Influence of demographic and socio-economic factors in choosing hospitalist careers among US medical students
Abstract Background The subspecialty of Hospital Medicine (HM) has grown rapidly since the mid-1990s. Diversity and inclusion are often studied in the context of healthcare equity and leadership. However, little is known about the factors potentially associated with choosing this career path among U...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-022-03792-y |
| _version_ | 1811257167283486720 |
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| author | Jean-Sebastien Rachoin M. Olguta Vilceanu Natali Franzblau Sabrina Gordon Krystal Hunter Elizabeth Cerceo |
| author_facet | Jean-Sebastien Rachoin M. Olguta Vilceanu Natali Franzblau Sabrina Gordon Krystal Hunter Elizabeth Cerceo |
| author_sort | Jean-Sebastien Rachoin |
| collection | DOAJ |
| description | Abstract Background The subspecialty of Hospital Medicine (HM) has grown rapidly since the mid-1990s. Diversity and inclusion are often studied in the context of healthcare equity and leadership. However, little is known about the factors potentially associated with choosing this career path among US medical students. Methods We analyzed the results of the Annual Association of American Medical Colleges Survey administered to Graduating medical students from US medical schools from 2018 to 2020. Results We analyzed 46,614 questionnaires. 19.3% of respondents (N = 8,977) intended to work as a Hospital Medicine [HM] (unchanged from 2018 to 2020), mostly combined with specialties in Internal medicine (31.5%), Pediatrics (14.6%), and Surgery (9.1%). Students interested in HM were significantly more likely to identify as female, sexual orientation minorities (Lesbian/Gay or Bisexual), Asian or Black/African-American, or Hispanic. Role models and the ability to do a fellowship were strong factors in choosing HM, as was higher median total debt ($170,000 vs. $155,000). Interest in higher salary and work/life balance negatively impacted the likelihood of choosing HM. There were significant differences between students who chose IM/HM and Pediatrics/HM. Conclusion About one in five US medical students is interested in HM. The probability of choosing future HM careers is higher for students who identify as sexual or racial minorities, with a higher amount of debt, planning to enter a loan forgiveness program, or are interested in doing a fellowship. |
| first_indexed | 2024-04-12T17:53:06Z |
| format | Article |
| id | doaj.art-c9f39fbc606647cc9f89a27d86340e6e |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-12T17:53:06Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-c9f39fbc606647cc9f89a27d86340e6e2022-12-22T03:22:27ZengBMCBMC Medical Education1472-69202022-10-012211710.1186/s12909-022-03792-yInfluence of demographic and socio-economic factors in choosing hospitalist careers among US medical studentsJean-Sebastien Rachoin0M. Olguta Vilceanu1Natali Franzblau2Sabrina Gordon3Krystal Hunter4Elizabeth Cerceo5Division of Hospital Medicine, Department of Medicine, Cooper University Healthcare, Cooper Medical School of Rowan UniversityDepartment of Public Relations and Advertising, Rowan UniversityDepartment of Obstetrics and Gynecology, Cooper University Healthcare, Cooper Medical School of Rowan UniversityDepartment of Medicine, Cooper University Healthcare, New JerseyCooper Research Institute, Cooper Medical School of Rowan UniversityDivision of Hospital Medicine, Department of Medicine, Cooper University Healthcare, Cooper Medical School of Rowan UniversityAbstract Background The subspecialty of Hospital Medicine (HM) has grown rapidly since the mid-1990s. Diversity and inclusion are often studied in the context of healthcare equity and leadership. However, little is known about the factors potentially associated with choosing this career path among US medical students. Methods We analyzed the results of the Annual Association of American Medical Colleges Survey administered to Graduating medical students from US medical schools from 2018 to 2020. Results We analyzed 46,614 questionnaires. 19.3% of respondents (N = 8,977) intended to work as a Hospital Medicine [HM] (unchanged from 2018 to 2020), mostly combined with specialties in Internal medicine (31.5%), Pediatrics (14.6%), and Surgery (9.1%). Students interested in HM were significantly more likely to identify as female, sexual orientation minorities (Lesbian/Gay or Bisexual), Asian or Black/African-American, or Hispanic. Role models and the ability to do a fellowship were strong factors in choosing HM, as was higher median total debt ($170,000 vs. $155,000). Interest in higher salary and work/life balance negatively impacted the likelihood of choosing HM. There were significant differences between students who chose IM/HM and Pediatrics/HM. Conclusion About one in five US medical students is interested in HM. The probability of choosing future HM careers is higher for students who identify as sexual or racial minorities, with a higher amount of debt, planning to enter a loan forgiveness program, or are interested in doing a fellowship.https://doi.org/10.1186/s12909-022-03792-yMedical studentsHospitalistsCareer choiceDemographic factors |
| spellingShingle | Jean-Sebastien Rachoin M. Olguta Vilceanu Natali Franzblau Sabrina Gordon Krystal Hunter Elizabeth Cerceo Influence of demographic and socio-economic factors in choosing hospitalist careers among US medical students BMC Medical Education Medical students Hospitalists Career choice Demographic factors |
| title | Influence of demographic and socio-economic factors in choosing hospitalist careers among US medical students |
| title_full | Influence of demographic and socio-economic factors in choosing hospitalist careers among US medical students |
| title_fullStr | Influence of demographic and socio-economic factors in choosing hospitalist careers among US medical students |
| title_full_unstemmed | Influence of demographic and socio-economic factors in choosing hospitalist careers among US medical students |
| title_short | Influence of demographic and socio-economic factors in choosing hospitalist careers among US medical students |
| title_sort | influence of demographic and socio economic factors in choosing hospitalist careers among us medical students |
| topic | Medical students Hospitalists Career choice Demographic factors |
| url | https://doi.org/10.1186/s12909-022-03792-y |
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