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Motivations for a career in emergency medicine: a profile of the 1996 US applicant pool

Published online by Cambridge University Press:  21 May 2015

Amin Antoine Kazzi ,
Mark I. Langdorf ,
Delaram Ghadishah  and
Neal Handly
Amin Antoine Kazzi*
Affiliation:
The University of California, Irvine, Calif
Mark I. Langdorf
Affiliation:
The University of California, Irvine, Calif
Delaram Ghadishah
Affiliation:
The University of California, Irvine, Calif
Neal Handly
Affiliation:
The University of California, Irvine, Calif
*
Division of Emergency Medicine, University of California, Irvine Medical Center, 101 The City Drive, Orange CA 92868; 714 456-7696, fax 714 456-5390, [email protected]

Abstract

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Introduction:

Although some studies have tried to assess the factors leading to choice of specialty, none have been specific to emergency medicine (EM). With a doubling of the number of EM residency programs in the past decade, an assessment of the career motivations of residents is in order.

Objectives:

To identify and rank the factors that lead candidates to choose EM as a career. Methods: Fifty-four participating EM programs returned a total of 393 anonymous surveys completed by their 1996 National Residency Matching Program (NRMP) interviewees. The survey asked respondents to rank 12 factors on a 5-point (0–4) Likert scale.

Results:

Respondents ranked the 12 motivating factors in the following descending order of importance: diversity in clinical pathology, emphasis on acute care, flexibility in choice of practice location, flexibility of EM work schedules, previous work experience in EM, greater availability of EM faculty for bedside teaching, strong influence of an EM faculty advisor or mentor, relatively shorter length of training, better salaries for EM than for primary care specialties, the presence of an EM residency at the student’s medical school, perception that EM residents have more time to moonlight and popularity of EM among medical students.

Conclusion:

US applicants appear to choose a career in EM largely because of clinical factors (diversity of clinical pathology and emphasis on acute care) and practice-related factors (flexibility in practice location and schedule).

Keywords

emergency medicinespecialty choicemotivationresidency matchNational Residency Matching Programcareer choice
Type
Academics • Formation
Information
Canadian Journal of Emergency Medicine , Volume 3 , Issue 2 , April 2001 , pp. 99 - 104
Copyright
Copyright © Canadian Association of Emergency Physicians 2001

References

1.Zimny, GH, Senturia, AG.Medical specialty counseling: a survey. J Med Ed 1973;48:336–42.Google ScholarPubMed
2.Zimny, GH, Senturia, AG.Medical student utilization of the medical specialty preference inventory. J Med Ed 1973;48:1019–20.Google ScholarPubMed
3.Wasserman, E, Yufit, RI, Pollock, GH.Medical specialty choice and personality: outcome and postgraduate follow-up results. Arch Gen Psychiatry 1969;21:529–35.CrossRefGoogle ScholarPubMed
4.Babbott, D, Baldwin, D, Jolly, P, Williams, DJ.The stability of early specialty preferences among US medical school graduates in 1983. JAMA 1988;259(13):1970–5.Google Scholar
5.Geertsma, RH, Grinols, DR.Specialty choice in medicine. J Med Ed 1972;47:509–17.Google Scholar
6.Rabinowitz, HK, Rosenthal, MP, Diamond, JJ, Turner, TN.Alternate career choices of medical students: their relationship to choice of specialty. Fam Med 1993;25(10):665–7.Google ScholarPubMed
7.Kassebaum, DG, Szenas, PL.Factors influencing the specialty choices of 1993 medical school graduates. Acad Med 1994;69: 163–70.Google Scholar
8.Tudor, C.Career plans and debt levels of graduating US medical students, 1981–1986. J Med Ed 1988;63:271–5.Google ScholarPubMed
9.Brooks, CH.The influence of medical school clinical experiences on career preferences: a multidimensional perspective. Soc Sci Med 1991;32:327–32.CrossRefGoogle ScholarPubMed
10.Coker, RE, Back, KW, Donnelly, TG, et al. The medical student specialization and general practice. J Med Ed 1960;35:518–27.Google Scholar
11.Kendall, PL, Selvin, HC.Tendencies towards specialization in medical training. In: Merton, RK, et al, editors. The student-physician: introductory studies in the sociology of medical education. Cambridge (MA): Harvard University Press; 1957.Google Scholar
12.Monk, MA, Terris, M.Factors in student choice of medical specialty. N Engl J Med 1956;255:1135–40.CrossRefGoogle Scholar
13.Cohen, JJ, Bowman, MA, DeAngelis, C, Dickler, RM, Fallon, HJ, Ferrar, J, et al. AAMC policy on the generalist physician. Acad Med 1993;68(1):1–6.Google Scholar
14.Ruhnke, GW.Residencies and employment under managed care: a medical student’s view. Health Aff (Millwood) 1996;15:113–7.CrossRefGoogle ScholarPubMed
15.Scherger, JE, Beasley, JW, Gaebe, GI, Swee, DE, Kahn, NB, Rodney, WM.Responses to questions about family practice as a career [review]. Am Fam Physician 1992;46(1):115–25.Google ScholarPubMed
16.ABEM reports to the SAEM Scientific Assembly, 1985–1999. East Lansing (MI): American Board of Emergency Medicine.Google Scholar
17.National Resident Matching Program. NRMP data 1998. Washington (DC): Association of American Medical Colleges; 1998.Google Scholar
18.Graduate Medical Education: Appendix II. JAMA 1993;270(9): 1116–22.CrossRefGoogle Scholar
19.Schwartz, RW, Jarecky, RK, Strodel, WE, Haley, JV, Young, B, Griffen, WO.Controllable lifestyle: a new factor in career choice by medical students. Acad Med 1989;64(10):606–9.Google ScholarPubMed
20.Xu, G, Hojat, M, Veloski, JJ.Emergency medicine career change: associations with performances in medical school and in the first postgraduate year and with indebtedness. Acad Emerg Med 1994;1(5):443–7.CrossRefGoogle ScholarPubMed
21.Xu, G, Veloski, J.A comparison of Jefferson Medical College graduates who chose emergency medicine with those who chose other specialties. Acad Med 1991;66(6):367–8.CrossRefGoogle ScholarPubMed
22.Chapman, JJ, Weiss, SJ, Haynes, ML, Ernst, AA.Impact of EMS education on emergency medicine ability and career choices of medical students. Prehosp Emerg Care 1999;3(2):163–6.CrossRefGoogle ScholarPubMed
23.Gallagher, EJ, Goldfrank, LR, Anderson, GV Jr, Barsan, WG, Levy, RC, Sanders, AB, et al. Role of emergency medicine residency programs in determining emergency medicine career choice among medical students. Ann Emerg Med 1994;23(5):1062–7.CrossRefGoogle ScholarPubMed
24.Zeumer, CM, Coates, WC, Lewis, RJ.Why do students choose a career in emergency medicine? [abstract]. Acad Emerg Med 1995;2:411.Google Scholar
25.David, CT, Diebold, SE.Factors influencing applicants’ rank order list for the NRMP match [abstract 89]. Ann Emerg Med 1993;22:910.Google Scholar
26.Holliman, CJ, Wuertz, RC, Hirshberg, AJ.Analysis of factors affecting emergency physician workforce projections. Acad Emerg Med 1997;4:731–5.Google Scholar
27.Moorhead, JC, Gallery, ME, Mannle, T, Chaney, WC, Conrad, LC, Dalsey, WC, et al. A study of the workforce in emergency medicine. Ann Emerg Med 1998;31(5):595–607.CrossRefGoogle ScholarPubMed
28.Tardiff, K, Cella, D, Seiferth, C, Perry, S.Selection and change of specialties by medical school graduates. J Med Ed 1986;61:790–6.Google Scholar
29.Chernow, SM, Emerman, CL, Langdorf, M, Schultz, C.Academic emergency medicine: a national profile with and without emergency medicine residency programs. Ann Emerg Med 1992;21(8):947–51.Google Scholar
30.Marple, RI, L, Kroenke, K.Third-year medical student attitudes toward internal medicine. Arch Intern Med 1994;154:2459–64.Google Scholar
31.McMurray, JE, Schwartz, MD, Genero, NP, Linzer, M.The attractiveness of internal medicine: a qualitative analysis of the experiences of female and male medical students. Ann Intern Med 1993;119:812–8.Google Scholar
32.Park, R.AAMC data report: graduating medical students’ debt and specialty choices. Acad Med 1990;65:485–6.CrossRefGoogle Scholar
33.Dial, TH, Elliot, PR.Relationship of scholarships and indebtedness to medical students’ career plans. J Med Ed 1987;62:316–24.Google ScholarPubMed
34.Silliman, A.Debt, moonlighting and career decisions among internal medicine residents. J Med Ed 1987;62:463–9.Google Scholar
35.Bazzoli, GJ, Culler, SD.Factors affecting residents’ decisions to moonlight. J Med Ed 1986;61:797–802.Google Scholar
36.Kazzi, AA, Munden, S, Handly, N, Langdorf, MI.EM Board certification, moonlighting and educational debt: profile of attitudes of the 1996 residency applicant pool. Eur J Emerg Med 1998;5:163.CrossRefGoogle Scholar
37.Li, J, Tabor, R, Martinez, M.Survey of moonlighting practices and work requirements of emergency medicine residents. Am J Emerg Med 2000;18(2):147–51.CrossRefGoogle ScholarPubMed