Variation in predictors of primary care career choice by year and stage of training.

Context: It is not known whether factors associated with primary care career choice affect trainees differently at different times or stages of medical education.

Objective: To examine how role models, encouragement, and personal characteristics affect career choice at different stages (medical school vs residency) and periods (1994 vs 1997) of training.

Design: A split-panel design with 2 cross-sectional telephone surveys and a panel survey in 1994 and 1997.

Comparison of osteopathic and allopathic medical Schools' support for primary care.

Objective: To contrast prevailing behaviors and attitudes relative to prJgiary care education and practice in osteopathic and allopathic medical schools.

Design: Descriptive study using confidential telephone interviews conducted in 1993-94. Analyses compared responses of osteopaths and allopaths, controlling for prJgiary care orientation.

Intention to practice primary care by pediatric residents: nature or nurture?

Factors associated with the intention to practice primary care were examined in a survey of a national sample of PL-2 residents (n = 98). Socioemotional orientation (nature), faculty and peer encouragement (nurture), and clinical experiences during residency (nurture) were independently associated with a primary care career choice. For residents who changed career intentions to primary care from a nonprimary care preference, gender, encouragement by faculty and peers, and outpatient experiences during residency were associated with the change.

Views of managed care--a survey of students, residents, faculty, and deans at medical schools in the United States.

Background And Methods: Views of managed care among academic physicians and medical students in the United States are not well known. In 1997, we conducted a telephone survey of a national sample of medical students (506 respondents), residents (494), faculty members (728), department chairs (186), directors of residency training in internal medicine and pediatrics (143), and deans (105) at U.S.

Mixed messages about primary care in the culture of U.S. medical schools.

Purpose: To examine the contributions of school-level variables associated with primary care career choice to students' enthusiasm for and perceived encouragement toward primary care.

Method: Multilevel analysis of 264 fourth-year students and 500 clinical faculty members at 59 medical schools using data obtained in 1993 to 1994 from telephone interviews of a national stratified probability sample of students (response rate 90%) and faculty (response rate 81%).

Results: On average, students reported slightly positive regard for primary care and felt neither supported nor unsupported in their interests in primary care.