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Pediatric Career Choice: Insights From a Novel, Medical School Pathway Program
Dorene F Balmer1, Rachel J Gottlieb-Smith2, Patricia M Hobday3
1Perelman School of Medicine, University of Pennsylvania (DF Balmer, RJG Smith), Philadelphia, Pa; The Children's Hospital of Philadelphia (DF Balmer), Philadelphia, Pa.
Medical students choose pediatrics based on intrinsic passion and extrinsic experiences. Aligning personal values with pediatric specialty values during clerkships is crucial for career decisions.
Area of Science:
- Medical Education
- Pediatric Career Choice
- Student Decision-Making
Background:
- Existing research on pediatric career choice is outdated or conflated with primary care.
- Innovative educational programs like Education in Pediatrics Across the Continuum (EPAC) offer new insights.
Purpose of the Study:
- To explore the career decision-making process of medical students interested in pediatrics.
- To understand the influence of intrinsic and extrinsic factors on pediatric career choice.
Main Methods:
- Conducted semistructured interviews with 25 medical students across five groups at five medical schools.
- Employed iterative data collection and inductive coding to identify patterns.
Main Results:
- Students are drawn to pediatrics by intrinsic "doing what you love" principles.
- Extrinsic experiences before and during medical school clerkships shape perceptions of pediatrics.
- Alignment of personal values with the collective values of pediatrics, particularly during clerkships, is key.
Conclusions:
- Intrinsic and extrinsic factors interact dynamically, especially during clerkships.
- These interacting factors significantly influence career choices for students initially interested in pediatrics.
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