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A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved.

Publication ,  Journal Article
O'Connell, TF; Ham, SA; Hart, TG; Curlin, FA; Yoon, JD
Published in: Acad Med
January 2018

PURPOSE: To explore students' intentions to practice in medically underserved areas. METHOD: In January 2011, 960 third-year medical students from 24 MD-granting U.S. medical schools were invited to participate in a survey on their intention to practice in a medically underserved area. A follow-up survey was sent to participants in September 2011. Covariates included student demographics, medical school characteristics, environmental exposures, work experiences, sense of calling, and religious characteristics. RESULTS: Adjusted response rates were 564/919 (61.4%, first survey) and 474/564 (84.0%, follow-up survey). Among fourth-year medical students, an estimated 34.3% had an intention to practice among the underserved. In multivariate logistic regression modeling, predictors for intentions to practice among the underserved included growing up in an underserved setting (odds ratio [OR] range: 2.96-4.81), very strong sense of calling (OR range: 1.86-3.89), and high medical school social mission score (in fourth year: OR = 2.34 [95% confidence interval (CI), 1.31-4.21]). International experience was associated with favorable change of mind in the fourth year (OR = 2.86 [95% CI, 1.13-7.24]). High intrinsic religiosity was associated with intentions to practice primary care in underserved settings (in fourth year: OR = 2.29 [95% CI = 1.13-4.64]). CONCLUSIONS: Growing up in medically underserved settings, work experience in religiously affiliated organizations, very strong sense of calling, and high medical school social mission score were associated with intentions to practice in underserved areas. Lack of formative educational experiences may dissuade students from considering underserved practice.

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Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

January 2018

Volume

93

Issue

1

Start / End Page

90 / 97

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Students, Medical
  • Socioeconomic Factors
  • Professional Practice Location
  • Medically Underserved Area
  • Male
  • Longitudinal Studies
  • Intention
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
O’Connell, T. F., Ham, S. A., Hart, T. G., Curlin, F. A., & Yoon, J. D. (2018). A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved. Acad Med, 93(1), 90–97. https://doi.org/10.1097/ACM.0000000000001816
O’Connell, Thomas F., Sandra A. Ham, Theodore G. Hart, Farr A. Curlin, and John D. Yoon. “A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved.Acad Med 93, no. 1 (January 2018): 90–97. https://doi.org/10.1097/ACM.0000000000001816.
O’Connell TF, Ham SA, Hart TG, Curlin FA, Yoon JD. A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved. Acad Med. 2018 Jan;93(1):90–7.
O’Connell, Thomas F., et al. “A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved.Acad Med, vol. 93, no. 1, Jan. 2018, pp. 90–97. Pubmed, doi:10.1097/ACM.0000000000001816.
O’Connell TF, Ham SA, Hart TG, Curlin FA, Yoon JD. A National Longitudinal Survey of Medical Students' Intentions to Practice Among the Underserved. Acad Med. 2018 Jan;93(1):90–97.

Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

January 2018

Volume

93

Issue

1

Start / End Page

90 / 97

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Students, Medical
  • Socioeconomic Factors
  • Professional Practice Location
  • Medically Underserved Area
  • Male
  • Longitudinal Studies
  • Intention
  • Humans