Factors that influence a career choice in primary care among medical students from high-, middle-, and low-income countries: A systematic review

Revista Panamericana de Salud Publica/Pan American Journal of Public Health

Volumn 34, Issue 5, 2013, Pages 351-358

  Puertas, E Benjamín ^a   Arósquipa, Carlos ^b   Gutiérrez, Daniela ^b  

^a PAN AMERICAN HEALTH ORGANIZATION   (Honduras)

^b PAN AMERICAN HEALTH ORGANIZATION   (Peru)

Author keywords

Career choice; Human resources; Medical; Primary health care; Students

Indexed keywords

ECONOMIC CONDITIONS; ECONOMIC DEVELOPMENT; HEALTH EDUCATION; HUMAN RESOURCE; MEDICINE; OCCUPATION; POLICY APPROACH; PRIMARY HEALTH CARE; PUBLIC ATTITUDE; RECRUITMENT (EMPLOYMENT); STUDENT; TRAINING;

COMPARATIVE STUDY; DECISION MAKING; DEVELOPED COUNTRY; DEVELOPING COUNTRY; ECONOMICS; HUMAN; INCOME; MANPOWER; MEDICAL STUDENT; MOTIVATION; PRIMARY HEALTH CARE; PSYCHOLOGY; STATISTICS AND NUMERICAL DATA;

CAREER CHOICE; DEVELOPED COUNTRIES; DEVELOPING COUNTRIES; HUMANS; INCOME; MOTIVATION; PRIMARY HEALTH CARE; STUDENTS, MEDICAL;

EID: 84897628791     PISSN: 10204989     EISSN: 16805348     Source Type: Journal    
DOI: None     Document Type: Review

References (60)

1. Kirch DG, Henderson MK, Dill MJ. Physician workforce projections in an era of health care reform. Annu Rev Med. 2012;63:435-45.
2. Vanasse A. Attractiveness of family medicine for medical students influence of research and debt. Can Fam Physician. 2011;57(6):e216.
3. Lefevre JH. Career choices of medical students: A national survey of 1780 students. Med Educ. 2010;44(6):603-12.
4. Organización Panamericana de la Salud. Migración calificada en salud, impacto financiero, reconocimiento de títulos: Retos y perspectivas en los países de la región andina. 1a ed. Lima, Perú: Sinco Editores; 2013.
5. Breinbauer KH, Fromm RG, Fleck LD, Araya CL. Trends among medical students towards general practice or specialization. Rev Med Chil. 2009;137(7):865-72.
6. Miranda JJ, Diez-Canseco F, Lema C, Lescano AG, Lagarde M, Blaauw D, et al. Stated preferences of doctors for choosing a job in rural areas of Peru: A discrete choice experiment. PLoS One. 2012;7(12):e50567.
7. Burch VC, McKinley D, van Wyk J, Kiguli-Walube S, Cameron D, Cilliers FJ, et al. Career intentions of medical students trained in six sub-saharan African countries. Educ Health (Abingdon). 2011;24(3):614.
8. Dikici MF, Yaris F, Topsever P, Tuncay Muge F, Gurel FS, Cubukcu M, et al. Factors affecting choice of specialty among first-year medical students of four universities in different regions of Turkey. Croat Med J. 2008;49(3):415-20. (Pubitemid 351955773)
9. Bennett KL, Phillips JP. Finding, recruiting, and sustaining the future primary care physician workforce: A new theoretical model of specialty choice process. Acad Med. 2010;85(10 Suppl):S81-8.
10. Molla S, Donaldson K, Yordy D, Lohr KN, Vanselow NA, eds. Primary care: America's health in a new era. report of a study by a committee of the institute of medicine, division of health care services. National Academy Press; 1996.
11. Quality assessment tool for quantitative studies. Hamilton, ON: Effective public health practice project. 2010. Available from: http://www.ephpp.ca/PDF/ Quality%20Assessment %20Tool-2010-2.pdf Accessed on 15 December 2013.
12. Dictionary for the effective public health practice project quality assessment tool for quantitative studies. 2009. Available from: http://www.ephpp.ca/PDF/QADictionary-dec2009.pdf. Accessed on 18 December 2013.
13. Critical appraisal tools to make sense of evidence. Hamilton, Ontario (Canada): McMaster University. 2011. Available from: http://www.nccmt.ca/ registry/view/eng/87.html Accessed on 6 January 2014.
14. Gill H, McLeod S, Duerksen K, Szafran O. Factors influencing medical students' choice of family medicine: Effects of rural versus urban background. Can Fam Physician. 2012;58(11):e649-57.
15. Royston PJ, Mathieson K, Leafman J, Ojan-Sheehan O. Medical student characteristics predictive of intent for rural practice. Rural Remote Health. 2012;12:2107.
16. Dyrbye LN, Eacker AM, Harper W, Power DV, Massie FS,Jr, Satele D, et al. Distress and empathy do not drive changes in specialty preference among US medical students. Med Teach. 2012;34(2):e116-22.
17. Scott II. Determinants of choosing a career in family medicine. CMAJ. 2011;183(1):E1-8.
18. Kiolbassa K, Miksch A, Hermann K, Loh A, Szecsenyi J, Joos S, et al. Becoming a general practitioner-which factors have most impact on career choice of medical students? BMC Fam Pract. 2011;12(25):1-7.
19. Newton DA, Grayson MS, Thompson LF. Money, lifestyle, or values? why medical students choose subspecialty versus general pediatric careers. Clin Pediatr (Phila). 2010;49(2): 116-22.
20. Compton MT, Frank E, Elon L, Carrera J. Changes in U.S. medical students' specialty interests over the course of medical school. J Gen Intern Med. 2008;23(7):1095-100. (Pubitemid 351960250)
21. Hojat M, Zuckerman M. Personality and specialty interest in medical students. Med Teach. 2008;30(4):400-6. (Pubitemid 351935925)
22. Feldman K, Woloschuk W, Gowans M, Delva D, Brenneis F, Wright B, et al. The difference between medical students interested in rural family medicine versus urban family or specialty medicine. Can J Rural Med. 2008;13(2):73-9.
23. Rosenblatt RA, Andrilla CH. The impact of U.S. medical students' debt on their choice of primary care careers: An analysis of data from the 2002 medical school graduation questionnaire. Acad Med. 2005;80(9):815-9. (Pubitemid 41232911)
24. Wright B, Scott I, Woloschuk W, Brenneis F, Bradley J. Career choice of new medical students at three Canadian universities: Family medicine versus specialty medicine. Can Med Assoc J. 2004;170(13):1920-4. (Pubitemid 38903427)
25. Rabinowitz HK, Diamond JJ, Markham FW, Santana AJ. The relationship between entering medical students' backgrounds and career plans and their rural practice outcomes three decades later. Acad Med. 2012;87(4):493-7.
26. Henry JA, Edwards BJ, Crotty B. Why do medical graduates choose rural careers? Rural Remote Health. 2009;9(1):1083.
27. Borges NJ, Manuel RS, Duffy RD, Fedyna D, Jones BJ. Influences on specialty choice for students entering person-oriented and technique-oriented specialties. Med Teach. 2009;31(12):1086-8.
28. Stagg P, Greenhill J, Worley PS. A new model to understand the career choice and practice location decisions of medical graduates. Rural Remote Health. 2009;9(4):1245.
29. Jutzi L, Vogt K, Drever E, Nisker J. Recruiting medical students to rural practice: Perspectives of medical students and rural recruiters. Can Fam Physician. 2009;55(1):72-3.
30. Jordan J. Choosing family medicine. what influences medical students? Can Fam Physician. 2003;49(9):1131.
31. Wayne S, Timm C, Serna L, Solan B, Kalishman S. Medical students' attitudes toward underserved populations: Changing associations with choice of primary care versus non-primary care residency. J Health Care Poor Underserved. 2010;21(2):438-47.
32. Newton DA, Grayson MS, Thompson LF. The variable influence of lifestyle and income on medical students' career specialty choices: Data from two U.S. medical schools, 1998-2004. Acad Med. 2005;80(9):809-14. (Pubitemid 41232910)
33. Knox KE, Getzin A, Bergum A, McBride P, Rieselbach R, Friedsam D. Short report: Factors that affect specialty choice and career plans of Wisconsin's medical students. WMJ. 2008;107(8):369-73.
34. Bazargan M, Lindstrom RW, Dakak A, Ani C, Wolf KE, Edelstein RA. Impact of desire to work in underserved communities on selection of specialty among fourth-year medical students. J Natl Med Assoc. 2006;98(9):1460-5. (Pubitemid 44413911)
35. Teitelbaum HS, Ehrlich N, Travis L. Factors affecting specialty choice among osteopathic medical students. Acad Med. 2009;84(6): 718-23.
36. Sharon Wayne S. Medical students' attitudes toward underserved populations: Changing associations with choice of primary care versus non-primary care residency. J Health Care Poor Underserved. 2010;21(2):438-47.
37. Senf JH, Campos-Outcalt D, Kutob R. Factors related to the choice of family medicine: A reassessment and literature review. J Am Board Fam Pract. 2003;16(6):502-12.
38. Lawson SR. Understanding primary care residency choices: A test of selected variables in the bland-meurer model. Acad Med. 2004;79(10 suppl): S36-9. (Pubitemid 39281211)
39. Jones M, Humphreys J, Prideaux D. Predicting medical students' intentions to take up rural practice after graduation. Med Educ. 2009;43(10):1001-9.
40. Thistlethwaite J, Kidd MR, Leeder S, Shaw T, Corcoran K. Enhancing the choice of general practice as a career. Aust Fam Physician. 2008;37(11):964-8.
41. Jordan J, Brown JB, Russell G. Choosing family medicine. What influences medical students? Can Fam Physician. 2003;49:1131-7. (Pubitemid 37138844)
42. DeZee KJ, Maurer D, Colt R, Shimeall W, Mallory R, Powers J, et al. Effect of financial remuneration on specialty choice of fourth-year U.S. medical students. Acad Med. 2011;86(2):187-93.
43. Tolhurst H, Stewart M. Becoming a GP-A qualitative study of the career interests of medical students. Aust Fam Physician. 2005;34(3):204-6.
44. Sinclair HK, Ritchie LD, Lee AJ. A future career in general practice? A longitudinal study of medical students and pre-registration house officers. Eur J Gen Pract. 2006;12(3):120-7. (Pubitemid 44644447)
45. Gibis B, Heinz A, Jacob R, Muller CH. The career expectations of medical students: Findings of a nationwide survey in Germany. Dtsch Arztebl Int. 2012;109(18):327-32.
46. Grayson MS, Newton DA, Thompson LF. Payback time: The associations of debt and income with medical student career choice. Med Educ. 2012;46(10):983-91.
47. Phillips JP, Weismantel DP, Gold KJ, Schwenk TL. Medical student debt and primary care specialty intentions. Fam Med. 2010;42(9): 616-22.
48. Morra DJ, Regehr G, Ginsburg S. Medical students, money, and career selection: Students' perception of financial factors and remuneration in family medicine. Fam Med. 2009;41(2): 105-10.
49. Vanasse A, Orzanco MG, Courteau J, Scott S. Attractiveness of family medicine for medical students: Influence of research and debt. Can Fam Physician. 2011 Jun;57(6):e216-27.
50. Scott I, Wright B, Brenneis F, Brett-Maclean P, McCaffrey L. Why would I choose a career in family medicine?: Reflections of medical students at 3 universities. Can Fam Physician. 2007;53(11):1956-7.
51. Khater-Menassa B, Major S. Factors influencing the choice of specialty among medical students in lebanon. J Med Liban. 2005;53(1):16-20. (Pubitemid 43040952)
52. Maseghe Mwachaka P, Thuo Mbugua E. Specialty preferences among medical students in a kenyan university. Pan Afr Med J. 2010;5:18.
53. Huda N, Yousuf S. Career preference of final year medical students of ziauddin medical university. Educ Health (Abingdon). 2006;19(3):345-53. (Pubitemid 44964355)
54. Kotha SR. Lifecourse factors and likelihood of rural practice and emigration: A survey of ghanaian medical students. Rural Remote Health. 2012;12:1898:1-13.
55. Mehmood SI, Khan MA, Walsh KM, Borleffs JC. Personality types and specialist choices in medical students. Med Teach. 2013;35(1):63-8.
56. Mariolis A, Mihas C, Alevizos A, Gizlis V, Mariolis T, Marayiannis K, et al. General practice as a career choice among undergraduate medical students in Greece. BMC Med Educ. 2007;7:15.
57. Chew YW, Rajakrishnan S, Low CA, Jayapalan PK, Sreeramareddy CT. Medical students' choice of specialty and factors determining their choice: A cross-sectional questionnaire survey in melaka-manipal medical college, Malaysia. Biosci Trends. 2011;5(2):69-76.
58. Baboolal NS. Factors affecting future choice of specialty among first-year medical students of the university of the West Indies, Trinidad. Med Educ. 2007;41(1):50-6. (Pubitemid 46011042)
59. Neto P. Interesse dos estudantes pela medicina de família: Estado da questão e agenda de pesquisa. Rev Bras Educ Med. 2009;33(2):198.
60. Khader Y, Al-Zoubi D, Amarin Z, Alkafagei A, Khasawneh M, Burgan S, et al. Factors affecting medical students in formulating their specialty preferences in jordan. BMC Med Educ. 2008;8(32):1-7.