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Related Experiment Video

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Can Marginal Rates of Substitution Be Inferred From Happiness Data? Evidence from Residency Choices.

Daniel J Benjamin1, Ori Heffetz2, Miles S Kimball3

  • 1Department of Economics, Cornell University, 480 Uris Hall, Ithaca, NY 14853 and National Bureau of Economic Research.

The American Economic Review
|November 19, 2014
PubMed
Summary
This summary is machine-generated.

Medical students’ residency choices differ from what maximizes their anticipated subjective well-being (SWB). Evaluative SWB measures better predict choices than affective happiness, informing future research on well-being in career decisions.

Keywords:
choicehappinesslife satisfactionmarginal rate of substitutionpreferencerevealed preferencesubjective well-beingutility

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Area of Science:

  • Medical Education
  • Psychology
  • Behavioral Economics

Background:

  • The National Resident Matching Program (NRMP) is a critical process for medical students' career progression.
  • Understanding the factors influencing residency choice is essential for optimizing student outcomes and program alignment.
  • Subjective well-being (SWB) is increasingly recognized as a key metric for evaluating life satisfaction and decision-making.

Purpose of the Study:

  • To compare medical students' actual residency choice rankings with their anticipated subjective well-being (SWB) rankings.
  • To analyze the implied tradeoffs between residency features based on choice versus SWB rankings.
  • To investigate which SWB measures best align with students' stated residency preferences.

Main Methods:

  • Surveying 561 U.S. medical students after their NRMP choice rankings submission.
  • Collecting data on students' residency choice rankings.
  • Eliciting anticipated SWB rankings and expected residency features (e.g., prestige).

Main Results:

  • Significant discrepancies exist between students' residency choice rankings and their anticipated SWB rankings.
  • Evaluative SWB measures (life satisfaction, Cantril's ladder) showed tradeoffs closer to choice rankings than affective happiness measures.
  • Multi-measure SWB indices demonstrated tradeoffs comparable to evaluative SWB measures.

Conclusions:

  • Medical students' decision-making in residency selection may not solely align with maximizing their anticipated subjective well-being.
  • Evaluative SWB metrics appear more congruent with stated preferences in this context than affective happiness.
  • Findings have implications for utilizing SWB data in applied research and career guidance for medical trainees.