly choosing procedure-based specialties while non-procedure based specialties, and in particular general internal medicine, are losing appeal.
CHEST JournalAttitudes and Perceptions of Internal Medicine Residents Regarding Pulmonary and Critical Care Subspecialty Training
71 Citations2005Scott Lorin, John N. Heffner +1 more
It is demonstrated that a minority of US medical graduates actually would choose PCCM as a career, which suggests that efforts to expand P CCM training capacity might result in vacant fellowship slots.
Arthritis Care & ResearchSubspecialty choice: Why did you become a rheumatologist?
67 Citations2007Sharon L. Kolasinski, Anne R. Bass +4 more
There are a variety of opportunities throughout medical training to influence career decision-making and improve recruitment into rheumatology, including exposure to clinical experiences and mentors during medical school, as well as during internal medicine residency training.
Journal of General Internal MedicineInternal Medicine Resident Self-report of Factors Associated with Career Decisions
63 Citations2009Colin P. West, Monica M. Drefahl +2 more
Evaluating factors self-reported by internal medicine residents nationally as important to their career decisions may assist efforts to optimize the distribution of physicians across disciplines.
Academic MedicineFactors Determining Medical Students??? and Residents??? Satisfaction During VA-Based Training: Findings from the VA Learners??? Perceptions Survey
55 Citations2008Grant W. Cannon, Sheri A. Keitz +7 more
The learning environment domain had the strongest association with overall training satisfaction score, followed by the clinical preceptor, working environment, and physical environment domains; no significant differences were found between medical students and physician residents in the rank order.
American Journal of OphthalmologyPhysician career satisfaction across specialties. Leigh JP, Kravitz RL, Schembri M, Samuels SJ, Mobley S. Arch Intern Med 2002;162:1577–1584
53 Citations2002Hans E. Grossniklaus
Academic MedicineThe Veterans Affairs Learners??? Perceptions Survey
49 Citations2003Sheri A. Keitz, Gloria J. Holland +3 more
The VA Learners’ Perceptions Survey is the first validated survey to address comprehensive satisfaction issues in clinical training and is thefirst step toward improving education.
Medical TeacherUsing questionnaires to determine whether medical graduates' career choice is determined by undergraduate or postgraduate experiences
34 Citations2007Simon Watmough, David Taylor +1 more
The majority of graduates felt their career choice was primarily dictated by their postgraduate experience, including specialties that would secure home-work balance, disenchantment with training programmes, and work experiences post graduation rather than their undergraduate clinical attachments.
Clinical MedicineWhy do doctors choose a career in geriatric medicine?
28 Citations2006Sally Briggs, Recia Atkins +2 more
Geriatric medicine seems to be a career choice for doctors of increasing maturity and including more posts in foundation programmes may not improve recruitment as anticipated, although a small number of doctors regretted choosing geriatric medicine as a career, this was rarely to do with core aspects of the specialty.
Medical EducationA comparison study of career satisfaction and emotional states between primary care and speciality residents
27 Citations2005Donald E. Girard, Dongseok Choi +3 more
To evaluate career satisfaction, emotional states and positive and negative experiences among residents in primary care and speciality programmes in 1 academic medical centre prior to the implementation of the Accreditation Council for Graduate Medical Education's (ACGME) duty hour requirements.
Lara D. VeekenWhy do we choose rheumatology? Implications for future recruitment—results of the 2006 UK Trainee Survey
21 Citations2008Lisa Dunkley, Andrew Filer +3 more
Critical factors in choice of rheumatology as a speciality are explored, an overwhelming majority of trainees decide speciality during SHO experience, and early postgraduate experience is key to choice of speciality.
Journal of General Internal MedicineInternal Medicine Residents Reject “Longer and Gentler” Training
17 Citations2007Ravi Gopal, Francisco Carreira +5 more
In this program, most Internal Medicine residents are strongly opposed to extending their training to 4 or 5 years and would prefer the current 80 hours/week cap.
Academic MedicineMonitoring and Improving Resident Work Environment Across Affiliated Hospitals: A Call for a National Resident Survey
15 Citations2009John M. Byrne, Lawrence K. Loo +1 more
A survey across five consecutive years involving five affiliated hospitals provided local benchmarks and serial data to monitor and significantly improve resident perceptions of their work environment and ensured optimal compliance with ACGME institutional requirements.
Academic MedicineOptimal Learning Environments from the Perspective of Resident Physicians and Associations with Accreditation Length
13 Citations2007Carol R. Thrush, Elizabeth Hicks +5 more
Residents’ perceptions of program quality and associations with an external quality indicator are explored and resident feedback can provide beneficial information about dimensions of programquality and the learning environment.
Arthritis Care & ResearchRheumatology fellows' perception on training and careers in academia: The American College of Rheumatology Fellow Research and Academic Training Survey
8 Citations2009
Despite an interest in academia and satisfaction with current mentoring, several barriers to academia were identified among rheumatology fellows and the concern that academia and family life are incompatible needs further attention.
