Academic Psychiatry 27:260-268, December 2003
© 2003 Academic Psychiatry
Factors Affecting Medical Student Career Choice of Psychiatry From 1999 to 2001
Frederick S. Sierles, M.D.,
Stephen H. Dinwiddie, M.D.,
Delia Patroi, M.D.,
Nutan Atre-Vaidya, M.D.,
Michael J. Schrift, D.O. and
John L. Woodard, Ph.D.
From the Department of Psychiatry and Behavioral Sciences, Finch University of Health Sciences, the Chicago Medical School and Director of Medical Student Education, North Chicago Illinois (FUHS/CMS), Dr. Sierles is Professor and Director of Medical Student Education; Dr. Patroi is Instructor; Dr. Atre-Vaidya is Associate Professor and Chair; Dr. Schrift is Associate Professor and Director of Psychiatric Residency Training; and Dr. Woodard is Adjunct Associate Professor. Dr. Woodard is also Associate Professor of Psychology at FUHS. Dr. Dinwiddie is Clinical Professor of Psychiatry at the Pritzger School of Medicine, University of Chicago, Chicago, Illinois. Address correspondence to Dr. Sierles at 3333 Green Bay Road, North Chicago IL, 60064; sierlesf{at}finchcms.edu (E-mail).
OBJECTIVE: The proportion of students matching into psychiatry (PMP) at each medical school results from a complex interplay between extrinsic (e.g., national trends, geographic region) and intrinsic factors (e.g., the quality of psychiatric education). The goal of the study was to learn the extent to which regional and local extrinsic factors (and one intrinsic factor) influenced PMP at medical schools in the U.S. from 1999 to 2001. METHODS: The authors obtained data about these factors from deans of student affairs, the National Resident Matching Program (NRMP), American Medical Association (AMA), Association of American Medical Colleges (AAMC), American Psychiatric Association (APA), and Harvard University's HealthSystem Consortium. RESULTS: The best predictor of a school's PMP is the PMP of the prior year for that particular school. Local and regional extrinsic factors were not significantly associated with PMP. There was a modest inverse correlation between PMP and the proportion of international medical graduates (IMGs) in psychiatry residency. CONCLUSIONS: The authors infer that intrinsic factors are most important for recruitment, and they make recommendations for addressing these factors.
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